Tagged With "critical care"
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PHC6937: A Trauma-Informed HIV Prevention Intervention in a Diverse Population
This trauma-informed, culturally sensitive HIV intervention will focus on the diverse subset of the men who have sex with men (MSM) community who have experienced at least one adverse childhood experience (ACE). Current data suggests exposure to ACEs increases a person’s risk to contracting HIV; as such, our program will be based in resilience. Through education, peer mentoring, motivational interviewing, and therapy sessions, we will guide our participants toward safer sex practices. These...
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PHC6937: Creating a Trauma-Informed Obstetric Practice and Promoting Resilience among Pregnant Women
Adverse childhood experiences (ACEs) are associated with an increased risk of preterm birth. About half of all Florida residents have experienced at least one ACE and 21-30% of Alachua County residents have experienced 2 or more ACEs (Bright et al). In 2017 in Alachua County, 11.7% of live births were less than 37 weeks gestation (FLHealthCHARTS), which is higher than the overall rate in Florida. The aims of this intervention are to build resilience in pregnant women with a history of ACEs...
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PHC6937 Grant Proposal: Creating a Trauma-Informed Church
The Diocese of Palm Beach states as its mission “the Church of Palm Beach will strive to discern God’s will in satisfying the spiritual, moral, sacramental, educational, and basic needs of all people, with justice, respecting the dignity of each person.” Considering the landmark ACE Study by Drs. Vincent Felitti and Robert Anda (1998) which linked childhood adversity with health and well-being throughout the lifespan, and understanding that childhood trauma has been identified as the single...
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PHC6937: Grant Proposal - Educating Psychiatrists and Therapists about ACEs
Healing From Past Wounds – A Proposal to Give ACEs Training to Psychiatrists and Therapists in San Diego This grant proposal aims to train mental health providers on how to talk to their patients about Adverse Childhood Experiences (ACES). We will educate the public in this county about ACEs and we will improve the trauma-informed skillsets of psychiatrists and therapists. The field of psychiatry now focuses mainly on biological causes for psychological complaints, at the expense of helping...
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PHC6937 Grant Proposal: Healing Heavy Hearts- A trauma-informed support for grieving parents
Dealing with a loss can cause traumatic experience for anyone who is affected by it first or second hand. For parents, losing a child could be the most tragic and detrimental experience of their lives. Coping with such tragic loss can effects one’s mental and physical health depending on the resources available and received. Individuals who experience trauma like losing a loved one may face emotional as well as physical health concerns. Dr. Bea from Cleveland Clinic stated on ABC news that...
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PHC6937 Healthy Minds, Happy Faces Trauma-Informed After School Sexual Abuse Program
This project will take a new trauma-informed approach to providing therapy to youths who have previously or are currently experiencing sexual abuse. It utilizes a combination of creative, group, and individual therapies in an after-school based setting that has yet to be explored. It is the hope of this project that through creative and group therapy, the participants will learn how to positively express themselves and channel their emotions while also learning to communicate and build...
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PHC6937: Improving Resilience in Pregnant Women to Break the Cycle of Adverse Childhood Experiences: An Intervention in Putnam County, Florida
Demographic data for Putnam County, FL 1 indicates that residents likely carry an inordinate burden of exposure to adverse childhood events (ACEs), which can foster negative outcomes that cycle throughout generations. This proposed intervention will begin to break that cycle by providing eight weekly workshops at three locations for pregnant women throughout the county. These workshops will address the participants’ own traumatic life experiences while also helping them to protect their...
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PHC6937: Incorporating Trauma Informed Care into Adult Primary Care Providers and Emergency Medical Personnel
Only within the past two years have ACEs gained public recognition in North Carolina sparking program development to address and increase resiliency. Overall, North Carolina’s ACEs ranking is 30th out of 50 (WOCMH, 2017). It appears that little is being done in the medical field in NC to assist medical providers in becoming trauma-informed. By educating patients that childhood trauma may be an underlying cause of their health conditions, they can begin to heal by removing self-blame...
