Tagged With "Trauma Informed Care"
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Public support for asking about traumatic childhood experiences in general practice, suggests initial study [Public Health Wales]
Almost nine out of 10 patients (87 per cent) who provided feedback following a new pilot initiative said a GP surgery is a suitable place to be asked about Adverse Childhood Experiences (ACEs). Under the pilot initiative, 85 per cent of patients also said it was acceptable to provide information about ACEs to a health practitioner, and four out of five (81 per cent) said it was important for practitioners to understand this information. Just under a third (30 per cent) of general practice...
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Racism, Not Race, Causes Health Disparities for Black Mothers (nonprofitquarterly.org)
The health disparities that exist for Black mothers in America are well documented. Black women are three to four times more likely to die from childbirth than their White counterparts. Yet, aside from listing “being Black” as a risk factor for maternal death, little has been done to address this alarming statistic. The inaugural Black Maternal Health Week , held from April 11–17, 2018, sought to change this through offering a forum for continued conversation. Importantly, they shed light on...
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Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner And More Often [npr.org]
This story was co-published with ProPublica . Doctors would see new mothers sooner and more frequently, and insurers would cover the increased visits, under sweeping new recommendations from the organization that sets standards of care for obstetrician-gynecologists in the U.S. The 11-page "committee opinion" on " Optimizing Postpartum Care ," released Monday by the American College of Obstetricians and Gynecologists , represents a fundamental re-imagining of how providers, insurers and...
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Reel Love: How Films Helped Me Through Postpartum Depression [NYTimes.com]
Every Wednesday, after my husband left for work, Everest and I headed out for a movie date. “Wild” was a favorite, as were “If I Stay” and “The Hundred-Foot Journey,” because those were quiet, character-driven stories. Everest didn’t much care what was on the screen: He was only 3 months old when we started going to the weekly parent movie mornings at our local theater. These were screenings of new releases that catered to parents with babies – the lights in the theater were turned up, the...
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Reminder: Live Chat with Donna Jackson Nakazawa
"It's really not survival of the fittest - it's survival of the nurtured." Donna Jackson Nakazawa Date: Tuesday, November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats ( featured chat ) Hosted by: @Jane Stevens Topics to be Covered: Parenting with ACEs. What parents need to know. Affordable self-care for stressed and busy parents. Healing from ACEs & family wellness. How to Attend Online Chats: M embers of ACEs Connection : Go to Chats (top of page). Find...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research roundup: Prospective ACE study and commentary about it; ways of asking about trauma; research on the power of internal resilience in juvenile offenders and a companion essay
Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes JAMA Open Prospective Study Delves Deeper Into Mental Health Effects of Childhood Trauma Psychiatry From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care Women's Health Issues Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health Adverse...
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Sacramento Report: Bringing Postpartum Depression Out of the Shadows
Those federal funds will become available to states through the Bringing Postpartum Depression Out of the Shadows Act , passed in 2016 by Congress. The money can be used for screening, assessing and treating maternal mental health disorders, but the state Department of Public Health needs to apply. AB 1893 would require them to do so. About one in nine women nationwide experience symptoms of postpartum depression, according to the Centers for Disease Control and Prevention. The California...
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Save the Date: 2020 Healthy Mothers and Healthy Babies Conference
Mark your calendars! Perinatal Services BC will be hosting the biennial Healthy Mothers and Healthy Babies Conference in conjunction with UBC Interprofessional Continuing Education. Innovation and equity: The foundation to quality perinatal care in 2020 This conference is hosted by Perinatal Services BC, a part of the Provincial Health Services Authority. It is an exciting meeting of the minds; an opportunity for health care professionals interested in the care of pregnant and postpartum...
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Senator Harris to Reintroduce Maternal CARE Act [CWA E Newsletter]
Sen. Kamala Harris has announced a proposal to address the worsening maternal mortality crisis in the U.S., and deep racial disparities in care across the country. Harris' proposal highlights the fact that African American women are three times as likely to die from pregnancy-related complications compared to their white counterparts - and not just among poor women, according to the CDC . Harris proposes to create a new $25 million program aimed at fighting racial bias in maternal care by...
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Shasta Health Center Screening Parents for ACEs
Shasta Community Health Center The trust that many families feel for their child's doctor makes the primary care setting an essential place to screen for ACEs and begin the conversation with caregivers about potential risks to their child's health and well-being. Their experience has shown that when risk is identified and assessed early on, there is a better chance of offering interventions that prevent long-term health and behavioral problems. Screening for ACEs is also an opportunity to...
