Tagged With "systemic racism"
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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 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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ACEs Champion Julie Kurtz Gives Every Child (and Adult) a Voice
Julie Kurtz hasn’t stopped creating ways to build and promote resilience in herself and others who have experienced trauma since she left her family home for college at age 18. Although she experienced four types of adversity during her childhood, the CEO of the Center for Optimal Brain Integration has traveled a complex journey to mitigate those adversities by recognizing her own internal resilience, building skills to buffer her toxic and traumatic stress, uncovering her voice through...
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ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property.
Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
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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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Safe & Sound: Integrating protective factors and ACEs science to end child abuse in San Francisco in 50 years
It was almost a ritual, but one that regularly disrupted the parenting class at a San Francisco-based child abuse prevention organization. Every time a siren blared in the streets below, a female participant bolted out of the room to seek safety in the windowless interior rooms of the multilevel labyrinthine white Victorian that houses Safe & Sound . Molly Jardiniano And it didn’t just happen in the parenting class. “When she heard the fire trucks, she said she would become paralyzed,...
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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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Solano County launches its ACEs and resilience initiative inviting all to take action
Elizabeth Huntley recalls the day when her family’s life was turned upside down. “One day my mom woke up and she packed up all of our clothes, all five of us…and she took me and my younger sister who had the same father… down to my paternal grandmother’s house…and she left us there. She took my middle sister to a town near Birmingham, Ala., and left her there. She took my only brother and an older sister back to Huntsville and left them at a sister’s house. Then she went back to that housing...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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The Impact of Racism on Child and Adolescent Health [AAP]
The American Academy of Pediatrics is committed to addressing the factors that affect child and adolescent health with a focus on issues that may leave some children more vulnerable than others. Racism is a social determinant of health that has a profound impact on the health status of children, adolescents, emerging adults, and their families. Although progress has been made toward racial equality and equity, the evidence to support the continued negative impact of racism on health and...
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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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WEBINAR: Fostering Equity: Creating Shared Understanding for Building Community Resilience
Struggling with how to Foster Equity Conversations in Community? Join the national partners of the Building Community Resilience Networks as we share our lessons learned in fostering equity as a strategy to prevent childhood adversity and build community resilience. Wednesday, February 26th 12pm-1:15pm Eastern More info at go.gwu.edu/EquityWebinar As a nation we have agonized over how to approach conversations on race, racism, inequity and racial justice. Too often we have opted to attempt...
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April Webinars from Embrace Race
WEBINAR: Thursday, April 16th, 8:30 to 9:30 pm ET What the COVID-19 Crisis Tells Us about Structural Racism Even as COVID-19 leaves its mark across the length and breadth of the United States, we know that some communities are being hit harder than others. The overrepresentation of Black and Brown people among COVID victims in New York City has received lots of attention because of the huge numbers involved, but the pattern repeats itself almost everywhere we have the data to document it.
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Berkeley City College group screens Resilience, looks at ACEs through a social justice lens
As far back as she can remember, Berkeley City College Mental Health Specialist Janine Greer understood that there was a connection between adverse childhood experiences (ACEs) and health. She had a sense early on that racism figures large in that equation. “Looking around in my community – I’m African American, I noticed that even people who had healthy habits got funky diseases,” she said. “And I’m thinking there must be some sort of health trouble that happens if you’re always stressed.”...
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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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Bystander Intervention to stop anti-Asian/American and xenophobic harassment
As you know, anti-Asian and Asian American and xenophobic harassment are on the rise across the U.S. Unfortunately, anti-Asian and Asian American racism and xenophobia is not a new phenomenon. It has been part of our histories for a long time, and we have seen it manifested against different communities in many ways over the years. As the coronavirus pandemic escalates, we have seen more harassment, discrimination, and even violence directed at our communities. The Asian Americans Advancing...
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California's 1st Surgeon General Spotlights Health Risks Of Childhood Adversity (npr.org)
In an interview last year, after her book , The Deepest Well: Healing the Long-Term Effects of Childhood Adversity, was published, Burke Harris told NPR's Cory Turner, "We all need to be part of the solution. If we each take ... our little piece, it's nuts how far we'll be able to go, together as a society, in terms of solving this problem. California Gov. Gavin Newsom took Burke Harris up on her challenge, appointing her the first-ever surgeon general of California. Newsom cites the toxic...
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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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Don’t Talk about Implicit Bias Without Talking about Structural Racism [National Equity Project]
Implicit bias has been in the news a lot lately. At the National Equity Project , we think it is an important topic that warrants our attention, but it is critical that any learning about implicit bias includes both clear information about the neuroscience of bias and the context of structural racism that gave rise to and perpetuates inequities and harmful racial biases. As leaders for equity, we have to examine, unpack and mitigate our own biases and dismantle the policies and structures...
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Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
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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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Early childhood educators learn new ways to spot trauma triggers, build resilience in preschoolers
A hug may be comforting to many children, but for a child who has experienced trauma it may not feel safe.
That’s an example used by Julie Kurtz, co-director of trauma informed practices in early childhood education at the WestEd Center for Child & Family Studies (CCFS), as she begins a trauma training session. Her audience, preschool teachers and staff of the San Francisco-based Wu Yee Children’s Services at San Francisco’s Women’s Building, listen attentively.