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PHC6937 Prevention and mitigation of Adverse Childhood Experiences using education for families in poverty
Prevention and mitigation of Adverse Childhood Experiences using education for families in poverty A grant proposal by Victoria M. Brase Poverty is a very prevalent problem and has its own risk factors for Adverse Childhood Experiences (ACEs). Emotional and physical neglect have been shown to be associated with poor outcomes (CDC, 2016). It has been shown that long-term effects of ACEs are impactful in the nervous, endocrine, and immune systems, causing increased levels of depression and...
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PHC6937: Primary Level Prevention of ACEs Through Group Prenatal Maternal and Child Health Trauma-Informed Community Classes
In my grant proposal, I am asking for funds to create and fuel a trauma-informed prenatal care community class for pregnant women in Alachua, Bradford, Columbia, Putnam, and Union counties that focuses on primary level prevention of ACEs. In my proposal, I focus on the importance of incorporating the skills learned from implementing trauma-informed principles into every day life, and the importance of ensuring the baby arrives in a stable, safe, and nurturing environment. Enforcing primary...
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PHC6937 Resiliency and Compassion Programs for Critical Care Nursing Staff
CONNECT is a campaign proposed to support critical care nursing team members by proposing to them methods to embrace evidence based resiliency practices. The World Health Organization recognized on May 28, 2019 a mental state of the "burnout phenomenon" that plagues the job force but has its highest prevalence in the nursing job force with nearly 20% turnover rate annually. Consequently, burnout can lead to a worsening occupational hazard - secondary traumatic stress or compassion fatigue -...
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PHC6937 Resiliency and Compassion Programs for Critical Care Nursing Staff by Amanda Cook BSN, RN, CEN, UF Master's Student MPH SBS
Vicarious trauma and secondary traumatic stress can occur in populations of workers who are exposed to the traumas that others are experiencing. Critical care nurses caring day after day for suffering individuals, have a unique set of experiences that have an increased risk of developing compassion fatigue. Compassion fatigue has been well studied and mimics similarly to Post Traumatic Stress and is often called Secondary Traumatic Stress (Figley, 1995). High Adverse Childhood Experience...
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Primary care providers as mentors to rural, low SES teens
The idea of this project is to utilize primary care providers who see low income teens in rural areas of northern Florida in order to build resiliency among these youth. Providers and teenagers will be encouraged to form mentor type relationships with one another to benefit the teenager. Increased frequency of visits would deepen the trust between the provider and patient. At these visits the provider can talk to their patient about health concerns, take the time to explain how they can...
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Promoting a Community Approach for Mental Well-Being in Our Littlest Citizens [chronicleofsocialchange.org]
By Andrea L. Lowe, The Chronicle of Social Change, June 10, 2019. Several years ago , my sister and I watched my 2-year-old nephew’s behavior change dramatically. He started wetting the bed, throwing temper tantrums and getting frustrated so quickly. In any other child, it might have been normal “terrible twos,” but in him we knew something was definitely wrong. At the time, my sister and her husband were getting divorced. Ultimately, we found out that my nephew thought it was his fault,...
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Recording and slides now available for webinar on Florida’s Early Childhood Courts: Transforming Child Welfare
Information (recording, slides, and resources) on the June 6 webinar "Florida’s Early Childhood Courts: Transforming Child Welfare" is now available (and soon to posted in the ACEs Connection webinar section on the homepage). This well-attended and received webinar was sponsored by the National Center on Domestic Violence, Trauma & Mental Health and co-sponsored ACEs Connection and the Campaign for Trauma-Informed Policy and Practice ( CTIPP ) Webinar Summary Every six minutes in the...
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Resilience for the Forgotten
Resilience for the forgotten is a rehabilitation program for the imprisoned. The Prisoner ACE Survey done in Wales in 2018, found that higher ACE scores are significantly more common in prisoners, particularly violent offenders when compared to the general population 1 . Additionally, this population with higher ACE scores are more likely to re-offend within three years of release, thereby contributing to recidivism rates, which are currently ranging from 22% to 58%, depending on the state...
