Activity

Leaders in SF public housing deal with their own and community trauma head on

Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...

Intergenerational Impacts of Family Violence - Mothers and Children in a Large Prospective Pregnancy Cohort Study [thelancet.com]

By D. Gartland, R. Giallo, H. Woolhouse, F. Mensah, and S.J. Brown, August 18, 2019 Violence and other adversities commonly co-occur, yet are usually investigated individually. The primary objectives of this paper are to investigate: (i) the relationship between maternal exposure to violence (including childhood abuse and intimate partner violence) and postpartum mental and physical health; and (ii) the extent to which exposure to violence and poor maternal mental and physical health are...

ACEs Research Corner — August 2019

[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Clemens V, Berthold O, Witt A, et. al. Child maltreatment is mediating long-term consequences of household dysfunction. Eur Psychiatry. 2019 May;58:10-18. PMID:...

CA announces robust perinatal depression prevention for Medi-Cal recipients

Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...

CA announces robust perinatal depression prevention for Medi-Cal recipients

Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...

I am a general internist practicing in Sacramento, California. I am doing a research study (case-control) to investigate the effects ON THE CLINICIAN of a trauma-informed / ACE forward practice. I am looking for approximately 100 clinicians to fill out a 3-4 page survey to assess how this has impacted their practice, their well-being as well as level of burnout. My intent is to have this published in JAMA, and/or the results to be perhaps hit new media to help spread the word and impact of...

Talking to Children about Tragedy & Other News Events [healthychildren.org]

By Healthy Children, American Academy of Pediatrics, July 2019 After any disaster, parents and other adults struggle with what they should say and share with children and what not to say or share with them. The American Academy of Pediatrics (AAP) encourages parents, teachers, child care providers, and others who work closely with children to filter information about the crisis and present it in a way that their child can accommodate, adjust to, and cope with. No matter what age or...

A Better Address can Change a Child's Future [nytimes.com]

By Nicholas Kristof, The New York Times, August 3, 2019 Jackie Rath says she was sexually assaulted by four different men, including a stepfather and a stepbrother, by the time she was 16. That is also when her mom went to prison for murdering a boyfriend’s lover. Rath, now 38, was the third generation in her family to endure a traumatized childhood that led to poverty, and now she is a single mom with six children of her own who might also be at risk. But she is part of an experiment...

New Report Calls for Statewide Coordinated Response to Protect New Jersey's Children from Adverse Childhood Experiences [finance.yahoo.com]

By PR Newswire, Yahoo Finance, July 30, 2019 NEWARK, N.J., July 30, 2019 /PRNewswire/ -- A new report released today details the challenges New Jersey faces in addressing Adverse Childhood Experiences (ACEs) and sets forth opportunities and actions for a coordinated statewide response to mitigate their lasting effects on children's health and well-being. ACEs are stressful or traumatic events, including abuse, neglect, domestic violence, household mental illness, household substance misuse,...

Trump Administration has Separated 900 Migrant Children Despite Order to Stop Practice [latimes.com]

By Kristina Davis, Los Angeles Times, July 30, 2019 The Trump administration has separated 911 migrant children from their parents at the border since a San Diego federal judge last summer ordered an end to the systemic practice, the American Civil Liberties Union reported to the court Tuesday. The continuing separations are largely blamed on parental criminal history — an exception that U.S. District Judge Dana Sabraw has carved out in the ongoing litigation. But lawyers with the ACLU argue...

ACEs Research Corner — July 2019

[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Wang X, Maguire-Jack K. Family and Environmental Influences on Child Behavioral Health: The Role of Neighborhood Disorder and Adverse Childhood Experiences . J Dev...

American Academy of Pediatrics Addresses Racism and Its Health Impact on Children and Teens [aap.org]

By Maria Trent, et. al., American Academy of Pediatrics, July 29, 2019 Racism has a profound impact on children’s health. With the goal of helping all children reach their full potential, the American Academy of Pediatrics (AAP) is publishing new recommendations on ways to lessen the impact of racism on children and teens. In the policy statement, “ Racism and Its Impact on Child and Adolescent Health ,” the AAP calls on pediatricians to create welcoming, culturally competent medical...

