By Patrice Gaines, NBC News, October 11, 2019 Dr. Nadine Burke Harris has an ambitious dream: screen every student for childhood trauma before entering school. "A school nurse would also get a note from a physician that says: 'Here is the care plan for this child's toxic stress. And this is how it shows up,'" said Burke Harris, who was appointed California's first surgeon general in January. "It could be it shows up in tummy aches. Or it's impulse control and behavior, and we offer a care...

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,...

The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. Beyond supporting these practices with the logistics of implementation, the broader goal was to discover and share real-world best practices,...

When the Youth Health Empowerment Project, a Philadelphia program for youth aged 13 to 24, did ACE surveys of those who visited their drop-in center over three weeks, it found that 81 percent had a score of 4 or more. That’s a significant result, because, based on the  CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study , an ACE score of 4 greatly increases the risk of health and social problems, including heart disease, alcoholism, cancer, autoimmune diseases,...

In October 2015 in Pueblo, CO, the staff members of a primary care medical clinic – Southern Colorado Family Medicine at the St. Mary-Corwin Medical Center – start asking parents of newborn babies to kids five years old about the parents’ adverse childhood experiences and the resilience factors in their lives. They ask the same questions of pregnant women and their partners in the hospital’s high-risk obstetrics clinic. The results are so positive after the first year that the clinic starts...

By Ariane Marie-Mitchell, American Academy of Pediatrics, October 2019 In the August newsletter, we provided an overview of the definition and impact of adverse childhood experiences (ACEs) (http://aapca2.org/aces). In this article, we will explore the argument in favor of screening for ACEs in pediatric practice, and describe the process and results of a California state advisory group on screening for trauma. The American Academy of Pediatrics (AAP) recommended screening for toxic stress...

By Jessica Gardezy, Center for Youth Wellness, December 3, 2019 The Center for Youth Wellness (CYW) announced today it is partnering with two leading U.S. health systems in the Southeast to launch a screening program on childhood adversity. CYW's National Pediatric Practice Community (NPPC) has done on-site training at the headquarters of Atrium Health and Novant Health in Charlotte, N.C., in preparation for trauma screening at six pediatric clinics across the city. The Charlotte-based...

Case 1: Eighteen Month Old Head Banging, Violent Temper Tantrums •Maternal ACE Score – 8 –Domestic Violence –Emotional, Physical, Sexual Abuse –Emotional, Physical Neglect –Alcoholic Parent, Parental Mental Illness •Child ACE Score – 6 –Parental Loss –Domestic Violence –Alcohol Use in Home, Parental Mental Illness –Emotional, Physical Neglect Before behavioral evaluations, I ask about parental ACEs by using an edited 14 page modified developmental screener from Indiana University to which I...

PACEs Connection is excited to roll out our summer 2023 *CRC* curriculum dates. Members who complete the CRC will qualify for a fall 2023 fellowship program.