Tagged With "pregnant women"
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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: 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: 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 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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PHC6534 Preventing Opioid Misuse During Pregnancy Utilizing a Trauma-Informed Approach
The quickly growing Opioid Epidemic is slightly killing thousands of Americans every day. Because of the increase of shame and legislative punishment, women who are pregnant are some of the most vulnerable and often result in exposing their fetuses to substances that can lead to permanent harm and Neonatal Abstinence Syndrome when born. Through substance screening for patients at risk, increasing education on contraception, and increasing trauma-informed approaches of patient-facing staff...
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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 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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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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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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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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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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Adverse Childhood Experiences (ACEs) and Community Physicians: What We've Learned [thepermanentejournal.org]
By Brian R. Stork, Nicholas John Akselberg, Yongmei Qin, and David C. Miller, The Permanente Journal, January 24, 2020 ABSTRACT Introduction : The prevalence of childhood trauma, as measured by the Adverse Childhood Experiences (ACE) Study questionnaire, has been studied in a wide variety of community settings. However, little is known about physicians’ familiarity with and use of the ACE questionnaire or the prevalence of childhood trauma in the physician community. Objective: To survey a...
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Homicide Tops Cause of Death in Pregnant Women in Louisiana [medpagetoday.com]
By Elizabeth Hlavinka, MedPage Today, February 3, 2020 Homicide was the leading cause of death among pregnant and postpartum women in Louisiana in 2016-2017, an analysis of state death certificates found. Of 119 pregnancy-associated deaths to occur in the 2-year period, 16 (13.4%) were from homicide, reported Maeve Wallace, PhD, of Tulane University in New Orleans, and colleagues. Expressed as rates, maternal homicide deaths occurred in 12.9 of every 100,000 live births, markedly exceeding...
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HSC4930: Improving Domestic Violence Outcomes for Children
Domestic violence not only affects the individual directly involved, but also the children who are indirectly involved by witnessing the violence. Spreading awareness to children can prevent future generations from normalizing domestic violence in the home. This project will target children in the Gainesville area to help them find peace and resilience from these incidents. Schools and teachers will play a large role in this project by giving students information on what healthy...
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HSC4930 - "Soul Sistas" Black Women Intervention
Soul Sistas There is undoubtable race related trauma in the Black community. However, for Black women, this existence in two minority groups, race and gender, can be even more detrimental. Especially when those identities are comorbid with others including SES, sexuality and ability. Trauma is playing a role in the lives and death of how black people black women navigate the world and there is a necessary shift to be created in communities where black women exist. Essentially black women are...
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HSC4930: Trauma Informed Care for Alcohol Exposed Families in Gainesville Florida
Alcohol abuse in households across the nation is an issue deeply felt by those who are impacted. According to the National Institute on Alcohol Abuse Alcoholism, an estimated 88,000 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the United States. Furthermore, according to a 2012 study, more than 10 percent of U.S. children live with a parent who has problems with alcohol abuse and...
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Incorporation of a Compassionate Schools Program in the Makah and Hoh Tribes, two Native American Communities in the Pacific Northwest area of the United States Lauren May PHC6937
Abstract: Native American communities in the United States have disproportionately high rates of health disparities such as post-traumatic stress, depression, violence and substance abuse, especially when compared to other demographic groups in the United States 1 . These communities also disproportionately experience adverse childhood experiences (ACEs) with up to 40.3 percent experiencing 2 or more ACEs 3 including childhood physical and sexual abuse, witnessing violence, poverty, racism...
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Personal stories from witnesses, U.S. representatives provided an emotional wallop to House Oversight and Reform Committee hearing on childhood trauma
Room erupts in applause for the grandmother of witness William Kellibrew during July 11 House Oversight and Reform Committee hearing. The power of personal stories from witnesses and committee members fueled the July 11 hearing on childhood trauma in the House Oversight and Reform Committee* throughout the nearly four hours of often emotional and searing testimony and member questions and statements (Click here for 3:47 hour video). The hearing was organized into a two panels—testimony from...
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PHC6534-A Trauma-Informed Approach to Narrowing Racial Disparities in Negative Birth Outcomes Among Women in Alachua County
African American women in Alachua County are experiencing higher rates of poor birth outcomes than their white counterparts (FLHealthCharts, 2018). This is, in spite of the fact that women from both races have clinically similar starts to their pregnancies (FLHealthCharts, 2018). Trauma, experienced in the form of toxic stress from environmental and social variables, is the key difference between these women (Sandoval, 2018). My grant proposal looks to reduce the amount of stress a black...
