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Why "Don't cry, be brave" Can Backfire - Parenting Center Tip of the Week [mountsinaiparenting.org]

Why "Don't cry, be brave" Can Backfire You may hear parents tell their children not to cry during stressful moments in the visit. Parents are often embarrassed that their child is upset, and feel pressure to get them to stop crying. In those instances, you can label and validate a child's emotions and let the parents know that it is OK for all feelings to be expressed in your office. You can say, "It's OK if you cry, I cry when I am scared too. You can sit on your mommy's lap and I will tell...

CALIFORNIA ACES ACADEMY: Parental ACEs and Pediatrics: Transforming Well Care [avahealth.org]

CALIFORNIA ACES ACADEMY (CAA) , funded by ACEs Aware, is providing free online training to Medi-Cal providers and others featuring: Practical strategies for integrating trauma-informed health care into your team’s practice that improves patients’ well being and the productivity of your practice. Meet colleagues with experience and success providing trauma-informed health care in their practices. Learn from national and local experts. Talk to other professionals from your region in small...

ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits

This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...

A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)

The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...

RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST

RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...

Addressing Childhood Poverty in Pediatric Clinical Settings [jamanetwork.com]

By Margaret G. Parker, Arvin Garg, Margaret A. McConnell, JAMA Pediatrics, September 14, 2020 Two in 5 children are poor or nearly poor, and childhood poverty is a key social determinant of heath that is associated with negative health and developmental outcomes across the life course. In 2016, the American Academy of Pediatrics published a policy statement on child poverty and health, emphasizing the importance of addressing poverty-related risk factors in the delivery of pediatric care.1...

New research shows many children with mental health conditions don't get follow-up care [statnews.com]

By Pratibha Gopalakrishna, STAT, September 22, 2020 A large new study finds that mental health care for many children in the U.S. falls far short, particularly when it comes to the follow-up treatment they receive. The study, published Monday in Proceedings of the National Academy of Sciences , examined insurance claims from children between the ages of 10 and 17 covered by Blue Cross Blue Shield. Of the more than 2 million children included in the study, nearly one in 10 had a claim related...

We Shouldn't Rely on Child Protective Services to Address Family Adversity [imprintnews.org]

By Kelley Fong, The Imprint, September 20, 2020 For many parents, it’s their worst fear: a knock on the door from a state social worker with the power to take their children. With 1 in 3 children nationwide experiencing a Child Protective Services (CPS) investigation during childhood following a report of child maltreatment, this experience is all too common for U.S. families, especially Black and Native American families. Child maltreatment conjures images of critically injured or severely...

Painful Questions: What Happens When Doctors Uncover Adverse Childhood Experiences?

This excellent article reviews arguments for and against universal pediatric screening for ACEs in California. It also highlights Dr. Nadine Burke Harris' concern concern that if we know ACEs science, it is irresponsible not to take action. She indicates that she has not heard alternative proposals for action from critics of screening. However, such alternatives exist and include universal pediatric developmental screening and policy initiatives aimed at primary prevention of adversity.

Addiction Born Out of ACEs and The Return of Hope [avahealth.org]

The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...

CALIFORNIA ACES ACADEMY: Parental ACEs and Pediatrics: Transforming Well Care [avahealth.org]

CALIFORNIA ACES ACADEMY (CAA) , funded by ACEs Aware, is providing free online training to Medi-Cal providers and others featuring: Practical strategies for integrating trauma-informed health care into your team’s practice that improves patients’ well being and the productivity of your practice. Meet colleagues with experience and success providing trauma-informed health care in their practices. Learn from national and local experts. Talk to other professionals from your region in small...

Freedom From Trauma – Powerful & Profound Practices To Heal Trauma & Consciously Create The Body, Mind, Spirit You Truly Desire

We are living in complicated and stressful times. What needs to be healed seems more palpable than ever. It feels like the call to release what no longer serves has never been louder and we are feeling that tug at our core. While the founder of The League of Extraordinary People, Alfred White, has been gaining more clarity everyday on this, he was invited to be part of an event, more like a movement, to help others find freedom from what has been holding them back. It is a free, online...

ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]

ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...

Plans of US Parents Regarding School Attendance for Their Children in the Fall of 2020 [jamanetwork.com]

By Emily Kroshus, Matt Hawrilenko, Pooja S. Tandon, et al., JAMA Pediatrics, August 14, 2020 Key Points Question What do parents plan to do about school attendance in the fall of 2020, and what factors are influencing these plans? Findings In this survey study of 730 US parents of school-aged children, 31% of parents indicated they will probably or definitely keep their child home this fall if schools open for in-person instruction. Factors associated with planning to keep children home were...

The Pandemics of Racism and COVID-19 [pediatrics.aappublications.org]

By Tina L. Cheng and Alison M. Conca-Cheng, Pediatrics, August 31, 2020 COVID-19 is a recent crisis. Racism is an enduring crisis which is inflamed in the presence of other crises. The Chinese word for "crisis” is composed of two characters, one signifying "danger" and the other, "opportunity." The pandemics of COVID-19 and racism present clear danger. Our duty is to make sense of the opportunity by learning, understanding, and taking action. In this issue of Pediatrics, Cheah et al.1...

