June 2018

Every day, a team of community health paramedics in Austin, Texas, fans out across the city to provide aid to the growing number of people on the streets. Finding the homeless isn’t always easy—Austin’s annual homeless census found that at any given time, more than 2,500 people are unsheltered; in a year, that number exceeds 7,000—and those are just the most obvious, countable cases. Harder still is finding their papers. “It’s a great anomaly to find someone who has all their identity...

Faced with overlapping controversies over its treatment of undocumented children, the Trump administration attempted this week to walk back previous statements that it had lost track of hundreds of undocumented children formerly in its care. Immigrant rights advocates disagreed about whether the administration should more closely monitor those children's whereabouts—but they were all unified in their outrage regarding the administration's ongoing separation of hundreds of migrant children...

A student throws a chair at a teacher. A typical chain of events follows this incident: The student is removed from the classroom—perhaps sent to the principal's office or escorted by safety officers in the school—and then receives a prompt out-of-school suspension. When the student returns to the classroom, it's likely that nothing was done to repair the relationship with the teacher. And thus, the cycle of misbehavior and stricter punishment continues. This type of retributive justice, or...

In a just published perspective piece in The New England Journal of Medicine, U.S. Food and Drug Administration (FDA) Commissioner Scott Gottlieb, M.D. outlines with colleagues the multi-prong approach the agency is using to combat the complex issue that is misuse and abuse of opioids while detailing surveillance measures already underway to detect rapidly the next wave of drug abuse. Among this so-called proactive pharmacovigilance plan is employing a social media “listening platform” that...

Earlier this month, my 11th grade students hosted a storytelling showcase in conjunction with Story District , a local non-profit that "turns good stories into great performances." As we molded our personal stories into shape and rehearsed them in front of each other for the umpteenth time, my students started noticing something disturbing. Many of the stories my students chose to tell about themselves were about misbehavior...and the subsequent consequences which invariably involved...

The role that adverse childhood experiences (ACEs) play in the physical and mental health of individuals as they age has been well described. What has been less understood is what effect ACEs in a parent might have in their children—until Le-Scherban et al. ( 10.1542/peds.2017-4274 ) decided to study that question in a new study being released this month in our journal. The authors used linked data between parents living in the Philadelphia area and their past exposure to ACES with their...

“The power of community to create health is far greater than any physician, clinic or hospital.” – Mark Hyman, MD Community engagement invigorates a collective population to explore community-based solutions to address their unique challenges and opportunities. Including the community is key to building sustainability in any change-related initiative. School Nurses are uniquely positioned to lead the charge of community engagement because we simultaneously have our finger on the pulse of...