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Service Animal Rehabilitation and Intervention for Detained North Florida Minors to Reduce the Effects of ACE’s
In 2015, Florida detained 37.6 juveniles per 100,000 between the ages of 10-17, which is comparatively lower than the National average of 50.1 per 100,000 children (Juvenile Justice, Geography, Policy, Practice & Statistics). Though this is lower than the national average, that is still a very significant number of young adults being detained for various crimes. The Florida Department of Juvenile Justice currently have some interventions in the hopes to prevent and detect risk factors...
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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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Syndome X Patient Support by Valerie Christie PHC6534
Grant Proposal Summary: This program will target patients receiving care through the county free clinic who meet the diagnostic criteria for Syndrome X and who are identified during initial intake or subsequent visits as having experienced one or more adverse childhood events defined by UNICEF (2019, p. 5) and Minnesota Department of Health (2019, para 2) as “a traumatic experience in a person’s life occurring before the age of 18 that the person remembers as an adult.” Each patient...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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TRAUMA-INFORMED CARE FOR OUR CHILDREN
The three health information products that I chose are: Infographic Blog post Radio ad I decide to target adults who would help build resiliency in children. These adults are not their parents, but other childcare workers. For example, when a child goes to a daycare or school, they may start to "act up" and misbehave. Instead of expelling or punishing the student, the adult should learn why this child is acting in this manner. In order to learn why the child is acting in this manner, they...
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Trauma is Messy
I will always remember the day that, as a student teacher, I watched as a student entered my second-grade room covered in blood. After quickly establishing that he was not injured, we learned that the blood was that of his brother who had been shot the night before. No parents were around that night, so this second grader became the sole caregiver of his bleeding brother. My student would never be the same. We didn’t care about grades or test scores. We just knew that this moment would...
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Trauma Sensitive Care at Champions for Children
Competence, Connect, Care This project focused on developing a model of trauma sensitive care for Champions for Children. Champions for Children is an agency that serves 40,000 annually and has a mission of preventing child abuse. Prevention is accomplished by promoting attachment between caregiver and child, supporting the caregiver in promoting healthy brain development and parent education. The agency never had a comprehensive model to address trauma but there was full support to...
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UF Graduate & Undergrad Public Health Courses: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant funding period and have sustained their strong community-academic partnership. Together they created a 9-credit online graduate certificate in trauma-informed and resilience-based public health. Peace4Gainesville also contributed to this certificate. This post is intended to showcase some of the work of...
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UF Graduate Public Health Summer C Semester Course: Building Resilience in Individuals and Communities for Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant funding period. Together they created a 9-credit online graduate certificate in trauma-informed and resilience-based public health. Peace4Gainesville also contributed to this certificate. This post is intended to showcase some of the work of the graduate students in the Summer C 2019 course “PHC6937:...
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UF Graduate & Undergrad Public Health Courses: Trauma-Informed Approaches for Individuals, Communities for Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant funding period and have sustained their strong community-academic partnership. Together they created a 9-credit online graduate certificate in trauma-informed and resilience-based public health. Peace4Gainesville also contributed to this certificate. This post is intended to showcase some of the work of...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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Upates, good news, recommendation and link to register for Making Meaningful Change: Addressing ACEs through Public Policy Webinar February 18
The World Health Organization has compiled a recent meta-analysis about how much ACEs cost us Millions of adults across Europe and north America live with a legacy of ACEs. Their findings suggest that a 10% reduction in ACE prevalence could equate to annual savings of $105 billion. Programs to prevent ACEs and moderate their effects are available. Rebalancing expenditure towards ensuring safe and nurturing childhoods would be economically beneficial and relieve pressures on health-care...
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"Warriors of HOPE" Series Continues This Sunday on "Breaking the Silence" Radio Program with Special Guest, Judge Steven Teske!