Addressing students' social, emotional and behavioral stress -- not truama -- when they return to school [smartbrief.com]

By Howie Knoff, SmartBrief, August 31, 2020 Throughout this pandemic, the American public has sometimes had to choose between science and beliefs, between objective data and personal testimonials. And while the medical, social, economic and educational toll from the COVID-19 virus is unprecedented, some of the effects have been politicized by our leaders, and sensationalized by the press. Sadly, the latter has occurred when discussing the emotional status of our students as districts prepare...

Health advocates highlight extreme COVID burnout, stark inequities and strong call for action

Dr. Elisa Nicholas, a pediatrician and chief executive officer of TCC Family Health Clinics in Long Beach, California, relays an example of how the COVID-19 pandemic has wreaked havoc on the lives of the clinics’ patients. Most had already been struggling financially prior to the pandemic. “Both the mother and father came down with coronavirus,” said Nicholas. “Their child was in on a telephone visit with one of our doctors. They did not have any way to get food. They had no money to pay for...

Asking the Right Questions: Implementing Behavioral Health Screening in a Pediatric Emergency Department

Jessica Williams wants you to know that depressed kids don’t have a “look”. As the lead social worker in charge of the behavioral health screening protocol at Nemours/Alfred I duPont Hospital for Children, it’s her job to educate clinicians, staff, and families about the one thing they can do to identify kids in crisis: ask them the right questions. “Kids that appear to be depressed, whatever you think that might look like, they might not actually be depressed,” she explains. “And sometimes...

Wellness navigators in clinics screening for ACEs help prevent crises in patients' lives

A patient came into the Goleta location of the Santa Barbara Neighborhood Clinics pleading with people at the front desk to speak to Mayra Garcia, a wellness navigator at the clinic, despite not having an appointment. The clinic is part of a network of four clinics in the Santa Barbara region of California that serve mainly patients on Medi-Cal, the state’s Medicaid program, or patients who are uninsured. Mayra Garcia “She was crying. Her husband had been deported. She couldn’t pay the rent,...

Effects of a Brief Mindfulness-Based Program on Stress in Health Care Professionals at a US Biomedical Research Hosptial [jamanetwork.com]

By Rezvan Ameli, Ninet Sinaii, Colin P. West, et al., JAMA Network Open, August 25, 2020 Key Points Español 中文 (Chinese) Question Is a brief mindfulness-based program effective and feasible in reducing stress among health care professionals during work hours? Findings In this randomized clinical trial including 78 participants randomized to a 5-session (7.5-hour total) mindfulness program or a life-as-usual control, participants in the mindfulness program reported reduced stress and anxiety...

Participation of Children and Adolescents in Live Crisis Drills and Exercises [pediatrics.aappublications.org]

By David J. Schonfeld, Marlene Melzer-Lange, Andrew N. Hashikawa, et al., Pediatrics, August 2020 Abstract Children and adolescents should be included in exercises and drills to the extent that their involvement advances readiness to meet their unique needs in the event of a crisis and/or furthers their own preparedness or resiliency. However, there is also a need to be cautious about the potential psychological risks and other unintended consequences of directly involving children in live...

Fighting Food Insufficiency in the Time of Covid-19 [positiveexperience.org/blog]

Loren McCullough, 8/26/20, positiveexperience.org/blog HOPE involves a change in mindset. For many of us, our professional training and inclinations lead us to discover risks, problems, and deficits. In this blog (the first from our new team member, Loren McCullough), we examine national data that points to severe problems with the food supply – as experienced by families. Hidden within the data, we also see evidence for hope. Family and community engagement have buffered some of these...

California ACEs Academy Event: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead

Thursday, September 3, 2020 12:00pm - 1:00pm PDT | presented by Dr. Vincent J. Felitti *Priority will be given to Medi-Cal providers* The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences...

Newly Launched Page: Stories of HOPE [positiveexperience.org/blog]

By Chloe Yang, 8/19/20, positiveexperience.org/blog As the pandemic stretches far into the foreseeable future, with jobs, schooling, housing, and almost every other aspect of life a swirl of uncertainty, it is easy to fixate on the negative. Here at HOPE, we do not deny the devastating severity of the pandemic’s effect on lives across the nation. We do not deny Covid-19’s exacerbation of long-standing systemic inequities in healthcare, housing, education, employment, and more. However, we...

Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan

Robin is a brilliant, passionate, and vocal school nurse with almost two decades of experience as a New Jersey school nurse in the Camden City School District. She is the Legislative Co-Chair for the New Jersey State School Nurses Association and she joined us last week for A Better Normal community discussion about back-to-school (or not) plans families are facing this school year. Robin serves as faculty in the School Nurse Certificate Program at Rutgers University-Camden School of Nursing...

Emergency departments look inward to deepen practices that support traumatized patients

An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...

