Activity

Webinar — Moving to universal ACEs screening: Findings from a CA advisory group on screening children for trauma

On April 23rd, 2019 from 12:00pm-1:30pm PST the National Pediatric Practice Community on ACEs (NPPC) , an initiative of the Center for Youth Wellness, will be hosting a webinar to support efforts to screen all children for adverse childhood experiences (ACEs) and additional adversities. This webinar will summarize the findings of a state advisory group assigned to review tools and protocols for screening children for trauma, and provide an introduction to two tools the advisory group...

Power of Play: Theraplay's approach to trauma-informed intervention

Editor's note: The message below comes by way of Madison Hammett, MPH, MSW, a Policy Analyst with IL ACEs Response Collaborative Health & Medicine Policy Research Group, mhammett@hmprg.org “The Power of Play: Theraplay’s Approach to Trauma-Informed Intervention”. You can find the updated recording HERE (NOTE: GoToWebinar will ask for your registration info at the link). We will also be uploading the recording to our webinar archive on our website HERE in the coming days.

Keeping Kids in Families [AECF.org]

In this data snapshot, the Annie E. Casey Foundation examines how placements for young people in foster care have changed from 2007 to 2017. Using data from all 50 states and the District of Columbia, Casey finds that child welfare systems are doing a better job of placing kids in families. At the same time, racial disparities persist for kids of all ages and progress eludes teens in care. To push for further progress, the four-page snapshot tells how states can leverage the federal Family...

The Relentless School Nurse: ACEs Impact Nurses More Than We Realized!

I ran across this message on www.acesconnection.com and not only did it catch my attention, but it also made me want to dig deeper. Could it be true that nurses have a higher ACEs score than other healthcare professionals? It seemed true in this small survey, but was this a representation of a trend? If it was, the implications in nursing practice could be tremendous and concerning. What I found was that there is a grand canyon gap in research. The minimal studies that do exist confirm that...

Parent Handouts updated and available In Dari, English & Spanish

The updated parent handouts are now available in Spanish as well as English and Dari. Here's the blog post with links to all three versions of each flyer. All versions of the Understanding ACEs and Parenting to Prevent & Heal ACEs parent handouts can be downloaded, distributed, and used freely. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow, who is responsible for making the Spanish and Dari translations available. These are updates of the...

Mitigating the Effects of Trauma among Young Children of Immigrants and Refugees: The Role of Early Childhood Programs [migrationpolicy.org]

A child’s early years are a time of exceptional growth, and ones that can be profoundly affected by traumatic experiences. Research has firmly disproven the idea that infants and toddlers are “too young” to be affected by such experiences, leading to an increased awareness of the need for trauma-informed services for children. Early childhood education and care (ECEC) programs have the potential to play a central role in identifying and addressing the effects of trauma, with lifelong...

Nurturing Children During Times of Stress: A Guide to Help Children Bloom by Yolo CAPC and YCCA

The Yolo County Child Abuse Prevention Council (CAPC) and Yolo County Children’s Alliance (YCCA) are excited to share Nurturing Children During Times of Stress: A Guide to Help Children Bloom. This guide for parents and caregivers, which we are launching during Child Abuse Prevention Month, contains tips and resources that parents and caregivers can use to promote resilience in their children and themselves. Nurturing Children During Times of Stress explains the effects of intense stress or...

LGBTQ + Youth - a book reviewed in Journal of GLBT Family Studies

LGBTQ youth are most vulnerable to the school to prison pipeline, which is a very severe ACE (Snapp et al, 2015.) To combat this problem, I wrote a clinical manual for educators and mental health clinicians. The book addresses the need for sensitive engagement with, and advocacy of, LGBTQ+ youth. LGBTQ+ Youth: A Guided Workbook to Support Sexual Orientation and Gender Identity was released in June 2018, endorsed by Jenny Finney Boylan, and #1 NEW RELEASE on Amazon in Teen and Young Adult...

California gets its first ever surgeon general (ktvu.com)

California's first-ever Surgeon General has launched a listening tour that will take her around the state to hear about people's hopes for the new position and the state's new commitment to improving Californians' health. Dr. Nadine Burke Harris is a pediatrician with degrees from U.C. Berkeley, U.C. Davis Medical School, and Harvard University. She says, as the daughter of a biochemist and a nurse, she knew what her dream job was at an early age. "My immediate priorities as Surgeon General...

Upcoming ACEs webinar hosted by National Pediatric Practice Community(NPPC) team - CME/MOC credits available!

