Tagged With "Pediatric"

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A Kaiser pediatrician, wise to ACEs science for years, finally gets to use it

Dr. Suzanne Frank has known about the impact of childhood adversity on young lives for decades. She’s seen the fallout in the faces of young people huddled in beds at a children’s shelter where she worked years ago. She’s seen it as the regional child abuse services and champion for the Permanente Medical Group. And she’s seen it in hospital examination rooms where, as a member of the Santa Clara County’s Sexual Assault Response Team, she’s been called in to examine shell-shocked children...
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Explore NPPC’s New ACEs Screening Resources Website

Skylar Nahi ·
Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and a “sneak peek” of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.
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For a pediatrician and former teacher ACEs awareness came from a punch in the face

Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...
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How can we help people understand that asking for help is a strength?

John Trayser ·
I keep thinking the best way to change our current problems with ACE issues is to make a national MANDATORY use of the ACE Survey at all pediatric practices. Yet, someone today said..."Is there any follow-up to the Portland pediatric story?" Are parents following through on getting counseling, etc. after sharing their ACE results? " Does anyone have that information? Because I was getting push back today from the CEO of a big, respected Corporate Wellness coaching firm. He found the ACEs...
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JAMA Forum: Building Blocks for Addressing Social Determinants of Health [newsatjama.jama.com]

Alicia Doktor ·
Our health care system is waking up to the fact that the health of individuals and families does not depend solely on good coverage and good medical care; it also requires us to address social and other factors that are major contributors to a person’s physical and mental well-being. That’s why more and more clinics are screening incoming patients for challenges in areas ranging from housing conditions, nutrition, access to transportation, and even their ability to afford utilities . It’s...
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Montefiore Integrated Pediatric Behavioral Health Training Institute, May 14 & 15, 2018

Rahil Briggs ·
Monday, May 14, 2018 Albert Einstein College of Medicine Michael F. Price Center 1300 Morris Park Center, 4th Floor Bronx, NY 10461 PROGRAM DESCRIPTION Learn about our model of Integrated Pediatric Behavioral Health Services, including HealthySteps for children birth through age 5, and our evidence-informed, short-term, modularized treatment protocols for school age and adolescent: • Anxiety • ADHD • Trauma • Depression • Conduct Problems One full day of training, including electronic and...
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National Mandate for ACE Testing for ALL New Parents!

John Trayser ·
It was about three years ago when I first heard about ACEs on NPR. It truly legitimized everything I had written about family and relationships with the outside world. I read The Teenage Brain and Childhood Disrupted. We are making huge strides in sharing the scientific findings about childhood trauma in as many avenues as we can it appears. Yet, I have a deep sadness at times that ACEs is an after the fact scorecard of traumas inflicted on our children. My most significant moment in reading...
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New Website Provides ACEs Screening Resources for Pediatric Practitioners

Leena Singh ·
The Center for Youth Wellness (CYW) has launched its new National Pediatric Practice Community on ACEs (NPPC) member website ( nppcaces.org ). The website supports CYW’s efforts to grow a national, co-designed peer group of pediatric-serving medical practitioners interested in ACES screening and in expanding knowledge, building capacity, accessing resources and shaping the field of ACEs research and trauma-informed care. NPPC’s goal is to support pediatric medical providers in making ACEs...
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Opioid-Related Critical Care Resource Use in US Children’s Hospitals [Pediatrics]

News headlines and clinical studies alike show the wide reach of the nation's opioid epidemic. In this article in the journal Pediatrics , it shows how the opioid epidemic is striking children. Please read it and also comment in the comment section below about any of the following: As health care providers in pediatric practices, how is the opioid epidemic impacting your patients? How can ACEs screening and referral to resources make a difference? Many thanks, Laurie Udesky Community site...
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Webinar Invitation: National Pediatric Practice Community on Adverse Childhood Experiences (ACEs)

Leena Singh ·
National Pediatric Practice Community on Adverse Childhood Experiences (ACEs) Dr. Nadine Burke Harris and the Center for Youth Wellness team invite you to attend the launch of the National Pediatric Practice Community on ACEs (NPPC) . NPPC is a network of medical providers focused on integrating ACEs screening and a toxic stress framework into pediatric medical practice. We will be kicking off the NPPC with an informational webinar on Monday, May 8th, 2017 at 12 noon (PST) . Webinar...
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Webinar Series – Putting Trauma-Informed Care into Practice: Lessons from the Field

Mariel Gingrich ·
Health policymakers and practitioners increasingly recognize trauma as an important factor that influences health throughout the lifespan. By incorporating trauma-informed approaches to care into their practice settings, provider organizations can more effectively care for patients and support efforts to improve health outcomes, reduce avoidable hospital utilization, and curb excess costs. This two-part CHCS webinar series will explore innovative strategies for implementing a trauma-informed...
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Why screen if there are no services? (Barbara J. Howard - Pediatric News)

Former Member ·
  Why screen if there are no services? By: DR. BARBARA J. HOWARD OCTOBER 6, 2014 Behavioral Consult Do you remember the discussion of the ethical dilemma of Huntington’s disease you probably participated in during medical school? The...
Ask the Community

ACE's questionnaire in Pediatric emergency room

Teresa Drake ·
We are interested in conducting research in a Peds ER involving asking the 10 ACE questions to patients. Has anyone done this?
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Webinar: How to Streamline ACEs Screening Using CHADIS