The fourth week of the 6-week "Warriors of Hope" event will continue this Sunday night at 8 pm Central Time on "Breaking the Silence with Dr. Gregory Williams" radio program. This 6-week event features six very special guests that will offer their insight on the power of HOPE in their lives and provide encouragement, wisdom and insight on the need for resilience in lives today. This series has resulted in praise from around the world from the listeners that have tuned in. This week's guest...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar—Florida's Early Childhood Courts: Transforming Child Welfare on June 6 (3:00-4:30 ET)
Please join this June 6 webinar on Florida’s early childhood courts (aka “safe babies courts”) hosted by the National Center on Domestic Violence, Trauma & Mental Health and co-sponsored by the Campaign for Trauma-Informed Policy and Practice and ACEs Connection. Background: Every six minutes in the U.S., an infant, toddler or child under the age of 3 is removed from their homes for alleged abuse and neglect and placed in state custody through the child welfare system (Zero to Three).
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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12 Myths of the Science of ACEs
The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...
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PHC6937: A Community-Based Resilience Intervention for the Native American Community in Taos, New Mexico
As evidenced in the literature, it is clear that Native American children experience more Adverse Childhood Experiences than other groups, including non-Hispanic whites [1]. Native American children are more than twice as likely to grow up in a household where one or both parents use drugs and/ or alcohol [1]. Additionally, NA children are more than three times as likely to have lived with a parent who has been incarcerated, and are seven times as likely to have been treated unfairly due to...
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PHC6534: A Proposal for a Resilience-Informed Dating Matters Program
Adolescent dating violence has been characterized as a public health concern due to its magnitude and the negative health outcomes associated with victimization. Despite prevention efforts existing for multiple decades, rates of dating violence have failed to decline. Even when prevention efforts are finally disseminated, it is unlikely that dating violence will be entirely eradicated. Therefore, programs focusing on the resiliency of survivors are needed. The increased emphasis in recent...
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ACEs Connection's Inclusion Tool makes sure nobody's left out
We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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PHC6937: Addressing and Preventing Adverse Childhood Experiences through Targeted Home Visits and Social Support
Adverse childhood experiences (ACEs) are associated with several negative birth outcomes, as well as maladaptive health behaviors during pregnancy including smoking, substance use disorders, depressive symptoms and suicide 1 , 2 . Alachua County has higher than average rates of poverty, as well as preterm birth and low birth weight, representing a need for additional support and access to services 3 . To address these needs, this program aims to support pregnant women with a history of ACEs...
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Beyond ACES Summit: The Impact of Race, Culture, and Poverty Social Media Toolkit
The Beyond ACES Summit: The Impact of Race, Culture, and Poverty registration is LIVE! The summit theme is #MovingBeyondACES (adverse childhood experiences). This year is historically significant because it marks the 400th anniversary of the arrival of enslaved Africans to Virginia. It was also a time that marked significant trauma. The summit touches on many different aspects of life and history. It was showcase the heartfelt talent of youth through dance and movement, music, theatre and...
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Cardiac Disease Prevention Using a Trauma Informed Approach
The Baker County Fire Rescue Trauma-Informed Community Paramedicine Program will aim to prevent cardiac disease by using the emergency medical services to bring primary care to patients’ doorsteps. In doing so, the emergency medical services will no longer simply respond to 911 calls but work proactively to prevent them from happening in the first place. This program will work through three actions: in home scheduled follow up visits involving patient assessment and chronic disease...
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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic [jamanetwork.com]
By Abby R. Rosenberg, JAMA Pediatrics, April 14, 2020 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers and organizations starts with...
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PHC6534: Depression Awareness and Prevention through a Trauma-Informed Approach
With depression a leading cause of disability around the world, it is vital to implement trauma-informed initiatives that help educate individuals on how to build resiliency, understand mental health in themselves and others, and be better equipped for the future. With those aged 18-24-years the most affected by depression, starting in high school can give students the step they need in the right direction. The program initiative develops a consecutive program for high school students that...
