Tagged With "Trauma to Trust"
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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A Trauma-Informed Approach to Teaching Through Coronavirus [tolerance.org]
Experts from the National Child Traumatic Stress Network share their recommendations for educators supporting students during the COVID-19 crisis. By TEACHING TOLERANCE STAFF MARCH 23, 2020 L ast week, as schools across the nation closed their doors to slow the spread of the coronavirus, TT reached out to our community to learn what support you needed at this time. Among the most common responses was a call for trauma-informed practices to support students over the coming weeks and months.
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A Trauma Lens for Systems Change [Stanford Social Innovation Review]
"While many leaders in the field emphasize the importance of integrated, systemic change, psychologist Kathryn Becker-Blease has pointed out that in practice, the term “trauma-informed” is often used to describe a variety of discrete services delivered in isolation. 8 Change efforts often focus on individual healing, rather than on broader organizational or policy reform. An agency may describe itself as trauma-informed when in fact all it has done is added a new trauma clinician or...
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Opinion: Screenings Alone Won’t Prevent Adverse Childhood Experiences—We Must Address Community Trauma [calhealthreport.org]
By Rachel A. Davis and Howard Pinderhughes, California Health Report, December 19, 2019 Earlier this month, California’s Surgeon General Nadine Burke Harris launched an ambitious campaign to reduce adverse childhood experiences, which can cause lifelong health problems. With more than 60 percent of Californians saying they were exposed to a traumatic childhood event, adverse childhood experiences are at crisis levels in the state. The ACEs Aware campaign will train and pay health care...
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Policymaker Education Day Registration STILL OPEN!
Registration is still OPEN for another week to the second annual Policymaker Education Day hosted by the California Campaign to Counter Childhood Adversity (4CA) in Sacramento on May 22nd! Don't miss this opportunity to be able to share your thoughts and expertise with your Assemblymember or Senator on how to address childhood adversity in your communities. Guest speakers include Assemblymember Dr. Arambula of Fresno County, Ted Lempert of Children Now and Sarah Pauter of Phenomenal...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE
Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...
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Program offers hundreds of young men, boys safe space to heal from ACEs
Dennis McCollins recounts some of the experiences that caused him to harden against the world as a teenager. “There were times I went to more funerals than birthdays,” says McCollins, who is the clinical director of the School Based Health Center at Greenwood Academy in Richmond, Calif. And it took its toll: “I spent time homeless. I got expelled [from school]. I was so angry and upset and mad,” he says. Dennis McCollins Then a man that he met when he was sent to Job Corps as a teen turned...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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Screening for Childhood Trauma
Dr. Ken Epstein has been in the social services sector for nearly four decades and has witnessed firsthand the long-term effects of trauma. As both the son and father of fellow social workers, the work runs in his blood. Now, he’s helping Bay Area health clinics screen for and address childhood trauma through the Resilient Beginnings Collaborative (RBC), led by Center for Care Innovations (CCI) and made possible by Genentech.
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Secondary Traumatic Stress for Educators: Understanding and Mitigating the Effects [KQED]
By Jessica Lander Roughly half of American school children have experienced at least some form of trauma — from neglect, to abuse, to violence. In response, educators often find themselves having to take on the role of counselors, supporting the emotional healing of their students, not just their academic growth. With this evolving role comes an increasing need to understand and address the ways in which student trauma affects our education professionals. In a growing number of professions,...
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Shifting the focus from trauma to compassion
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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Toxic Stress, Behavioral Health, and the Next Major Era in Public Health by Mental Health America
To view the document, click on the following link: http://www.mentalhealthamerica.net/issues/toxic-stress-behavioral-health-and-next-major-era-public-health
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Two New Grant Opportunities for Youth Development and Diversion Services
In 2019, more than $40 million will become available to fund community-based, culturally rooted, trauma-informed services for youth in California as alternatives to arrest and incarceration. Thousands of California youth are arrested every year for low-level offenses. Youth who are arrested or incarcerated for low-level offenses are less likely to graduate high school, more likely to suffer negative health-outcomes, and more likely to have later contact with the justice system.