Healthy Spaces Webinar Series (Two 1-Hour Webinars) Communicating About ACEs with Patients and Families presented by: Leena Singh, DrPH, MPH - Director of the NPPC Karissa Luckett, RN, MSW - NPPC Pilot Site Coach April 17, 2019 9:00-10:00 AM (PT) 12:00-1:00 PM (ET) Learner Outcome: The learner will be able to identify two evidence based tools and/or strategies to utilize in the pediatric healthcare setting to improve child care when addressing health concerned among children &...

CA to reimburse for only one of three ACEs screeners

California health care providers will soon begin to learn how many of the 13.2 million California children and adults in the state’s MediCal program have been exposed to adverse childhood experiences (ACEs). But the state’s proposed decision to reimburse only one of three recommended options for screening children has drawn mixed reactions from pediatricians. “If we have mandated legislation that only looks at one screening tool, it really limits the opportunity to improve that screening...

Webinar: School Nurses + Pediatricians = Powerful Partners

April 23, 2019 9:00 AM 10:00 AM PDT Webinar School Nurses + Pediatricians = Powerful Partners presented by: Dany Levy, MD, FAAP & Robin Cogan, MEd, RN, NCSN April 23, 2019 / 9:00-10:00 AM (PT) / 12:00-1:00 PM (ET) Objectives: Discuss the roles of the school nurse & pediatrician in the Pediatric Medical Home Discuss how communication between pediatricians in school nurses can be improved Discuss gaps in coordinating efforts on behalf of children and family Discuss and dispel myths...

Childhood Anxiety Linked to Later Problems With Alcohol [psychcentral.com]

New research has found evidence that children and adolescents with higher levels of anxiety may be at a greater risk of developing alcohol problems. Many studies have investigated the relationship between anxiety and alcohol use, but the evidence has been unclear, say researchers at the University of Bristol in the U.K.. Some studies found higher anxiety is linked to greater alcohol use, while others found anxiety is linked to lower alcohol use, or there was no association. For their study,...

“I Like to Move It, Move It!" – How Dance and Rhythm Can Reduce the Impact of ACEs [stresshealth.org]

If you’ve watched “Madagascar,” you’re sure to have seen King Julien leading the jungle in a rousing chant of “I Like to Move It, Move It” while doing just that. It turns out King Julien was onto something. If the iconic lemur were a scientist, he might have written a dazzling paper on what our ancestors already knew: Dance can help heal what ails you. As it is, more and more researchers studying the healing power of rhythmic movement on people who’ve experienced trauma from Adverse...

Upstreamist in Action: In a Texas Clinic, Lawyers Are Health Care Providers [Health Begins]

Upstreamists are changemakers pioneering practices that improve health by blending medical and social care . In this series of profiles, HealthBegins highlights some of these bold leaders and their innovations, in settings large and small. Their stories show us that the journey upstream is not only necessary — it’s possible. The People’s partnership began in 2012, when two puzzle pieces clicked together. The clinic’s Chief Medical Officer, Dr. Louis Appel, a pediatrician with an interest in...

Report Offers Insights For Trading Juvenile Incarceration For Community-Based Strategies [witnessla.com]

Over the last 20 years, youth violence dropped precipitously (and unexpectedly) in California. Law enforcement arrested minors 22,601 times for violent crimes in 1994. That arrest rate dropped 68 percent, to 7,291 arrests two decades later, in 2017. In addition, a collective turning away from harshly punitive incarceration for kids, and a movement toward community-based diversion and services, have helped keep kids out of juvenile lockups. (But not all kids—racial disparities in the juvenile...

In El Paso, Border Patrol Keeps Families Under a Bridge (In Photos) [psmag.com]

In El Paso on Wednesday, Kevin McAleenan, the commissioner of Customs and Border Protection, stood in front of the steel bollards that line the border between the United States and Mexico and warned that the border had hit a " breaking point ." As McAleenan addressed reporters at the border, elsewhere in the city, hundreds of asylum-seeking families were being held in a razor wire-surrounded enclosure under a bridge. Photos showed children and families standing behind chain link and...

Data-for-Equity Research Brief [nichq.org]

Child care offers a safe space for children to grow and learn while their families are at work, making it a critical resource to support healthy development. However, child care is unaffordable for the majority of working parents, especially for low-income and black and Hispanic working parents. This research brief provides insight and analysis about the challenges families face in affording childcare, which can exacerbate inequities in early childhood health and development. [For more on...

Documentary on Connection Between Foster Care, Homelessness and Human Trafficking [chronicleofsocialchange.org]

A new foster care documentary , Breaking the Cycle , explores exactly how intertwined the foster care system is with homelessness and human trafficking. Filmmaker Arzo Yusuf captured multiple perspectives from people with close connections to the pipeline of living in foster care to becoming homeless or being sexually exploited, including a former foster youth and professionals who work with young people in foster care. Personal accounts from former foster youth speak to the circumstances...