Senate Resolution re Diaper Banks and National Diaper Network

May 14, 2019: Resolution Recognizes The Importance Of Diaper Banks And Providing Diapers To Families In Need Senate Resolution re Diapers RESOLUTION Expressing the gratitude of the Senate for the people who operate or support diaper banks and diaper distribution programs in their local communities. Whereas the lack of a sufficient clean diaper supply can adversely affect the physical, mental, and economic wellbeing of infants, toddlers, and their families; Whereas diapers are a material...

Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...

Alarming Suicide Trends In African American Children: An Urgent Issue [SAMHSA]

The suicide rate among African American children aged 5 to 11 years has increased substantially since 1993 and is persisting, according to Dr. Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. In 1993 suicide ranked as the 14 th leading cause of death among this population. Today it’s the 10 th leading cause of death—with rates nearly twice that of their White counterparts. While it is not intuitive and is difficult to understand, suicide ranks as a leading cause of...

Update on bills re: childhood adversity in California Legislature

Below is an updated table of bills that address childhood adversity in the Legislature in 2019. The list is not exhaustive, so please email Kelly Hardy with Children Now if you think a bill is missing and/or if you have any questions. Email: khardy @childrennow.org . Here are key dates for the remainder of the legislative session: July 10 = last day for bills to pass out of policy committees July 12 – August 12 = Summer recess August 30 = last day for fiscal bills to pass out of committee...

ACEs research roundup: Trauma response in an HIV clinic; ACEs and school nursing; protective factors and school outcomes; using the WCA

The association of trauma with the physical, behavioral, and social health of women living with HIV: Pathways to guide trauma-informed health care interventions YP Cuca, M Shumway, EL Machtinger, K Davis… - Women's Health Issues, 2019 Reflections on National Association of School Nurses’ (NASN’s) History NASN President's Inaugural Address LG Combe - 2019 Adverse childhood experiences and protective factors with school engagement A Robles, A Gjelsvik, P Hirway, PM Vivier, P High - Pediatrics...

Medical students' ACE scores mirror general population, study finds

A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...

ACEs Research Corner — June 2019

[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Wickramasinghe YM, Raman S, Garg P, Hurwitz R. Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a...

Mindfulness and Meditation to Become Part of the Curriculum in 370 Schools in England (brightvibes.com)

In 370 schools across England, children will be taught how to meditate, techniques for muscle relaxation, and breathing exercises for mindfulness. The program is being conducted under a mental health study that the British government is running up until 2021. Aside from the increasing number of young children that are showing signs of early onset depression and anxiety , National Health Service (NHS) reports have also indicated that 1-in-8 British children have mental disorders. Despite...

This is How Dutch Kids Enjoy and Learn from Keeping Vegetable Gardens (brightvibes.com)

Fruits and vegetables and everything you need can be bought at the supermarket nowadays. Due to this convenience, kids hardly know where their food comes from, much less how to grow it. By teaching them how to grow their own vegetables, their interest in healthy food is sparked. It’s fun, they learn a lot and spend time in nature. Every week the kids from this middle school in the Netherlands go to the vegetable garden with their teacher and a volunteer parent. At the vegetable garden they...

Unprecedented childhood trauma hearing in U.S. Congress on July 11 to feature data from new state fact sheets on ACEs prevalence, impacts

A hearing of unprecedented scope and depth (this link will take you to a list of witnesses and all of their statements plus an overview memo on the hearing from committee staff) on ACEs science and childhood trauma — " Identifying, Preventing, and Treating Childhood Trauma: A Pervasive Public Health Issue that Needs Greater Federal Attention " — will be held today in the House Committee on Oversight and Reform. You can watch the live stream at 10:00 am ET through this link . Nine witnesses...