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Six Local Women Launch First Health Care Co-op Owned by Immigrants [Madison 365]
By L. Malik Anderson, June 6, 2019, Madison 365 Six women sought out to serve their community as Promotores de Salud (Community Health Workers) but ended up founding Roots4Change / Raíces Para El Cambio, the first cooperative of its kind led by Latina and indigenous women. “All of them were interested in health. All of them were interested in making a difference in their lives first and the lives of their family and the lives in the community,” Mariela Quesada Centeno, the inaugural Centro...
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So how do you start to think and talk about ACEs and Maternal Mental Health?
Give them an info graphic to show the connection between toxic stress and health outcomes for moms and babies? Check out the attached 3 handouts! Have some talking points ready to get the conversation started with prenatal care staff? ...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Standing Strong – The knowledge, skills and peer support parents need to lead (www.risemagazine.org)
Cissy's note: I admire the work of this parent-led and parent-focused organization. I read everything they post. For those not familiar with what they do, this is a recent interview with three staffers and gives a really good look at what and how they work to support families and make systems change. Here's an excerpt. The full piece is here. To read more of this piece recently published in Rise Magazine, go here.
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State Policy Solutions: Helping Children by Addressing Maternal Depression
Around 12 percent of mothers in the U.S. experience depression, and that number is even higher for minorities and those that live in poverty. Beyond affecting their own health, maternal depression can greatly impact mothers' capacity to care for their children. Members of PolicyLab’s Intergenerational Family Services portfolio wrote a brief on how states can address maternal depression through actionable, evidence-based policy solutions. We hope this can be helpful in your work as well. You...
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Strategies to Improve Maternal Mental Health in California [California Budget Bites]
(Posted May 1, 2019) Today marks World Maternal Mental Health Day and the start of Mental Health Awareness Month . Maternal mental health (MMH) is vital to the health and well-being of children and families. When mothers feel emotionally healthy and well supported, they are better able to develop strong bonds with their children, which promote children’s physical, mental, and emotional development. Conversely, when mothers experience mental health conditions during pregnancy or after giving...
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Symptoms of Depression During and After Pregnancy
In order to have the best chance of improving outcomes for the mother and infant, routine screening and treatment for depression should begin early in pregnancy, a time when women have increased contact with the health care system.
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The Body Remembers
She had a poster of Where’s Waldo? on the wall, presumably there to distract her patients from what was happening while they lay on the exam table. This was my third appointment, and on the drive over I had fought down rising waves of panic at walking back in to this room, with Waldo and her gloved fingers. When my physiotherapist had first recommended this treatment after months of physio exercises had failed to produce the desired results, I went home and cried. I called Dawn and told her...
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The Decision that Changed My Life
Four years ago, I decided to start a conversation about the long term impact of childhood abuse. More specifically, about what happens when those abused children grow up and have children of their own. When I had become a parent, I went looking for books on this topic, and I didn’t find anything. But I knew I couldn’t be the only one who was dealing with this. And once I found one other person who was willing to write about this, I said, let’s collect these stories. The stories of these...
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The Developing Brain & Adverse Childhood Experiences (ACEs)
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The Hello It’s Me Project comes to Pittsfield: Dr. Claudia Gold at the helm of initiative to create healthy bonds between parents and infants (www./theberkshireedge.com)
Cissy's note: I am a huge fan of the way @Claudia Gold works with those of us Parenting with ACEs . The first time I read her writing I relaxed. She was speaking with and for parents not about or at us. Unfortunately, her approach is rare. Fortunately, she just launched a new project she's been dreaming of for years. I love the way she supports all families and how she centers the role of all parents in the lives of all children - especially those - not all except those...
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The Link Between Childhood Trauma and Sexual Abuse in Adulthood
Please check out our latest Healing Our Ghosts' podcast with ECHO's executive director and #metoo Harvey Weinstein's silence breaker Louise Godbold. Healing Our Ghosts shines light into the suffering we keep hidden. We are not alone in our struggles and when we share our pain, we lift the shame secrecy that keeps us alone and disconnected from each other and prevents us from healing. With humor and compassion, Ana Joanes interviews a wide variety of guests about their messy lives, how they...