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PHC6534: ADDRESSING IPV THROUGH A CULTURALLY-COMPETENT, TRAUMA-INFORMED BIP PROGRAM
ABSTRACT Intimate partner violence (IPV) is a pervasive public health issue that ravages the lives of millions in the United States each year. [i] There is a growing scientific consensus that the three foundational models of Batterer Intervention Programs used to rehabilitate IPV perpetrators throughout the United States – the psychoeducational model, “The Duluth Model,” and the cognitive-behavioral model - do not have a measurable impact on IPV recidivism rates. [ii] [iii] [iv] Furthermore,...
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PHC6534: Training Village Health Teams in Lukodi, Uganda on Trauma-Informed Approaches
Village Health Teams (VHTs) are the primary point of contact for health services in Uganda (Ministry of Health, 2017). VHTs are responsible for basic health interventions, such as recording basic health and demographic data, referring patients to higher-level health services and following-up after appointments, and providing education on health issues to community members (Ministry of Health, 2012). While VHTs have high levels of interaction with the community, there is no evidence of their...
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A Better Normal, Tuesday, June 2nd at Noon PDT: Higher Education and Trauma During COVID-19
Please join us for the ongoing community discussion of A Better Normal, our ongoing series in which we envision the future as trauma-informed. College graduates across the world have been celebrating their big day virtually this month, missing out on the right of passage that marks their stepping into new realms of adult and professional life. Many students and recent graduates are feeling the negative impact of the current pandemic: being housing displaced, adjusting to virtual classrooms,...
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Resilience for Children & Families: Being Brave When Things are Hard
Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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Structural Racism and its Impact on Black Maternal Health (New Security Beat)
By Deekshita Ramanarayan, July 21, 2020, New Security Beat. “The past months have been profoundly difficult for our nation, and for Black communities in particular,” said Representative Lauren Underwood (D-IL-14) at a recent March of Dimes event on the impact of structural racism on maternal health. COVID-19 has highlighted health outcome inequity caused by race and racism. Though Black people constitute 13 percent of the U.S. population, the CDC estimates they represent over 30 percent of...
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Building Resilience for Victims of Domestic Violence (DV) in Rural Communities
My Public Health Communication Campaign proposal focuses on women living in rural communities that are/were victims of domestic violence (DV). This target population was chosen for a variety of reasons. Domestic Violence is a widespread and extremely common issue facing women. 1 in 4 women have experienced sexual or physical violence and/or stalking by an intimate partner. 41% of survivors experience physical injury, additionally, half of homicides committed against women are committed by a...
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Does VP Candidate Kamala Harris know about ACEs? You bet!
Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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PHC6534: Primary and Tertiary ACE's Prevention with new Mothers
Children are our future. The prosperity of our communities and society as a whole is conditional upon the success of our youth. Yet there are millions of kids growing up in dysfunctional households and/or exposed to toxic environments outside the home that impede their physical, mental, and social development. The best form of primary prevention lies with our expecting mothers or pregnant people with a uterus. By equipping soon-to-be parents with the tools and resources to ensure a stable...
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PHC6534: "Heal PalmPRIDE" Self-dense for LGBTQ+ Domestic Abuse Survivors
Domestic violence is a public health issue in Orange County, FL. The rate of domestic violence reports in Orange county , FL is 587.9/100,000, significantly higher than the average in the state of Florida (Florida Department of Health, n.d.).. Reports estimate that LGBTQ+ populations may have a domestic violence rate (DV) of up to 25%, similar to heterosexual women (Huecker et al., 2021). Victims and perpetrators of domestic violence most often have been exposed to several ACEs (Huecker et...
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PHC6534- From Farm to Family: A trauma-informed program for healthy meals and healing among low-income women in the Bronx
PHC6534- From Farm to Family: A trauma-informed program for healthy meals and healing among low-income women in the Bronx Overview Adverse childhood experiences (ACE) have been found to increase the risk for several chronic diseases, including hypertension (Gilbert, et al., 2010). These diseases increase the chance for adverse maternal and neonatal outcomes (Chang, Brown, & Nitzke, 2016). If not managed, gestational hypertension can lead to preeclampsia or eclampsia and an increased risk...
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PHC6534 Adverse Childhood Experiences and Criminal Justice System Involvement among Women in Alachua County, Florida: A Grant Proposal
Research has shown that individuals who experiences one or more adverse childhood experiences (ACEs) are more likely to have a range of psychosocial issues across their lifespan. It is imperative that public health professionals address this issue from a trauma-informed background. My grant proposal provides a recommendation for an evidence-based intervention that would target incarcerated women in Alachua county and a few surrounding areas. Below I go into more detail about what...