Whom do we call to report the mistreatment of children by the federal government? [washingtonpost.com]

By Nadine Burke Harris, Washington Post, July 11, 2019. Nadine Burke Harris is the surgeon general of California. Children in dirty clothes who haven’t been bathed in days. Eight-year-olds caring for toddlers out of necessity. Kids deprived of the safe, stable and nurturing care that’s fundamental to their health and well-being. As a pediatrician who has spent my career working to address childhood trauma, I’ve unfortunately seen it all. And I’ve had to make my share of reports to Child...

After WIC Offered Better Food Options, Maternal And Infant Health Improved (scienceblog.com)

A major 2009 revision to a federal nutrition program for low-income pregnant women and children improved recipients’ health on several key measures, researchers at UC San Francisco have found. The study is the first to analyze the health effects of the changes to the U.S. Special Supplemental Nutrition Program for Women, Infants and Children (WIC), which serves half of all infants and more than a quarter of all pregnant and postpartum women in the U.S. It comes amid renewed attention to poor...

We Must Step Forward on Behalf of the Children at our Border [fsg.org]

By Lauren Smith, FSG, June 26, 2019. Everything I have learned in my almost three decades as a pediatrician and public health advocate caring for children and families tells me that what we are doing to migrant children at the border is morally and medically wrong. It goes against all that we know about how children should be treated. It is also not who we aspire to be as a nation. We are and must be better than this. Recent detailed reports of the appalling conditions in the detention...

Helping Teenagers Feel 'Connected' to School Yields Benefits 20 Years Later [blogs.edweek.org]

By Sarah Sparks, Education Week, June 24, 2019. Adolescents can be challenging for educators to keep engaged—but putting in the effort to make them feel connected to school can pay off well into adulthood. In a study published this morning in the journal Pediatrics, researchers at the federal Centers for Disease Control and Prevention tracked more than 14,000 middle and high school students over 20 years. They found that students who felt connected to their school and family as adolescents...

Review of ACE studies confirms supporting parent-child relationship is key

When health care providers screen their pediatric patients for ACEs, what interventions might help improve outcomes for children? Dr. Ariane Marie-Mitchell, a pediatrician in the Department of Preventive Medicine at Loma Linda University, and a colleague sought an answer to that question in a systematic review of studies that was published recently in the American Journal of Preventive Medicine. As part of their inquiry, Marie-Mitchell and her co-investigator, Rashel Kostolansky , who was a...

Deportation Worries Fuel Anxiety, Poor Sleep, Among U.S.-Born Latina/O Youth (scienceblog.com)

“We’re seeing an increase in anxiety that is related to kids’ concern about the personal consequences of U.S. immigration policy, and these are U.S.-born citizens,” said Brenda Eskenazi, the Brian and Jennifer Maxwell Endowed Chair in Public Health in UC Berkeley’s School of Public Health. “Further, these are kids in California, a sanctuary state with more protective policies for immigrant families, compared to many other states,” Eskenazi said. “So, this study is probably reflecting the...

The Relentless School Nurse: Soap, Toothbrushes & Sleeping on Concrete Floors

Earlier in the year, I wrote a blog post about one of my newest students who was saving food that was served in school to bring home to her family. The 4-year-old girl, a recent immigrant from Guatemala, was storing food in her pants pockets instead of eating at school. Here is a link to the blog post: Pockets Filled With Chicken and Other Social Determinants of Health Yesterday, I was privileged to see this little girl welcome the guests for the end of year celebration as the students move...

The Youngest Child Separated From His Family at the Border Was 4 Months Old [nytimes.com]

By Caitlin Dickerson, The New York Times, June 16, 2019. T he text messages were coming in all day and night with only two data points: Gender and age. With each one that arrived, the on-call caseworker at Bethany Christian Services in Michigan had 15 minutes to find a foster home for another child who was en route from the border. On a brisk winter day in February 2018, Alma Acevedo got a message that caught her breath: “4 months. Boy.” Since the summer of 2017, the 24-year-old social...

After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe

Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...

Few doctors talk to patients about guns; experts say they want that to change [vcstar.com]

By Cheri Carlson, VC Star, June 15, 2019. Doctors and other health care providers often feel that they have a role in preventing firearm injury. But few talk to their patients about the risks. That’s what a group of physicians and researchers say prompted them to try to help. This month, a clinical guide to recognize patients' risk of firearm injury was published in the Annals of Internal Medicine’s “In the Clinic” series. Its authors came from the UC Davis Violence Prevention Research...