Helping Women, Babies and Families with a Trauma Sensitive Approach

At the Association for Prenatal and Perinatal Psychology and Health (APPPAH), a celebration of support for the Mother-Baby Dyad and Trauma Healing is happening. All month, there have been lectures by esteemed experts in trauma sensitive and trauma healing approaches. From midwives who are trauma sensitive to baby bodyworkers, from family therapists who know how help you recognize trauma attachment to cultural competencies with marginal communities, you will find it in this free lecture...

Latest ACEs science research from PubMed, March 25, 2019

Adverse Childhood Experiences and Household Out-of-Pocket Healthcare Costs. Schickedanz AB, Escarce JJ, Halfon N, Sastry N, Chung PJ. Am J Prev Med . 2019 Mar 13. pii: S0749-3797(18)32445-0. doi: 10.1016/j.amepre.2018.11.019. [Epub ahead of print] PMID: 30905486 Similar articles A Systematic Review of Trials to Improve Child Outcomes Associated With Adverse Childhood Experiences. Marie-Mitchell A, Kostolansky R. Am J Prev Med . 2019 Mar 13. pii: S0749-3797(19)30031-5. doi:...

CDC announces Adverse Childhood Experiences (ACEs) Research & Evaluation Fellowship opportunity

The Centers for Disease Control and Prevention (CDC) in Atlanta has announced an Adverse Childhood Experiences (ACEs) Research & Evaluation Fellowship opportunity that resides in the National Center for Injury Prevention and Control (NCIPC) at CDC. The new fellowship position reflects a growing ACEs capacity within the CDC. The announcement states “The selected candidate will assist with research related to evaluating comprehensive community-based prevention strategies for primary...

New Health Resiliency Stress Questionnaire debuts for pediatricians, family practice, internal medicine...but anyone can use it

There's a new ACEs-resiliency survey in town! It came out of a conversation between two physicians having a conversation on a bus. Here's the story about how it was developed, and how to use it. Pilots were done in a pediatric clinic, internal medicine, addiction treatment center, group therapy, and psychiatric practice. It's now being used in two community clinics.

A Framework for Child Health Services: Promoting optimal health, development, and well-being for all children [chdi.org]

CHDI and Connecticut Children’s Office for Community Child Health outlined a joint vision for improving child and population health in A Framework for Child Health Services: Promoting optimal health, development, and well-being for all children . This 2019 Framework builds on the original Framework for Child Health Services published in 2009. It highlights progress on implementing recommendations from the original Framework and puts forth new recommendations for integrating child health...

Two Parkland Suicides Highlight the Lasting Impact of Trauma. Here's How Parents and Teachers Can Help Teens Who Are Struggling [time.com]

A pair of recent suicide deaths in Parkland, Fla., serve as a stark reminder of the lingering effects of trauma — and underscore the importance of providing long-term support to those who are living with its consequences. Just days after 19-year-old Sydney Aiello, who survived the mass shooting at Parkland’s Marjory Stoneman Douglas High School last year, died by suicide , police confirmed that an unnamed current student at the high school had also died by “apparent suicide .” Police did not...

NJ medical school program requires all first-year students to learn about ACEs science

In 2015, Dr. Beth Pletcher, a pediatrician and associate professor specializing in genetics, was at the annual conference of the American Academy of Pediatrics in Washington D.C. when she heard two speakers that forever changed her work with medical students. Dr. Beth Pletcher “I went to two talks on adverse childhood experiences (ACEs) that were so mind-boggling to me that I decided on my drive back to New Jersey that I had to do something about it,”says Pletcher, director of the Division...

TIC: News and Notes for the Week of March 18 2019

ACEs, Adversity's Impact Screening for adverse child experiences in primary care Linked: Adverse childhood experiences, health + addiction Adults with childhood traumas 11 times more likely to be involved in drugs and violence, report says Warning of overload in childhood trauma data Mental health issues increased significantly in young adults over last decade New student group to give hope to those with traumatic childhoods How anxiety leads to disruptive behavior Brain and Biology...

Webinar Recording and Resources - Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities

For many healthcare providers, it can be challenging to distinguish between behaviors associated with a developmental disability and behaviors resulting from adverse childhood experiences (ACEs). It takes coordination across multiple disciplines to ensure early and accurate diagnosis and treatment of ACEs and/or developmental disabilities. Research has shown that individuals with disabilities are at increased risk for experiencing violence of all types, especially physical violence and...