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PHC6534: Decreasing the Impact of Adverse Childhood Experiences (ACEs) through a 4-H Youth Development Mentoring Program-Grant Proposal Summary
As a part of my graduate program coursework, I have had the opportunity to create a grant proposal addressing adverse childhood experiences with youth through the 4-H Youth Development Program. Below I have supplied my abstract, along with the public health framework, levels of the social ecological model and the trauma-informed principles that program will address. Please feel free to contact me with any questions. Abstract In the State of Florida, over 51% of children birth through age...
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Multi-Level Public Health Resilience-Building Intervention: Knowledge is Power
As part of my coursework for " Building Resilience in Individuals and Communities for Public Health," I was tasked with creating a multi-level intervention utilizing The Social Ecological Model (SEM) as a foundation. The overall aim of this created intervention was focused on building resiliency and self-efficacy surrounding sexual health preventative behavior among 15–24-year-old Hispanic females in Gainesville, FL. Although the intervention addressed all levels of the SEM, it focused on...
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Digging Deep: Cultivating Resilience for Mental Health
Mental health is a serious problem among the inmates in our country. According to the Vera Institute of Justice, a premier criminal justice research and advocacy non-profit, mental illness is one of the most significant problems facing women in prison today (Subramanian, 2016). In 2006, the U.S. Department of Justice found that 31% of incarcerated women have a serious mental illness, while only 15% of men report the same (James, 2006).
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Multi-Level Resilience Building- LGBTQ+ IPV Survivors
For my Resilience Building course, I created a multi-level resilience intervention for LGBTQ+ survivors of intimate partner violence (IPV). IPV can lead to the infringement of human rights, physical injuries, poor mental health outcomes, and familial disturbances, making it a critical public health issue to address (Patra et al., 2018). This intervention was designed to be implemented in North Carolina, as it has some of the highest rates of IPV when compared to other states, with nearly 44%...
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Multi-level intervention: Positive Pregnancy and Postpartum Period during the Pandemic
As we all know nearly two years into the pandemic, COVID-19 is a viral, respiratory disease easily transmitted through direct contact via respiratory droplets (Centers for Disease Control [CDC], 2021b). It has become a global pandemic that has had a large effect in the local community home to the University of Florida - Alachua County. Unfortunately, there are many risk factors put individuals at increased risk for severe COVID-19. One risk factor that many people are not aware of is...
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Walk Away from Obesity: A Multi-Level Public Health Intervention to Reduce Obesity Prevalence in Jackson, Mississippi
For my PHC6451 class, I created a hypothetical multi-level public health intervention, as the "Creative Director for ResilientU". This intervention is set to target individuals living in Jackson, Mississippi, the city with the highest obesity rates in the state of Mississippi and across the country (Oliver, 2017; Robert Wood Johnson Foundation, 2019). Using the CDC's (2021) Social Ecological Model (SEM), I looked at each separate level (individual, relationship, community, and society) to...
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[The Grand Finale] All new Talks on Trauma featuring 33+ amazing experts, celebrities & healers [wisdomoftrauma.com]
We are just a few days away from broadcasting our all-new 7-day event October 4‒10 , which includes the Talks on Trauma Series Part 2 , a showing of the Wisdom of Trauma Movie, daily meditations, integration sessions, and artistic performances. Dr. Gabor Maté will be in conversation with 33+ trauma experts, physicians, authors, visionaries and artists. The talks will be exploring how trauma relates to parenting, chronic pain, the medical paradigm, the climate crisis, politics, spirituality,...
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Tune in March 3 for new PACEs Connection podcast—History. Culture. Trauma. — with guest Agnes Woodward
Hosted by PACES Connection CEO Ingrid Cockhren In consideration of Women's History month, the entire month of March will be dedicated to the women creating a legacy in the worldwide PACEs movement. In this episode, we will talk with Agnes Woodward. Agnes is using her knowledge of historical trauma and the healing power of the arts to raise awareness of the adversity indigenous women face and how they can also heal themselves, their families and future generations. About Agnes Woodward:...
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PHC6534: Addressing The Impact of Adverse Childhood Experiences on African American Women By Preventing Cardiovascular Disease
Adverse childhood experiences (ACEs) are linked to poor health and well-being outcomes related to poor mental health, antisocial behavior, chronic stress, and chronic diseases in adulthood (Manyema et al., 2018). Research has shown that African Americans are disproportionally vulnerable to cardiovascular disease and chronic stress due to increased adverse childhood experiences and are least likely to access resources and strategies to cope appropriately to decrease their risk (Harris et al.,...