Santa Clara County ACES Network Summer/Fall 2020 Virtual Events

August 5 at 11 am-12:15 Zoom: Panel ACES Screening in Primary Care Register with the link below: https://us02web.zoom.us/meetin...mbcGew8XBeI8bhYX25iY September 9 at 11AM-12:15 Zoom : Pedi ACES Screen reveals DV witness workflow;ACES Aware Santa Clara County Grantee updates;Diverse ACES screening perspectives. October : Attend the VMC Virtual DV conference, SCC Virtual DV Conference , ACES & Trauma-Informed Pediatric Care—SAVE THE DATE—October 10, 2020 UCSF will be hosting a special...

ACEs research roundup: ACEs, racism, promoting equity and resilience

Racial /Ethnic Disparities in Health Care Access Are Associated with Adverse Childhood Experiences , Journal of Racial and Ethnic Health Disparities Racism , Psycho-Social Stress, and Health-related Quality of Life International Journal of Maternal Child Health and AIDS Promoting equity and resilience: Wellness navigators' role in addressing adverse childhood experiences American Psychological Association Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors:...

Dozens of Prosecutors and Youth Corrections Officials Call to Close All Youth Prisons [imprintnews.com]

By Michael Fitzgerald, The Imprint, July 30, 2020 In a sign of the nation’s rapid rethinking of the justice system prompted by protests against racism and police brutality, dozens of elected prosecutors, corrections officials and probation chiefs have called for all youth prisons to be shut down. They described the lockups as “ineffective, inefficient and inhumane.” The open statement , posted online and announced at a virtual news conference Thursday, goes beyond pushing for “the closure of...

Family Well-being in Grandparent- Versus Parent-Headed Households [pediatrics.aappublications.org]

By Eli Rappaport, Nallammai Muthiah, Sarah A. Keim, and Andrew Adesman, Pediatrics, August 2020 Abstract BACKGROUND AND OBJECTIVES: Little is known about the 2% of US children being raised by their grandparents. We sought to characterize and compare grandparent- and parent-headed households with respect to adverse childhood experiences (ACEs), child temperament, attention-deficit/hyperactivity disorder (ADHD), and caregiver aggravation and coping. METHODS: Using a combined data set of...

Children will pay long-term stress-related costs of COVID-19 unless we follow the science [statnews.com]

By Nadine Burke Harris, STAT, August 4, 2020 The world is learning more about the uncommon but puzzling ways Covid-19 can show up in kids, keeping worried parents on the lookout for symptoms of the disease. We should also be concerned about how toxic stress brought on by the pandemic, or made worse by it, will affect children’s developing brains and bodies and their future health. In millions of households, kids are experiencing an incredible amount of stress and anxiety. They’ve lost the...

Effect of a Videoconference-Based Online Group Intervention for Traumatic-Stress in Parents of Children With Life-threatening Illness [jamanetwork.com]

By Frank Muscara, Maria C. McCarthy, Meredith Rayner, et al., JAMA Network Open, July 31, 2020 Key Points Español 中文 (Chinese) Question Is an acceptance and commitment therapy–based group intervention, delivered using videoconferencing, effective in reducing posttraumatic stress symptoms in parents of very ill children? Findings This randomized clinical trial found that videoconference-based acceptance and commitment therapy (compared with a waiting list) was effective in reducing...

Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]

By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...

How a Pandemic Could Advance the Science of Early Adversity [jamanetwork.com]

By Danielle Roubinov, Nicole R. Bush, and W. Thomas Boyce, JAMA Pediatrics, July 27, 2020 The reach of the coronavirus disease 2019 (COVID-19) pandemic is global, a health crisis with a ubiquity never before experienced. While the physical health consequences of COVID-19 appear to affect proportionally fewer children compared with adults, its psychosocial consequences may be magnified within families who consistently weather a landscape of severe stressors or adverse childhood experiences...

Resilience in the Face of Covid-19: What the Data Shows [positiveexperience.org/blog]

Dr. Robert Sege, 7/29/20, positiveexperience.org/blog In times and places when Covid-19 is on the upsurge, most of us worry about our own safety and that of the ones we love. Is it a safe to go to work? It is safe for children to go to school? When will the pandemic and this uncertainty ever stop? At other times, public health restrictions are first in our minds—we can’t gather to celebrate or mourn, we need to wear masks to protect others even if we don’t feel sick ourselves, and every...

Santa Clara County ACES Network Summer/Fall 2020 Virtual Events

August 5 at 11 am-12:15 Zoom: Panel ACES Screening in Primary Care September 9 at 11AM-12:15 Zoom : Pedi ACES Screen reveals DV witness workflow;ACES Aware Santa Clara County Grantee updates;Diverse ACES screening perspectives October : Attend the VMC Virtual DV conference, SCC Virtual DV Conference , ACES & Trauma-Informed Pediatric Care—SAVE THE DATE—October 10, 2020 UCSF will be hosting a special training on ACEs & Trauma-Informed Pediatric Care, focused on the science of ACEs and...

Child Life specialists empower kids in hospitals, disasters and now the pandemic

In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...

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