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ACEs Science Champions Series: First 5 San Mateo County (CA) Forges Ahead with Trauma-Informed Initiative
Each year for the past 20 years, First 5 San Mateo County has spent nearly $7 million to help meet the needs of children from birth through age five, and support their families. In 1998, First 5 was established and funded in California by Proposition 10, which funneled tobacco tax dollars into transforming the early childhood system and guaranteeing better outcomes for all counties in the state. In January 2018, the First 5 San Mateo County started a planning committee based on incorporating...
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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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 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 do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey, they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients
Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
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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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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
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Learning How to Convince Leaders to Create Trauma-Informed Programs, Systems and Environments.
How do you build a narrative around ACEs science, bolster it with data and convince your leadership that integrating it is critical for the community you serve? Representatives from San Francisco Bay Area health and social service agencies had an opportunity on December 5 to learn about ACEs science, find data sets to help them make a case for supporting ACEs education and resiliency programs, and then role play ways to deliver powerful messages. Donielle Prince, ACEs Connection Network’s...
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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 organization calls all pediatricians to end crisis that's "hiding in plain sight"
When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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Oakland, CA, trying out model used in Baltimore to reduce trauma, increase resilience
Oakland BSC activity: Photo/ Courtesy of Trauma Transformed/East Bay Agency for Children When a group of community organizations in Baltimore came together in 2015, they already knew trauma figured large in many lives. There was violence in the community, in schools, and in community members’ homes. Police brutality occurred. Many suffered the loss of loved ones to incarceration or death. There were house fires and homelessness. Much of the dysfunction was systemic and rooted in racism,...
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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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Becoming Upended: Teaching and Learning about Race and Racism with Young Children and Their Families [naeyc.org]
KIRSTEN COLE, DIANDRA VERWAYNE Young Children May 2018 Vol. 73, No. 2 At the beginning of the year in Ms. Verwayne’s kindergarten class, the children are working on an All About Me project. They begin by drawing pictures of themselves based on observations of their reflections in a mirror. Next, the teacher provides them with sentence starters asking them to describe their hair color and texture, their skin color, and their eye color. In this racially and ethnically diverse class, the...
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"Addiction begins with solving a problem, the problem of human pain, emotional pain"
In his groundbreaking book , In the Realm of Hungry Ghosts: Close Encounters with Addiction , trauma and addiction expert Dr. Gabor Maté writes, “There are almost as many addictions as there are people.” ACEs Connection founder and publisher Jane Stevens read that quote as a springboard to asking Maté to define addiction and explain whether or not it is always rooted in adverse childhood experiences. Maté, along with filmmaker Michelle Esrick and Saturday Night Live star Darrell Hammond,...
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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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Dear White People…10 Ways You Can Show Up for your Black Friends and Colleagues [colorlines.com]
An open letter to my people who are White and sincerely want to show up in their inter-cultural relationships during this time. SUNSHINE MUSE JUN 9, 2020 10:15AM ET Dear friends who are white and privileged by virtue of that categorization (not necessarily because of wealth, intention or ethnic background), If you are receiving this it’s because we have gone through some beautiful things together and/or we have been a significant support for each other as a friend or colleague. This is...
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Opinion: More Than Ever, We Must Prioritize the Mental Health and Well-being of Children [stanfordchildrens.org]
By Rachel Velcoff and Steven Adelsheim, Stanford Children's Health, June 8, 2020 The COVID-19 pandemic has dramatically changed the lives of families across the country and left many adults feeling stressed, anxious, and struggling to cope. It has also put the mental health of our youngest and most vulnerable at risk. Now, three months into the pandemic, youth are experiencing further stress and trauma, as our country grapples with another profound crisis: the murder of George Floyd and the...
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You and White Supremacy: A Challenge to Educators [tolerance.org]
It started as a series of Instagram posts; then it became a downloadable workbook. Now, the “Me and White Supremacy” challenge is reaching the mainstream—and creator Layla F. Saad hopes all teachers with white privilege will find the courage to take it. ADRIENNE VAN DER VALK ISSUE 62, SUMMER 2019 The night of June 26, 2018, Layla Saad was unable to sleep. The previous year had been a taxing one for the writer, life and business coach, and spiritual advisor. The deadly Unite the Right rally...
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It's Time to Move Beyond Buzzwords and Radically Re-imagine Schools [edweek.org]
"Woke" language is not a substitute for the deep work anti-racism requires By Jamilah Pitts June 16, 2020 Educators have to move beyond the buzzwords and trends circulating today if we are seeking to truly transform schools. The terms “diversity,” “equity,” and “inclusion” simply are not enough. And I fear now that the radicalism tied to anti-racist work is being watered down. Educational trendy buzzwords pave a destructive road for the commodification of otherwise transformative action.
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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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Confronting Racism at Work: A Reading List [hbr.org]
June 15, 2020 Companies must confront racism at a systemic level — addressing everything from the structural and social mechanics of their own organizations to the role they play in the economy at large. We know that diversity programs have historically failed , but there are proven ways to improve hiring programs, interrupt bias at the team level, interrogate supposedly “color-blind” analytics, and support employees of color — especially Black employees. There’s much work to do on a...
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Anxiety, Depression and Racism while Sheltering-in-Place [childrennow.org]
By Lishaun Francis June 23, 2020 The shelter-in-place orders due to COVID-19 ignited widespread alarm, anxiety and depression for adults concerned about interrupting their daily routines, falling ill and maintaining their economic stability. Simultaneously, children and youth were struggling with the same fears. School closures, disconnection from friends and an abrupt stop to community resources put additional strain on an already tenuous hold on mental wellness for many young people. In...