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PHC6534: ACEing Reproductive Planning
There are many associations between exposure to adverse childhood experiences, or ACEs, and negative health outcomes. The relationship between these outcomes and reproductive health affects not only gestational parents but their potential offspring as well. By identifying a gestational parent’s ACEs exposure, they can become informed of the possible negative effects before, during, and after pregnancy along with guidance for reproductive planning. By utilizing the Center for Women and...
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PHC6534 Grant Proposal: Gestational Diabetes Trauma Informed Intervention
Summary: Pregnancy can be a difficult time for those that have experienced ACES. Being diagnosed with Gestational Diabetes Mellitus (GD), can compound the ability to cope on a daily basis. GDM is associated with adverse outcomes for mother and baby (Herrick et al, 2021) and encompasses a wide range of glucose intolerance, including preexisting Type 1 (T1DM) or Type 2 Diabetes (T2DM), GDM in previous pregnancies and in a current pregnancy (Hartling et al, 2014). The highest at-risk are women...
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Sexual Violence Prevention at the University of Idaho
Summary Sexual violence is an issue on college campuses across the nation, with 26.4% of women and 6.9% of men being victims of sexual violence (Association of American Universities, 2019). Sexual trauma can have many long-term mental and physical effects, such as post-traumatic stress disorder and greater risk of heart disease (Campbell et al., 2008; Senn et al., 2015). This indicates that sexual violence is something that needs to be addressed and prevented as much as possible. To prevent...
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PHC6534 Addressing and Preventing ACEs in Low-Income Mothers and Their Children
Adverse Childhood Experiences (ACEs) affect 15.5% of individuals living in Florida, and Polk County has one of the highest percentages of residents reporting 2 or more ACEs. Studies show ACEs have negative health outcomes on children and adults but promoting safe, stable, nurturing relationships, and creating trauma-informed communities can lead to positive impacts on these individuals. To address the needs of these communities, we developed a trauma-informed program that aims to help women...
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PHC6534: Conversations About Consent
My program, Conversations About Consent (CAC), aims to significantly reduce the prevalence of sexual assault perpetration and prevent sexually violent behaviors towards women on the University of Florida’s campus via a web-based program applicable for all genders. CAC also strives to propagate personal resilience in survivors of sexual violence through their involvement in the implementation of the program. Participants will access the program through a password-protected web portal that...
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PHC6534: Addressing Mental Health among Women Experiencing Homelessness through a Trauma-Informed Lens
This trauma-informed program addresses mental health and increases self-defense capacity among women experiencing homelessness (WEH) in Alachua County, Florida. Homelessness and mental health are significant public health issues within the United States. These issues are further complicated by adverse childhood experiences, which have been linked to poorer health outcomes and risk for homelessness in adulthood. The intersection of homelessness and mental health among women is important to...
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PHC 6451: Multi-Level Public Health Resilience Building Intervention
This blog post will describe a Multi-Level Public Health Resilience-Building Intervention focused on building resiliency in young women, 18-25 years old, who are affected by depression. The theme of the intervention is When the World Feels Like it’s Caving in, Reach Out . Depression affects over 250 million people worldwide (World Health Organization, 2020). This mental health illness involves feelings such as anxiety, worthlessness, sadness, and emptiness (National Institute of Mental...
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PHC 6451: The Break U.P. Campaign - Resilience Building to Prevent Intimate Partner Violence
The “Break U.P.” campaign is a resilience-building program targeting women aged 19-34 years old living in Michigan’s Upper Peninsula (U.P.) vulnerable to or affected by intimate partner violence. Intimate partner violence (IPV) refers to aggressive or abusive behaviors that are perpetrated within the context of a romantic or sexual relationship (Centers for Disease Control and Prevention [CDC], 2021). IPV includes physical violence, sexual violence, stalking, and psychological aggression or...
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PHC6451: Embrace Healthy- A Resiliency Program Combatting the Effects of IPV
Embrace Health is a multilevel resiliency building program which aims to combat the detrimental health impacts of intimate partner violence. The program has components at each level of the CDC’s Social-ecological Model and targets multiple vulnerable populations within the Gainesville, Florida community. Intimate partner violence is a major public health concern which is present in every community, regardless of age, race/ethnicity, religion, country of origin, gender, or sexual orientation...
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PHC 6451 - Survivors Against Sexual Violence
Survivors Against Sexual Violence is a multi-level public health resilience-building intervention aimed to reduce the prevalence and perpetration of sexual assault. The theme for this intervention is “survivor-centered, community driven approaches to end sexual violence”. The priority population is Native American women, ages 15-25 in the Pacific Northwest. To market this free intervention, ResilientU is partnering with Cowlitz Tribal Pathways to Healing , which is a program aimed...