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When Schools Cause Trauma [tolerance.org]
Trauma-sensitive and trauma-informed schools are spreading around the country. But if they don’t start with how schools themselves can induce trauma, they won’t work. By CARRIE GAFFNEY ; ISSUE 62, SUMMER 2019 Increasingly, we are seeing pushes for trauma-sensitive and trauma-informed schools. We know that traumatic stress can have long-term health effects on developing brains and, in response, districts across the United States are acknowledging the role that trauma plays in students’...
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Whole-Family Wellness for Early Childhood: A New Model for Medi-Cal Delivery and Financing [cachildrentrust.org]
By California Children's Trust, September 2019 Whole-Family Wellness for Early Childhood: A New Model for Medi-Cal Delivery and Financing outlines a new approach for California to conceptualize, deliver, and fund a system of care for Medi-Cal eligible infants and toddlers that is grounded in family wellness. At present, California is not adequately addressing the needs of young children on Medi-Cal, allowing millions to miss out on important preventive care each year because Medi-Cal health...
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Youth court banishes blame; leads with ACEs science
YMCA Marin County Youth Court in San Rafael, California In her opening statement, 17-year-old youth advocate Eva advises jurors how to proceed and summarizes her “client’s” good qualities. “As you will see, Julian is genuine, well-spoken and friendly. I recommend asking him about his friends and family, his future plans and his activities outside of school.” (First names only of all minors are used to protect their privacy.) Welcome to the YMCA Marin County (CA) Youth Court, one of 1,400...
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Building trust is now a critical part of health care
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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California’s Surgeon General Readies Statewide Screening for Child Trauma [chronicleofsocialchange.org]
By Jeremy Loudenback, Chronicle of Social Change, September 19, 2019 Soon after being appointed California’s first-ever surgeon general, Nadine Burke Harris took off on a barnstorming tour across the state to talk about adverse childhood experiences and toxic stress, an issue she calls “the biggest public health crisis facing California today.” Before the pediatrician was appointed to her position in January by Gov. Gavin Newsom (D), Harris had founded and led the Center for Youth Wellness,...
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Culture of Care Conference Primer
I created this document as pre-reading for the Culture of Care conference on Nov. 18th, 2019, but I think it can be a helpful starting place for anyone who is new to ACEs and the movement towards trauma and resiliency-informed care. If you read through the resources, what resonated with you? What was confusing? What was missing? In the future I can reformat it to remove reference to the conference if there is interest in continuing to use or share this.
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Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
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Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
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Dr. Mona Delahooke Will Present at The Trauma-Responsive Schools Conference in California
Have you been hearing all the buzz about Dr. Mona Delahooke's new book, Beyond Behaviors ? In my opinion, it’s the best new book of 2019. Dr. Delahooke is a practicing pediatric clinical psychologist of thirty years. She is gaining critical acclaim and grassroots support for challenging the prevalent and pervasive behaviorist bias in schools. As a result, she is an emerging authority in the growing revolution to re-interpret children's misbehavior. She highlights much of the books' content...
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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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During COVID-19, how does a trauma-informed school pivot to distance learning?
All photos courtesy of Antioch Middle School staff Antioch Middle School seventh-grader Alyssia Garcia was accustomed to scanning the cafeteria during lunch for kids who might need her assistance. “I’d look for kids who looked sad, kids who were sitting alone, kids who looked angry,” says Garcia, a peer advocate at her school. Alyssia Garcia When she’d spot students sitting alone or looking sad, she’d approach them and ease into conversation. “If it’s a sad person, I’ll try to cheer them up...
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Four Core Priorities for Trauma-Informed Distance Learning [kqed.org]
By Kara Newhouse Apr 6 Trauma-informed teaching cannot be simplified to cookie-cutter practices. Take this example: a teacher worked with a student to develop a silent signal that he could use when he needed extra breaks during class. Hearing how well it worked, another teacher tried to apply the signal without first building a relationship with the student. It bombed. With the second teacher, the signal became “an angry ear tug instead of a trauma-informed ear tug,” said Alex Shevrin Venet...
