Tagged With "Core Protective Factors"
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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 CALL TO ACTION: COVID-19, HOUSING INSTABILITY, AND HEALTH
From Bay Area Regional Health Inequities Initiative, March 23, 2020 COVID-19 – A Public Health Emergency Coronavirus Disease 2019 (COVID-19) is a respiratory illness caused by a novel virus that is spreading rapidly across the globe. Currently, there are over 33,000 cases in the United Statesi . Globally, over 12,000 deaths have been attributed to the illness since it emerged three months ago. In the Bay Area, efforts to respond to the virus are increasing rapidly. On March 17, six Bay Area...
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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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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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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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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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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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Unprecedented childhood trauma hearing in U.S. Congress on July 11 to feature data from new state fact sheets on ACEs prevalence, impacts
A hearing of unprecedented scope and depth (this link will take you to a list of witnesses and all of their statements plus an overview memo on the hearing from committee staff) on ACEs science and childhood trauma — " Identifying, Preventing, and Treating Childhood Trauma: A Pervasive Public Health Issue that Needs Greater Federal Attention " — will be held today in the House Committee on Oversight and Reform. You can watch the live stream at 10:00 am ET through this link . Eleven witnesses...
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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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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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Bay Area doctors target health consequences of childhood trauma [sfchronicle.com]
By Erin Allday, 1/5/2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by Medi-Cal, and it will be available to...
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California 2018 State Profile
Hi, Everyone: Here’s the state profile for California. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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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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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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'Haven't Hugged My Mom in a Month:' Kids of Health Care Workers Feel the Strain [kqed.org]
By Sasha Khokha , Asal Ehsanipour Apr 17 As front line health care workers dedicate long hours to caring for patients during the COVID-19 crisis, life has changed for their own families — especially their children. Some hospital workers are staying away from their families to protect their kids. Others are living in the same house and taking extra precautions to avoid passing along the virus. Many children of nurses and doctors are navigating the unpredictability of life without regular...
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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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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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May Revise Budget Impacts to ACEs Aware [acesaware.org]
By ACEs Aware, May 20, 2020 Dear Stakeholders: The state of California is facing an unprecedented budget shortfall due to the economic disruptions caused by the COVID-19 emergency. The state must make difficult budgetary decisions to protect access to vital services and programs, including Medi-Cal. While we are all facing these significant budget changes together, we also know that Californians are experiencing increased levels of stress. That stress, combined with disruptions to accessing...
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What Isolation Does to Undocumented Immigrants [theatlantic.com]
The pandemic has thrown into sharp relief the lonely, confined lives many immigrants in the United States were already living. EMILY KAPLAN MAY 27, 2020 One of the first times I met with Antonio, a middle-aged undocumented man in Queens, he was an hour late. When he arrived, panting, he explained that while he was on the subway, word spread among passengers that Immigration and Customs Enforcement agents were waiting at the next station. Antonio stayed on the train for several more stops—but...
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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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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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Coping with Stress During the COVID-19 Pandemic: One-Pager
Coping with Stress During the COVID-19 Pandemic: One-Pager
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How to Stay Physically, but Not Emotionally, Distant with Kindergarten and Pre-K Students [kqed.org]
Suzanne Bouffard Aug 4 If this were a normal summer, Katy Phinney and her colleagues would be organizing their Pre-K classrooms for the new school year, choosing classroom themes and wall décor. Instead, Phinney is worried about what Pre-K will look like if and when students return to classrooms. “My biggest concern is teachers needing to balance the importance of safety procedures with creating a welcoming and loving environment for our students,” says Phinney, the Pre-K program director in...
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SUICIDE PREVENTION MONTH 2020 [smchealth.org]
Hosted by the Office of Diversity and Equity . September is Suicide Prevention Month (SPM), which includes National Suicide Prevention Week (September 6-12, 2020) and World Suicide Prevention Day (September 10). SPM aims to empower everyone in the community to prevent suicide. For 2020, San Mateo County, Star Vista and partners are promoting the theme of “Stronger Together.” The Centers for Disease Control and Prevention (CDC) confirms that studies show that connectedness is overall an...
