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This month at Partner for Healing we have focused on responding to common staff concerns about implementing trauma-informed care. I’m sure you have heard all of these! On Partner you can get some ideas about how to respond. We would also be interested in other concerns you hear, and also other responses you have found effective. Please put these in the comment section. You can also download a PDF summary of all of these. The concerns we cover are: If we stop giving severe consequences, chaos...

Starting today, the U.S. Senate takes up the bipartisan Comprehensive Addiction and Recovery Act (CARA, S. 524) to address the national crisis of opioid drug addiction. The legislation—authored by Senators Sheldon Whitehouse (D-RI) and Rob Portman (R-OH)—gives states tools to “prevent drug abuse, treat addiction, and reduce overdose deaths.” The prevention section of the bill calls for a “federal inter-agency task force to review, modify, and update best practices for pain management and...

Karen Clemmer’s “aha” about ACEs came at a lunch meeting with a colleague who worked in early childhood intervention and Jane Stevens, creator of social networking sites ACEsConnection and ACEsTooHigh. Clemmer, Coordinator of Maternal, Child and Adolescent Health for Sonoma County’s Department of Health Services, had heard of Vincent Felitti’s work and found it interesting. But that day’s lunch conversation persuaded her to share the research on ACEs and resilience with everyone she knew.

In last month’s column I focused on the significance of the emotional culture that exists in an organization, especially citing the article “Manage Your Emotional Culture” that appeared in the January/February 2016 issue of the Harvard Business Review https://hbr.org/2016/01/manage-your-emotional-culture . The article was co-authored by Drs. Sigal Barsade, professor of Management at the Wharton School of the University of Pennsylvania, and Olivia O’Neill, assistant professor at George Mason...

From Barack Obama to Rand Paul, Ta-Nehisi Coates to Jason Riley: Across the ideological spectrum, scholars, pundits, and politicians seem to agree that black men are floundering. As the president observed in 2014, “by almost every measure, the group that is facing some of the most severe challenges in the 21st century in this country are boys and young men of color.” In some ways, Obama is right. Rates of poverty, unemployment, and incarceration are higher among black men than among white...

In laymen’s terms, “kill boxes” sound like torture devices. In military jargon, they are almost incomprehensible; as defined in the Department of Defense Dictionary , they are “a three-dimensional area reference that enables timely, effective coordination and control and facilitates rapid attacks.” But despite their ominous name and complicated technical definition, kill boxes are actually relatively simple in concept: They are three-dimensional cubes of space on a battlefield in which...

Similar to the cycle of abuse, in which the abused often become abusers, individuals who grow up witnessing substance abuse are at a higher risk of imitating that dangerous behavior. In Jefferson County, children living in, or removed from, homes that have a substance abuse problem primarily are dealt with by the Jefferson County Human Services De­part­ment. All too often, the drug of choice is heroin or another type of opioid. “Unfortunately, almost all of our kids are impacted by heroin or...

I n the early 1970s, my grandmother had a disagreement with the Beatles. When she heard “All You Need is Love” play on the radio, she would reply, “All you need is inside of you.” When I was a PhD student in the early 1990s, these messages bounced around in my mind along with my epidemiology and econometrics lessons. It was then that I began amassing evidence that led me to two conclusions: First, public health, medicine and public policy needed to address long-neglected social and emotional...

“Jobs in Newark, New Jersey are as rare as dinosaurs,” says Barbara LaCue. She should know—the 51-year-old Newark resident was unemployed for more than five years after being laid off in 2008 from a steady factory job. She ended up living in a homeless shelter with her two sons. Then, last October that dinosaur showed up. It took the form of a 67,000 square foot ShopRite , the first full service supermarket to serve the 25,000 people in the city’s struggling University Heights neighborhood.

Her daughter was 4 years old when Vicky Blake learned she’d contracted HIV, the virus that causes AIDS. It was 1994, before the advent of antiretroviral drugs that could help arrest the virus, and Blake feared she would not live to see Curtisha turn 10. [For more of this story, written by Joaquin Palomino, go to http://www.sfchronicle.com/health/article/For-many-women-HIV-is-a-byproduct-of-a-lifetime-6858571.php]

Many of the advancements we see in ACE-informed programming and service delivery focus on early intervention and prevention with the purpose of altering potential long-term high-cost ACE trajectories. There seems to be less weight being placed on the development of ACE-informed programs specifically for older persons coping with the cumulative outcomes of a lifetime of adversity and trauma. Senior Hope Counseling, Inc. in Albany, New York, is one agency that has worked tirelessly to enhance...