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The pandemic may be intensifying postpartum depression. But there are resources to help. (The Lily)
By Juli Fraga, May 8, 2020, The Lily. On March 18 — a day before California became the first state to issue a stay-at-home order — Courtney Pladsen, 34, a nurse practitioner who lives in Portland, Me., gave birth to her first child. Like many of the hundreds of thousands of U.S. women who have given birth during the coronavirus pandemic, Pladsen’s life was turned upside down. In preparation for parenthood, Pladsen and her husband had lined up support: a lactation consultant to help with...
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The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors (BMC)
From the article: To our knowledge, this is the first study to investigate the incidence and clinical correlates of ACEs in primary care patients who already have cardiometabolic disease or are at elevated risk based on conventional risk factors. Open Access LINK to article Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed...
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The Rise of the Trauma-Informed Mothers
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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The Trauma of Having a Newborn in the NICU [theatlantic.com]
When Kelli Kelley awoke from her C-section 17 years ago, having delivered her son after just 24 weeks of pregnancy, her husband gave her a Polaroid of their baby. He was tiny, underdeveloped, eyes still fused shut, with translucent skin covered in fine hair, and lying in a sea of medical equipment and lines. To Kelley, he looked like a baby bird. Cut to her first visit to the neonatal intensive-care unit ( nicu ) to meet him: a cacophony of beeping machines, harsh lighting,...
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The Trauma-Sensitive Parenting Summit & Commentary
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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The Unexpected Perk Of My Group Pregnancy Care: New Friends [CA Healthline]
I had always imagined going through pregnancy surrounded by family and friends. But when I found out I was pregnant, my husband, Alex, and I had just moved from San Francisco to Chicago. I knew almost no one. I ended up finding a community where I least expected it: at a medical office. CenteringPregnancy is group prenatal care offered by more than 600 practices across the country. Rather than the standard 15-minute individual visits in an exam room, women who are due around the same time...
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Therapist: Trauma Is An Experience Of The Body. And We're All Feeling It [wbur.org]
By Elissa Tosi, WBUR, May 14, 2020 As a psychotherapist, my work is all about connection. It’s about supporting my clients by cultivating an understanding of who they are and where they’ve been. But therapists are people, too, and we have our own issues. We fight with our partners, apologize to our kids for bad parenting moments, get sick, lose loved ones, the list goes on. We often have to put our stuff aside in order to focus on the client’s reality, and our ability to do that is a skill...
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'They Took My Kid': Rural Docs Help Moms Fight Addiction [medpagetoday.com]
By Ashley Lyles, MedPage Today, November 19, 2019 Patient: I'd gotten pregnant again and I was using through my whole pregnancy, and I didn't receive prenatal care. He was born and he's fine and everything. The [Department of Social Services] let me bring him home. Then a week after I had him, I relapsed really, really bad. Then, I got really messed up and they took my kid. Reporter: The opioid epidemic has taken a toll in rural areas, especially on pregnant women. Doctors and healthcare...
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‘This is not a child safety crisis. It’s a poverty crisis, a racism crisis.’ – A social worker and former foster youth featured in HBO’s ‘Foster’ shares her vision of societal and system change (www.risemagazine.org)
Excerpts from article by Sarah Harris from Rise Magazine . Q: What led you to work in the foster care system? A: I am a former foster youth and I’ve been a social worker at the L.A. Department of Child and Family Services for 5 years. I entered foster care through probation, and I got into probation through survival. I was breaking the law for clothes and food. In foster care, I bounced around a lot. For the most part I was AWOL. I was in group homes but I stayed with family or friends.
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This woman's emotional postpartum depression story is actually incredibly common. (upworthy.com)
My constant companions were irritability, anxiety, an unending feeling of being overwhelmed, and sadness. Pure, shoulder-sobbing sadness. I cried a lot. Sometimes for hours on end — seemingly without reason. I sat on my couch, in my car, in the shower, virtually anywhere — willing myself to feel better. I thought I could fix it. That I could try harder, smile more, eat healthier, get a little sleep. I was certain I had to take care of this alone and that no one could know how horribly I was...
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Through a Trauma Lens: The Need for Doulas
Trigger warning: trauma, doctors, hospital, birth, sex It is very important to me to approach all of the work that I do from a trauma-informed perspective. Whether it is asking for consent before touching a student in yoga class, offering self-regulation skills to those I work with, or preparing clients for potential triggers*, I do my best to incorporate my on-going learning in the field of trauma into my professional practices. Recently, I began taking trauma classes for professionals...