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Expansion of School-Based Health Services in California: An Opportunity for More Trauma-Informed Care for Children
Expansion of School-Based Health Services in California: An Opportunity for More Trauma-Informed Care for Children , is a paper that describes a new opportunity for California to leverage federal funding to provide physical, mental, and behavioral health services in schools to Medicaid-enrolled students experiencing trauma and violence. It explains a newly approved Medicaid State Plan Amendment (SPA) that allows school districts – known as local education agencies (LEAs) – to access more...
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A Better Normal Community Discussion - Reimagining Health Care
In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute, while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council for...
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Think beyond ACEs screening, advises California funders workgroup in new report
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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New Report: ACEs BRFSS Data Report- An Overview of Adverse Childhood Experiences in California
A newly developed document titled “Adverse Childhood Experiences Data Report: Behavioral Risk Factor Surveillance System (BRFSS), 2011-2017: An Overview of Adverse Childhood Experiences in California” has just been released and can be found following link and attached to this blog post. The purpose of this resource is to report state and county prevalence of Adverse Childhood Experiences (ACEs) in California; describe ACEs-related geographic and demographic disparities; and to offer details...
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New Resource: Strategies for Trauma-Informed School Communities
The California Essentials for Childhood Initiative is excited to share a newly developed attached, “Strategies for Trauma-Informed School Communities: Practices to Improve Resiliency in School-Aged Children and Address Adverse Childhood Experiences”. This new resource is intended to assist state and local public health programs, child-serving systems, non-profits, and philanthropic organizations in their efforts to educate about the need for trauma-informed school policies and practices that...
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Youth Detention Facility finds culture of kindness more effective than punishment
A corner of the Multi-Sensory De-escalation Room, All MSDR photos courtesy of Valerie Clark When a young person enters the de-escalation room in the Sacramento County Youth Detention Facility , they’ll find dimmed lights, bottles of lavender, orange and other essential oils, an audio menu featuring the rush of ocean waves and other calming sounds, along with squeeze balls, TheraPutty, jigsaw puzzles, and an exercise ball to bounce on. TheraPutty, squeeze balls and more Sometimes, with a...
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To solve the Black maternal mortality crisis, start with upending racist practices
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Childcare providers use two- generational approach to help preschoolers from being expelled
It’s shocking: Preschoolers are three times more likely to be expelled than children in elementary, middle and high school, according to figures from the U.S. Department of Health & Human Services. Boys are four times more likely than girls to be kicked out, and African American children are twice as likely as Latinx and White children. One organization with childcare centers and mental health providers in Kentucky and Ohio began a long journey 15 years ago, when they began hearing about...
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New Resource Available: Creating Safe, Stable, Nurturing Relationships and Environments for Children
The Essentials for Childhood Initiative would like to share a new resources titled, “Creating Safe, Stable, Nurturing Relationships and Environments for Children.” This new resource is intended to elevate primary prevention strategies that support creating Safe, Stable, Nurturing Relationships and Environments (SSNR&Es) for children and highlight 2019 data from the Awareness, Commitment, and Norms Survey provided by the Centers for Disease Control and Prevention (CDC). This document was...
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Childcare providers use two- generational approach to help preschoolers from being expelled
It’s shocking: Preschoolers are three times more likely to be expelled than children in elementary, middle and high school, according to figures from the U.S. Department of Health & Human Services. Boys are four times more likely than girls to be kicked out, and African American children are twice as likely as Latinx and White children. One organization with childcare centers and mental health providers in Kentucky and Ohio began a long journey 15 years ago, when they began hearing about...
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Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)
English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance co-created “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe economic consequences resulting from...
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California advocates press for expansion of visiting rights to incarcerated loved ones
In a recent nightmare, 8-year-old Jovina dreamt that her father got COVID-19. He was getting sicker, but she and her mother weren’t able to get there in time. “There,” in her father’s case, is a cell at the California Correctional Center (CCC) in Susanville, California, nearly 300 miles from where she lives in San Jose. In Jovina’s mind are a swarm of worries about her father’s welfare, her mother Benee Vejar reports. If an earthquake shakes the Bay Area, Jovina says, “What if the building...