Tagged With "Trauma-inducing systems"
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2018 "4CA" California Policymaker ACEs Education Day
The second annual 4CA Policymaker Education Day on May 22, brought together 75 community members across California to visit 81 legislators or their staff members and educate them about ACEs, trauma and resilience.
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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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4CA 2019 Year in Review - CA children’s state policy advances.
On behalf of the CA Campaign to Counter Childhood Adversity (4CA) backbone team (Center for Youth Wellness, Children Now and ACEs Connection), we want to give a hearty thank you to the advocates and champions across the state for advancing child-friendly policy and legislation in California in 2019. Here are some examples of what was accomplished this year: More than 730 organizations signed on to the Family Urgent Response System (FURS) budget letter in support of a 24/7 statewide hotline...
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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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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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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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Quakes and Tremors: What Foundations Can Do to Safeguard Childhood Wellbeing in the Wake of a Pandemic [fsg.org]
MARCH 31, 2020 | URSULA WRIGHT The world is experiencing a series of quakes and tremors caused by a global pandemic. The quakes are the unprecedented shocks and strains we are witnessing in our health, economic, and education systems. Tremors, on the other hand, are far less obvious because their disruptions occur at a much deeper level and during timeframes when the average individual may feel that they have successfully distanced themselves from the more pronounced quake(s). Both...
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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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San Mateo (CA) launches county initiative to tackle ACEs and build resilience
Attendees at the San Mateo event participate in ice-breaking exercise When you’re working with people who've had a lot of childhood and adult adversity, it’s hard for you to believe that anyone else can have a bad day, says Laura van Dernoot Lipsky. “Your neighbor or your best friend says: ‘I’ve had a bad day.’ And you think, ‘Oh, I’m sorry you had a bad day; were you sex trafficked today? No, you were not!'” Laura van Dernoot Lipsky Van Dernoot Lipsky, the author of Trauma Stewardship: An...
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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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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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Suisun Elementary (CA) makes ACEs science intrinsic to everyday life
Students start each day with meditation During her first year as principal of Suisun Elementary in Suisun City, Calif., in 2014 Ann Marie Neubert suspended 102 students — out of a student population of 550 —for disrupting their classes. It was a serious problem, but the school’s teachers didn’t know what to do. “[Teachers] felt like they were using all the tools in their toolbox and it wasn’t changing behavior,” she recalls. Ann Marie Neubert Too many students were spending too much time out...
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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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That Discomfort You’re Feeling Is Grief [HBR.org]
By Scott Berinato March 23, 2020 Some of the HBR edit staff met virtually the other day — a screen full of faces in a scene becoming more common everywhere. We talked about the content we’re commissioning in this harrowing time of a pandemic and how we can help people. But we also talked about how we were feeling. One colleague mentioned that what she felt was grief. Heads nodded in all the panes. If we can name it, perhaps we can manage it. We turned to David Kessler for ideas on how to do...
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Thinking About Racial Disparities in COVID-19 Impacts Through a Science-Informed, Early Childhood Lens [developingchild.harvard.edu]
By Jack P. Shonkoff and David R. Williams, Center on the Developing Child, April 27, 2020 The COVID-19 virus is ruthlessly contagious and, at the same time, highly selective. Its capacity to infect is universal, but the consequences of becoming infected are not. While there are exceptions, children are less likely to show symptoms, older adults and those with pre-existing medical conditions are the most susceptible, and communities of color in the United States are experiencing dramatically...
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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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TRAINING: Cultural Humility 101: Building Bridges to Diversity and Inclusion
Training opportunity for San Mateo County BHRS non-clinical staff. Wednesday, February 12th 2020 9:30a-12:30p or 1:00-4:00 Silicon Valley Community Foundation, Room 114 1300 S. El Camino Real, San Mateo, CA Course Description: We all strive to engage effectively with our diverse population of customers, patients, and colleagues. Cultural humility offers one approach to engage with the ever-changing dynamics of culture and difference, power and privilege, as we go through our day-to-day work.
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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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Trauma-informed groups rev up to address race, inclusion
Eighteen-year-old Kia Hanson has always enjoyed her time as a youth leader at the East Oakland Youth Development Center (EOYDC). She’s worked mostly with five- and six-year-olds since she began in 2016. Recently, she tapped into new skills, especially if the kids were having a meltdown. Kia Hanson “If they’re off, we ask them, ‘What’s wrong?’ ‘Do you want to talk about anything?’,” she explains. “Basically asking before assuming they’re mad at the world for no reason.” What made the...
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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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'We Carry That Burden.' Medical Workers Fighting COVID-19 Are Facing a Mental Health Crisis [time.com]
BY TARA LAW APRIL 10, 2020 As a critical care doctor in New York City , Monica is used to dealing with high-octane situations and treating severely ill patients. But she says the COVID-19 outbreak is unlike anything she’s seen before. Over the past few weeks, operating rooms have been transformed into ICUs, physicians of all backgrounds have been drafted into emergency room work, and two of her colleagues became ICU patients. While Monica is proud of her coworkers for rising to the...
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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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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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At El Dorado ACEs Collaborative meeting, NPPC talks ACEs, new connections forged
More than 65 people showed up in person in Placerville or via teleconferencing from South Lake Tahoe on Feb. 21 to learn about the National Pediatric Practice Community on ACEs (NPPC), a program of the San Francisco-based Center for Youth Wellness . Among the discussion points made by NPPC Program Manager Leena Singh were the connection between ACEs and health outcomes, the need for doing universal ACEs screening, and the necessary infrastructure to implement ACEs screening, according to...
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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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California issues update on state residents' ACE scores from 2011 & 2013 surveys
The latest adverse childhood experiences survey from the California Department of Public Health shows that 42% of the population has an ACE score of 3 or higher; 16% have an ACE score of 4 or higher. Those with an ACE score of 4 or higher are: 3x more likely to be current smokers 4x more likely to have a depressive disorder 2x more likely to have asthma 2x more likely to be obese 4x more likely to have COPD 3x more likely to have a stroke Here are a few other highlights from the six-page...
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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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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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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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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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Got time for a little brainstorming with ACEsConnection?
On Friday, March 20, 2020, you're invited to join me to talk about how we, as a community, can continue to guide and educate ourselves about to deal with the effects of the spread of Covid-19, and how to continue those efforts with people who don't yet know about ACEs science. And, given this last week, how we can provide more support to stay in the front of our brains instead of feeding our amygdala.
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Have you heard about the film Wrestling Ghosts? On September 29, it's coming to Oakland! And to Santa Cruz on 9/30.
This Wrestling Ghosts screening promises to be a healing event for all who gather. And our hope is that it will catalyze the formation of a lasting local network of support around parents and care providers of children in the Bay Area. As things speed up all across the Bay, we need supportive infrastructure now more than ever.
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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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Health Equity Policy Platform for COVID-19 Response and Recovery
From Human Impact Parters: A COVID-19 Public Health Response & Recovery Policy Platform Decades of underinvestment in our public infrastructure and neoliberal policies that gutted protections for working people, our healthcare, and our wider safety net are vividly exposing their consequences. People of color — most harshly Black, Latinx, and Native people — are disproportionately experiencing the consequences of these conditions. In this context, directly impacted communities are naming...