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Healing in place: Game on to flip the COVID19 threat into a positive experience for our children
As I was considering the children sheltering-in-place this morning and reflecting on lessons from my own childhood, I wondered: Can we heal-in-place too? I was born after the 1962 Cuban missile crisis, another collective trauma affecting everyone. Yet, it was nevertheless passed on to me by the adults in my life in the form of constant reminders that the U.S. could be blown into bits any second. When I started school, there were constant “hide under the chair” earthquake drills I took to be...
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How Caring for Students in Distress Can Take a Steep Toll [edweek.org]
By Sarah D. Sparks September 17, 2019 Math teacher Veronica Lyon is one of the people who makes support for traumatized students work at Lincoln Middle School in Clarkston, Wash., a rural community on the Idaho border. She was an advocate for distressed students in the early days of the school's six-year trauma-sensitive schooling initiative, and has developed a course that pairs math instruction and social skills development. Her former students often drop in to tell her how much their time...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How to Implement Trauma-informed Care to Build Resilience to Childhood Trauma [ChildTrends.org]
Children who are exposed to traumatic life events are at significant risk for developing serious and long-lasting problems across multiple areas of development. [1] , [2] , [3] , [4] However, children are far more likely to exhibit resilience to childhood trauma when child-serving programs, institutions, and service systems understand the impact of childhood trauma, share common ways to talk and think about trauma, and thoroughly integrate effective practices and policies to address it—an...
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How Traumatized Children See the World, According to Their Drawings [Time.com]
In May, now-ousted U.S. Attorney General Jeff Sessions announced the start of the Trump Administration’s “zero tolerance” policy to separate migrant families at the Mexican border. “If you are smuggling a child” into the country, he said , “then we will prosecute you, and that child will be separated from you as required by law.” In just six weeks, more than 2,600 children were taken from their parents or other adults. Although a federal judge ordered the government to reunite all children...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Join Feb. 18th webinar on addressing ACEs in public policy
Please join this ACEs Connection co-sponsored webinar "Making Meaningful Change: Addressing ACEs through Public Policy" on Feb. 18 (11:30 am-1:00 pm ET) presented by the Health Federation of Philadelphia and MARC (Mobilizing Action for Resilient Communities). In this webinar, three nationally recognized experts will discuss policy and advocacy strategies on a local, state, and national level using evidence from studies they have conducted with legislators and the general public. Speakers...
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Leaders in SF public housing deal with their own and community trauma head on
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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Middle school tackles everybody's trauma; result is calmer, happier kids, teachers and big drop in suspensions
Sixth grader Cayla White (right) helps lead class meditation with Niroga Institute’s Lauren Banister (photo: Laurie Udesky) ________________________________ During the 2014/2015 school year, things were looking grim at Park Middle School in Antioch, CA. At the time, staff couldn’t corral student disruptions. Teacher morale was plummeting. By the end of February 2015, 192 kids of the 997 students had been suspended -- 19.2 percent of the student population. “I was watching really good people...
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New Brief on Play & Trauma Available
Bay Area Early Childhood Funders have released a new brief, “The Power of Play for Addressing Trauma in Early Years,” available in both English and Spanish . The brief provides families, teachers and caregivers an easy-to-read, one-page online brief about the importance of play for addressing trauma in young children and tips for helping children cope. Additional materials on the importance of play are available here .
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Oakland, CA, youth organization takes next step in systems change to heal trauma
In a room in East Oakland, Calif., photos of children are projected on a screen. “Who is that?” asks Briana Moore, a licensed clinical social worker in private practice and a master trainer for the East Bay Agency for Children’s Trauma Transformed program. “Bill Clinton,” responds one of the 20 employees of the East Oakland Youth Development Center (EOYDC).
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Oakland Promise Brilliant Baby is giving families a Resilient Start
Program Provider Sadie Williams works with financial coach Judit Trinidad as they practice family engagement for Oakland Promise Brilliant Baby Program enrollees.