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TIC: News and Notes for November 2019
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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Trauma-Informed Care and a Therapist Saved my Life
Between 55 and 99 percent of women who attend addiction treatment and between 85 and 95 percent of women with a history of mental illness have a history of trauma. Among this trauma , the vast majority happened during childhood. Whether the trauma involves neglect, sexual assault, or dysfunction within the family, the need for trauma-informed care in both addiction treatment and in the mental health field is of great importance. When I found myself at a detox facility 1,300 miles away from...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]
By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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Uninsured Native Americans Often Lack Needed Prenatal Care [ocregister.com]
By Yesenia Amaro and Deepa Bharath, Center for Health Journalism News Collaborative, October 4, 2019 For almost two years, Sylvia Valenzuela relied on the federal Indian Health Service system to get the primary care she needed. But when she had to see an OB-GYN for her prenatal care, she was on her own. What followed, she said, was a nightmare in which she struggled to obtain and keep Medi-Cal coverage, leaving her uninsured for a critical stretch of her pregnancy. Valenzuela says she would...
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Untreated Postpartum Depression and Anxiety Costs California Billions, Report Concludes [CA Health Report]
Untreated mood and anxiety disorders associated with pregnancy are costing California billions of dollars in health care spending, social services expenses and productivity losses, according to a new report. The study , conducted by the research firm Mathematica with funding from three foundations including the California Health Care Foundation, estimates the cost of untreated perinatal mood and anxiety disorders (PMADs) in California at $2.4 billion for all births in 2017. This includes...
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Violence, Drugs, Mental Illness May Account for Half of Maternal Deaths [PsychCentral.com]
Intimate partner violence, substance use and mental illness may be as threatening to health and survival during pregnancy as medical issues, according to a new study. In the study, researchers from the Boston University Medical Center note that mortality rates for pregnant women are increasing in the U.S. Many are due to medical causes thought to be directly related to pregnancy, such as hemorrhage, thromboembolism and hypertensive disease. Although substance use, serious mental illness and...
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We Need to Talk about PTSD in NICU Parents (themighty.com)
Given the nature of NICU, the pain of leaving your fragile baby each day, the feelings of emptiness and grief , the uncertainty and ups and downs, the lines, wires, monitors and alarms, not to mention the security buzzers at the entrance of the unit or the constant rigorous hand-washing, it came as no surprise to me that parents who have experienced premature birth are at greater risk of postnatal depression , anxiety and post-traumatic stress disorder (PTSD) . You see, more than 40 percent...
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Webinar: Key findings from the Listening to Mothers in California Survey
Webinar: Key findings from the Listening to Mothers in California Survey. For more information and to register, please see below. Webinar is Thursday, September 20 , from 12-1:00 PM In 2017, a team led by the National Partnership for Women & Families surveyed more than 2,500 women in California about their views and experiences with childbirth. The results, which will be released September 12, reveal what is and isn't working with maternity care in the Golden State. Join us Thursday,...
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What If We Could Reach Families Before the Crisis? There Would Be Fewer Kids in Foster Care [chronicleofsocialchange.com]
It’s no secret that our foster care system is overburdened. More than 250,000 children enter foster care each year. We don’t have enough foster families to meet this demand, and we don’t have enough adoptive families either. At the end of 2017, 123,000 kids around the country were still waiting to be adopted into a family. But what if the only answer isn’t recruiting more foster and adoptive parents? Are there other things we can do? What if the answer is recruiting more communities to get...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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How to get more low-income moms screened for depression? CMS says, ‘Bill me!’ [CenterForHealthJournalism.com]
In recent years there’s been a surge in awareness of how common and debilitating maternal depression can be. As the research accumulates and media coverage keeps apace, the idea that depression and related disorders can wreak serious havoc on a mother and affect her baby’s development has given fresh urgency to efforts to get moms more help. Among policymakers, growing recognition of the problem has translated into new programs, with a number of states encouraging screenings and treatment.
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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Intimate Partner Violence Screening and Intervention: The American College of Preventive Medicine Position Statement (Abstract) [sciencedirect.com]
By Tanya M. Phares, Kevin Sherin, Suzanne Leonard Harrison, et al., American Journal of Preventive Medicine, December 2019 The purpose of this paper is to produce a position statement on intimate partner violence (IPV), a major sociomedical problem with recently updated evidence, systematic reviews, and U.S. Preventive Services Task Force guidelines. This position statement is a nonsystematic, rapid literature review on IPV incidence and prevalence, health consequences, diagnosis and...