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Donna Jackson Nakazawa on bringing down the stress-threat response
Cissy's note: Donna Jackson Nakazawa has graciously allowed me to cross-post some of her current and future Facebook page posts here in the Practicing Resilience for Self-Care and Healing community on ACEs Connection . Hello Friends. As a SciComm journalist with 30 years of reporting and 6 books under my belt, which focus on how our stress response governs our immune health, I’ve been thinking about what I have learned, and how I might help you quiet your body and mind during this # pandemic...
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During COVID-19: The need for your skills. Self-care resources. Share your TI responses? Thank you!
Dear Trauma F riends and C olleagues: The COVID 19 pandemic offers a critical opportunity to share your unique skills in coping with stress and trauma. Many of us and the families we serve may be shifting through the stages of change and grief----denial, anger, bargaining, acceptance---about this pandemic. You may be adjusting to telehealth and virtual visits but know that our families need your reassurance and help in regulating and coping. Hope you’re all practicing self-care while you...
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Efforts to Reduce Black Maternal Mortality Complicated by COVID-19 [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, April 20, 2020 Latoyha Young had a birth plan. She was going to have the baby in Sacramento with community doula Joy Dean by her side. Dean was funded by the county’s Black Child Legacy Campaign , which works to reduce the disproportional number of Black infant and child deaths in Sacramento. But in mid-March, when Young went into labor just as Governor Gavin Newsom ordered Californians to stay at home to avoid spreading the novel...
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Florida Governor's Wife announces mental health aid for Panhandle after Hurricane Michael
Photo credit: Florida's Governor's Office The story below illustrates the urgent need to proactively build psychological and psycho-social-spiritual--Transformational Resilience--for climate change related disasters. It describes how the mental health impacts of these disasters often becomes most acute months after a disaster occurs, which is long after mental health first aid and other disaster mental health services have ended. Prevention is the only solution, and the focus must be on...
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Governor Declares November 1, 2019 as Florida's Trauma Informed Care Day
Thank you Governor DeSantis (and Zack Gibson in the Governor’s Office) for declaring today as Florida’s Trauma Informed Care Day . Many of Florida’s most costly, intractable social problems including our opioid and substance dependency crisis, our sky-rocketing public health costs, tragic school failures, and the multigenerational cycle of families into our criminal justice and child welfare systems, can be decreased by addressing early trauma. Initiatives are taking shape at both the state...
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(PHC6534) Adverse Childhood Experiences: An Intervention Addressing Mental Health within Alachua county Households
Abstract: Having a parent with mental illness increases a child’s likelihood of developing mental health disorders later in life (Afifi, 2008). Studies have found that mothers with mental health conditions are more likely to have children who experience behavioral difficulties (Whitaker, 2006). More specifically, observing a parent with mental illness can affect a child’s ability to manage their emotions and handle stress. In this intervention, we will be targeting children 4-18 within...
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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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HSC4930 Animal-Assisted Interventions
Level(s) of Social Ecological Model: The first level I will address from the Social Ecological Model will be the individual, or intrapersonal, level. In this level the individual is focused on in terms of past history in which could have influenced the way in which this individual was placed in a particular traumatic situation. This could include personal details such as age, beliefs, societal status, family history of abuse such as physical, mental, alcohol, drugs, etc. (CDC 2019). My...
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HSC4930 - Family and Unaccompanied Youth Transitional Housing Community – Providing Trauma-Informed Shelter in Gainesville, Florida
Although many organizations providing temporary shelter for individuals experiencing homelessness exist, there is a gap in the Gainesville, Florida community for these services specifically serving families and unaccompanied youth. In 2018 there were an estimated 641 people experiencing homelessness in Alachua County, the majority of whom were on the streets rather than in shelters (NCF Alliance 2018) . In the entirety of Gainesville, Florida, the most recent data from 2012 showed that an...