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Modifying Silk Ring Theory for Allyship [medium.com]
Namira Islam Anani April 16, 2018 In early 2015, during my father’s battle with cancer, I came across this 2013 gem of an article by Susan Silk and Barry Goldman in the LA Times on “how not to say the wrong thing” to someone undergoing a medical crisis. They called it the “‘Ring Theory’ on kvetching” and mentioned that it’s applicable to many different forms of crises. The article is short and well-worth the read, but here’s the first of two excerpts I’m focusing on for this exercise in...
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Trauma to Trust uses ACEs science to heal wounds between community members, police
photo courtesy of EJUSA/Ron Holtz Studio Forty-seven-year-old Al-Tariq Best, founder and executive director of the HUBB , an arts and healing organization for youth, recalls the rage, humiliation and fear he felt as a 17-year-old when he and three other Black friends were pulled over by police in Newark, N.J. Al-Tariq Best “[There were] all these people around us. They search the car. They strip the car down. They make us pull our pants down in broad daylight. And I'm, I'm upset. And I'm...
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California reaches milestone with ACEs initiatives pulsing in all 58 counties. Next: All CA cities.
Karen Clemmer, the Northwest community facilitator with ACEs Connection, was already deeply interested in the CDC/Kaiser Permanente Adverse Childhood Experiences Study when she and a colleague from the Child Parent Institute were invited to lunch by ACEs Connection founder and publisher Jane Stevens in 2012. But that lunch meeting changed everything.
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Affirmation Cards
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Culture of Care Affirmation Cards
These cards were first shared at the First 5 San Mateo County Culture of Care event in November 2019. We laid them out at the registration table, and let people choose whichever affirmations spoke to them. We didn't share the digital files earlier, but I recently came across them and thought people might be interested in using and sharing them now. Image files and a PDF are attached below. The PDF is also housed in our file directory here:...
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3 Ways to Reduce Stress and Build Connections During Distance Learning [edutopia.org]
Remote learning will likely play a role in students’ lives once schools reopen. Here’s how teachers and parents can help kids manage stress, build resilience, and stay connected. By Sarah Gonser July 7, 2020 As the pandemic grinds on and protests against police brutality and systemic racism continue, young people are coping with high levels of stress and uncertainty, writes Dr. Pamela Cantor in “ The Stress of This Moment Might Be Hurting Kids’ Development ” for Education Next. With the...
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Embedding Equity into Emergency Operations: Strategies for Local Health Departments During COVID-19 and Beyond [barhii.org]
We are excited to announce our new brief jointly released by BARHII and the Public Health Alliance of Southern California titled “ Embedding Equity into Emergency Operations: Strategies for Local Health Departments During COVID-19 & Beyond. ” The brief outlines case studies, resources, and priority recommendations that counties and cities can take to explicitly and intentionally embed equity staff and practices into their emergency operations structures and throughout the public health...
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The Resilient Beginnings Network Is Taking Grant Applications!
Interested SF Bay Area safety net organizations can apply for funding to participate in this three-year program on resilience and trauma-informed care.
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‘Trauma on top of trauma’: Bay Area students under stress from pandemic face wildfire risks [sfchronicle.com]
By Jill Tucker, San Francisco Chronicle, August 25, 2020 Students in the Bonny Doon school district had been back in class — virtually — for two days before the wildfires forced them to evacuate, many fleeing for their lives in the middle of the night Wednesday. Teachers and students lost homes to the powerful wildfires raging through the charming, wooded town in the Santa Cruz Mountains. School had just started, but now Superintendent Mike Heffner, who is also the principal of the...
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How Health Departments Can Address Police Violence As a Public Health Issue [humanimpact.org]
September 2020 The health impacts of policing and incarceration are well documented. On average, 1,000 people are killed by police in the US each year, with Black and Indigenous people being 2 to 3 times more likely to be killed by police than White people. Even in the absence of physical violence, stops by police — or the constant threat of stops by police — are associated with adverse mental health outcomes , including anxiety, depression, and post-traumatic stress disorder, especially for...