Yoga & Mindfulness: Strategies for Empowerment & Violence Prevention Among Homeless Youth [smdp.com]

Dr. Petering and the MyPath Program are part of an ongoing partnership supported by SPY’s 4-year Innovations contract with LA County’s Department of Mental Health. “You need to try mindfulness and Yoga. It’s hard to live in the streets when you are homeless, people can’t live like that. The pain is too much, it’s too stressful and some people can’t handle it, so they take their own life. Let’s try these mindfulness techniques and yoga poses and see how much it will change, and things will...

Depression, anxiety, suicide increase in teens and young adults, study finds (cbsnews.com)

More American teens and young adults appear to be struggling with mental health issues , and experts believe a number of cultural trends may help explain why. A new study found the percentage of teens and young adults with depression, anxiety and other mental health issues has increased sharply over the past decade. The same pattern was not seen in older adults. "We found significant increases in major depression, serious psychological distress which includes anxiety and hopelessness and...

Why it makes more sense to care for kids and parents at the same time [centerforhealthjournalism.org]

It’s the flu season, and David, a 4-month-old baby with a chronic lung disease, is with his pediatrician for a flu shot. David’s condition leaves him particularly vulnerable to respiratory illnesses like the flu. During the visit, David’s parents, Clare and Dave, discover that they need to make separate appointments to receive their own flu shots, which only complicates their already overwhelmed daily routine. Now imagine a place where David and his parents can receive a flu shot at the same...

California Looks To Lead Nation In Unraveling Childhood Trauma [witnessla.com]

Imagine identifying a toxin so potent it could rewire a child’s brain and erode his immune system. A substance that, in high doses, tripled the risk of heart disease and lung cancer and reduced life expectancy by 20 years. And then realizing that tens of millions of American children had been exposed. Dr. @Nadine Burke Harris, California’s newly appointed surgeon general, will tell you this is not a hypothetical scenario. She is a leading voice in a movement trying to transform our...

STUDENT VOICE: ‘What haunts me is how easily everyone could picture us behind bars’ [hechingerreport.org]

In sixth grade, I went on a field trip to jail. Picture us: a bunch of Latino and African American kids sitting in a prison cell. I’ve never been able to shake the memory. Here I was, an 11-year-old Latina from Jersey City, and our teachers were telling us, dead straight: This could be your future. I certainly got the message. What haunts me is how easily everyone could picture us behind bars. We could picture it, too. When it came time for high school, my dad made the decision to move us to...

Schools Finding Record Numbers of Homeless Students, Study Says [edweek.org]

States have never found so many homeless students in public schools before. The next challenge will be finding ways to keep those students in school long enough to earn a diploma. Nearly 1.36 million children—more than all the students in New York City—went to school in 2017 without knowing where they would sleep at night, finds a new report by the national campaign Education Leads Home , which looked at new national data as well as graduation rates for homeless students in 26 states. That's...

How chapters are addressing pediatric mental health crisis [aappublications.org]

Approximately one in five youths ages 13-18 experiences a severe mental disorder at some point during their life, according to the National Alliance on Mental Illness. For children ages 8-15, the number is 13%. The AAP Arizona, California 3, Florida, New Jersey and Virginia chapters received Healthy People 2020 grants to develop programs to empower families, the media and/or communities to address the mental health crisis in children and youths. Following is an overview of each chapter’s...

Chicago healthcare providers start center for ACEs science education; aim to reach all medical, health students by 2025

In 2017, Dr. Audrey Stillerman and three other women from the Chicago healthcare community founded the THEN Center . Its goal is lofty: By 2025, it wants every graduating student in medical and health sciences across the United States to apply core concepts of childhood adversity, neurobiology, resilience and health equity into their work. Dr. Audrey Stillerman Today, the THEN Center (The Collaborative Study of Trauma, Health Equity and Neurobiology) is well on its way. Its founders are...

Psychology Needs New Concepts and Healing Models for Racial Trauma [madinamerica.com]

The American Psychologist journal published a new special issue that features the latest psychological research on racial trauma. Feminist psychologist and clinical practitioner, Dr. Lillian Comas-Díaz and her colleagues, introduced the special issue and its mission to foreground novel conceptual models of racial trauma, promote healing on individual and collective levels, and highlight consideration of historical racial injuries. The special issue provides a contemporary examination of...

CDC's 'Connecting the Dots' Tool

Great new Resource from CDC shared with me from Dr. Kevin Sherin, Health Officer & Director of Florida Department of Health in Orange County, Florida. Welcome to the Connections Selector! This tool makes it easier for you to connect the dots and explore the relationships between multiple types of violence and the risk and protective factors they share at each level of the social-ecological model (SEM). A clear understanding of these connections can help you plan strategies to prevent...