Social policies to prevent adversity -- see Open Access link (until July 1) to “A Critical Assessment of the Adverse Childhood Experiences Study at 20 Years”— in the American Journal of Preventive Medicine

The ACEs research by Drs. Felitti, Anda and colleagues focused attention on the important consequences of childhood adversity for adult health. Of course, as many in the resilience-building movement recognize, adversities affect children’s health and life trajectories as well. When we recognize the powerful impacts of harsh life circumstances for children and families, it becomes clearer that social policies to strengthen household and community resources are needed as well as...

Graduations, non-linear paths, & the importance of getting started

With graduation season upon us, I have been thinking a lot about one of my favorite graduation speeches. It’s the speech that Shonda Rhimes, creator of Grey’s Anatomy, gave in 2014 at Dartmouth College. She references the typical expected advice from a graduation speech: “Follow your dreams. Listen to your spirit. Change the world. Make your mark. Find your inner voice and make it sing. Embrace failure. Dream. Dream and dream big..." And then she says, “I think that’s crap.”

Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan

Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...

Trauma in adulthood can begin in the first 2 months of life [heraldnet.com]

By Paul Schoenfeld, HeraldNet, June 9, 2019. Last week, I attended the 30th annual International Trauma Conference in Boston. Several thousand mental health clinicians from around the world attended. It was sponsored by Dr. Bessel Van der Kolk, one of the world’s foremost researchers and clinicians in developmental trauma. He wrote an excellent book, “The Body Keeps the Score,” which I highly recommend. In the last 10 years, the field of neuroscience has blossomed. With new imaging...

Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]

By Alysse Loomis, Ph.D. Kellie Randall, Ph.D. Jason Lang, Ph.D., CHDI, June 2019. This IMPACT provides a summary of the research on the effects of early trauma exposure, discusses what Connecticut is doing across systems to support young children who have experienced trauma, and outlines a framework to expand Connecticut's robust system of trauma-informed care for older children to include younger children. There are more than 228,000 children under the age of six years old in Connecticut,...

Why some practitioners of walk-and-talk therapy think it is especially helpful for teens [washingtonpost.com]

By Carolee Belkin Walker, Washington Post, May 29, 2019. Therapist Jennifer Udler was in the middle of a 50-minute session with a patient when it started to rain. Instead of being in her office, however, she and her teenage patient were outside, walking and talking about anxiety and stress — so they got soaked. But the torrent had an upside. When they made it back indoors, Udler said, “Hey, look at us! We’re fine! We’re a little wet, but, oh well! We got through it! Now you can use that next...

Infancy and early childhood matter so much because of attachment (theconversation.com)

We are born to connect. As human beings we are relational and we need biological, emotional and psychological connection with others . Attachment is the relational dance that parents and babies share together. You can think of this when you see a baby look at their parent and they catch each other’s eyes in a wonderful gaze: the parent smiles and the baby smiles and then the parent kisses and the baby coos. Or, when an infant cries to tell their parent they are hungry, and the parent picks...

ACEs research roundup: Toxic stress biomarker, mitigating ACEs in Scotland, ACEs and diabetes and more

Using hair cortisol to examine the role of stress in children's health inequalities at 3 years MHE Bryson, F Mensah, S Goldfeld, AMH Price - Academic Pediatrics , 2019 [HTML] How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences A Blair, L Marryat, J Frank - International Journal of Public Health Developing an Indicator System to Measure Child Well-Being: Lessons Learned over Time KA Moore - Child Indicators Research,...

A community-based approach to supporting substance exposed newborns and their families

This information brief highlights a community-based approach to supporting families and newborns affected by substance use. MA EfC developed this brief to address the profound intersection between the Massachusetts opioid crisis, Federal mandates for the development of Plans of Safe Care for substance exposed newborns, and, the MA EfC focus on increasing social connectedness as a means to reduce child maltreatment.

Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all

In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.

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