Q&A: Immigrant Children and Trauma [today.uconn.edu]

Newcomer immigrant youth – refugees, asylum seekers, and unaccompanied children – face unique challenges when involved with the juvenile justice system, say a team of mental health and legal experts who have published a new book on the topic. Co-authored by UConn Health psychiatrist Julian Ford, the book seeks to raise awareness about those challenges among some of the first people that the youth will meet: juvenile court judges and advocates. In A Trauma-Informed Approach to Judicial...

Helping New Parents Make Room for Uncertainty

A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...

Helping New Parents Make Room for Uncertainty

A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...

A tough childhood has a long-term effect on health [businesslive.co.za]

US-based pediatrician Nadine Burke-Harris had a glut of attention deficit hyperactivity disorder (ADHD) cases at the clinic where she worked in Bayview, a poor area in San Francisco. She felt in her bones that these cases didn’t come out of the blue, and were directly linked to high levels of toxic stress in the community. Toxic stress, experienced through consistent exposure to violence, abuse and the consequences of poverty and inequality, has a lasting effect on the brain, notably in the...

Validation of the Traumatic Events Screening Inventory for ACEs [pediatrics.aappublications.org]

OBJECTIVES: Our purpose in this study was to adapt and validate the Traumatic Events Screening Inventory (TESI) as a primary-care childhood adversity screening tool for children living in vulnerable neighborhoods using a community-partnered approach. METHODS: In this cross-sectional, descriptive study, we used a sample of 261 children (3–16 years old) who were seeking services at a Federally Qualified Health Center with colocated behavioral health services in Chicago and had a positive...

The Relentless School Nurse: What Happened at School Today?

Welcome to a new feature on the Relentless School Nurse website: "What Happened at School Today?" The idea for this view from different health offices is the result of discussions with school nurses across the country who wanted to share their practice settings. Last year, Abby Pelletier and I shared pictures taken from our perspective health offices. I am in an urban NJ school and she is in rural NH, so the differences were quite distinct. "What Happened at School Today?" will feature...

To understand early childhood homelessness, we need more consistent federal data collection [childtrends.org]

Homelessness in early childhood is a known risk factor for children’s health and well-being. Because high-quality early care and education (ECE) programs can buffer some of the negative effects of homelessness on a child’s development , federal ECE programs (such as child care subsidy, Head Start, and early intervention) have begun to prioritize these children for care. Unfortunately, ECE providers in the field often have difficulty identifying families eligible for child care slots that are...

Recent Legislation that Supports Better Children’s Health Outcomes [nichq.org]

In recent months, there has been a surge of legislative actions for children’s health advocates. New laws have been passed that provide funding for programs and research initiatives essential for improving the health and well-being of children and families across the country. Here, NICHQ provides an update on the legislation, as well as a brief analysis of the impact on children’s health. We share this update to help our readers stay informed about policies that influence children’s health...

New Member of Congress—Rep. Lauren Underwood (D-IL)—brings laser focus on toxic stress at hearing on immigration

At a March 6 hearing of the House Committee on Homeland Security, Rep. Lauren Underwood (D-IL) addressed the impact of family separation on the mental and physical health of children at the border. Her questions to Homeland Security Secretary Kirstjen Nielsen focused on the impact of toxic stress caused by family separation on short and long-term health outcomes for children. Sec. Nielsen was unfamiliar with the concept of “toxic stress.” Here’s a short description of the 6-minute exchange...

Parental Disengagement in Childhood and Adolescent Male Gun Carrying [pediatrics.aappublications.org]

OBJECTIVES: To examine the association between parental disengagement in childhood and adolescent gun carrying and determine whether this association is accounted for by externalizing problems and affiliation with delinquent peers during early adolescence. METHODS: The sample included 503 boys (55.7% African American, 40.6% white, 3.7% other) recruited from first-grade classrooms in Pittsburgh public schools. Multi-informant assessments were conducted regularly (semiannually then annually)...

Advocacy centers help abuse victims tell their story, regain trust, heal [National Catholic Reporter]

WASHINGTON — On a long, low shelf at Safe Shores in downtown Washington, colorful figurines of wild animals, army soldiers, a winged dragon and an angel appear to be the toy collection of an overly neat child. It's the "sand tray room," where young survivors of sexual assault arrange figures in a tray of sand to tell stories about their experiences, often, too difficult to put into words. One 10-year-old girl, abused by her father, remained silent through five sessions of therapy. Only after...

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