Leena Singh ·
The idea of adding an adverse childhood experiences (ACEs) screening tool to your practice’s workflow can be daunting – which tool, will you have time, does it add enough value? The Child Health and Development Interactive System (CHADIS) is helping to address this challenge by partnering with the National Pediatric Practice Community on ACEs (NPPC) to add an ACEs questionnaire into its system. Join this webinar to learn more about how this collaboration can help support your efforts to...
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Investment in a social pediatrics initiative

Denise Connors ·
(Cissy's note: grateful for all our Atlantic Canada Community is sharing with us all!) MONCTON (GNB) – The provincial government is investing $350,000 in the establishment of a social pediatrics demonstration site. “Social pediatrics promotes a multisectoral, interdisciplinary approach that takes into account the 12 determinants of health simultaneously to meet a variety of needs of children and their families,” said Health Minister Benoît Bourque. The demonstration site will be located in...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Elise Groenewegen ·
Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...
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The Academy of Pediatrics Calls to End Spanking, and APSAC agrees!

Janet Rosenzweig ·
The American Academy of Pediatrics (AAP) advises parents against the use of spanking as a disciplinary tool, citing multiple potential hards. APSAC agrees and offers alternatives for parents
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New Resource Center Dedicated to Helping Providers Address the Health Effects of Trauma

Mariel Gingrich ·
The new Trauma-Informed Care Implementation Resource Center offers a one-stop information hub for health care providers and other stakeholders interested in learning about and implementing trauma-informed care.
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Weighing in on federal rules regarding "public charge" for immigrant families

Editor's note: The National Pediatric Practice Community on Adverse Childhood Experiences , part of the Center for Youth Wellness, included the following information in its newsletter that may impact your patients access to health care: "Make Your Voice Heard & Comment re: Proposed Limits to Food, Housing The Department of Homeland Security proposed new definitions of public charge , which marks a significant departure from its current policy. The changes pose risks to immigrant families...
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Nominate a Trauma-Informed Care Champion: #TICchampion

Mariel Gingrich ·
Becoming a trauma-informed organization requires clear communication about the transformation process, and support from staff at all levels of an organization. Often these efforts are spearheaded by “trauma-informed care champions”— individuals committed to raising awareness regarding the health effects of trauma and toxic stress and improving care for people who have experienced trauma. This week, the Center for Health Care Strategies (CHCS) invites you to recognize people around you who...
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In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients

Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
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Early Bird registration ends Feb 2 for the AAP Trauma Informed Pediatric Provider Course

Tammy Piazza Hurley ·
Early bird registration ends soon for the 2019 AAP Trauma Informed Pediatric Provider (TIPP) Course scheduled March 2-5, 2019 in San Antonio, TX. Learn from other pediatric healthcare providers about the recent science, evidence base and treatments of adversity, resiliency and toxic stress. AAP Past-President, Dr. Colleen Kraft, will deliver the keynote presentation Pediatricians as Leaders in Addressing Toxic Stress and Trauma in Children . For more information, a schedule of speakers and...
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Screening for Adverse Childhood Experiences and Trauma

Mariel Gingrich ·
This new technical assistance tool from the Center for Health Care Strategies (CHCS) offers a variety of approaches for screening adults and children for adverse childhood experiences and trauma, including examples of screening protocols used at several provider practices that have embraced trauma-informed care.
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Webinar: Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities

Kim Slouf ·
Physicians, nurses, psychologists, social workers, child life professionals, and other patient service providers are invited and encouraged to join a webinar entitled: "Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities" Increased levels of toxic stress, which can be caused by recurrent or chronic exposure to adverse childhood experiences (ACEs), can impair neurodevelopment, behavior, and overall health of a child (Substance Abuse and Mental Health Services...
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Upcoming ACEs webinar hosted by National Pediatric Practice Community(NPPC) team - CME/MOC credits available!

Leah Medoff ·
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 &...
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Screening for ACEs in Pediatric Practice [American Academy of Pediatrics - CA Chapter 2]

By Ariane Marie-Mitchell, American Academy of Pediatrics, October 2019 In the August newsletter, we provided an overview of the definition and impact of adverse childhood experiences (ACEs) (http://aapca2.org/aces). In this article, we will explore the argument in favor of screening for ACEs in pediatric practice, and describe the process and results of a California state advisory group on screening for trauma. The American Academy of Pediatrics (AAP) recommended screening for toxic stress...
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Power of Family Resilience to Protect Children From Bullying [sciencedaily.com]

By American Academy of Pediatrics, Science Daily, October 25, 2019 Studies show that children exposed to childhood trauma known as adverse childhood experiences (ACEs) are at increased risk of being bullied or bullying others. New research being presented at the American American Academy of Pediatrics (AAP) 2019 National Conference & Exhibition suggests that family resilience -- the ability to work together to overcome problems, for example -- reduces this risk. The research abstract,...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]

By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children

Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
Comment

Re: How can we help people understand that asking for help is a strength?

Ariane Marie-Mitchell ·
Hi John, Thank you for sharing your thoughtful post. I have a few thoughts to share based upon my experience of screening for ACEs in pediatric practice and related research: 1) The first opportunity in Pediatric practice comes not through referrals, but through the patient care encounter itself. There is an opportunity for the pediatrician to form a supportive relationship with the parent and child, which is wholistic and healing when understanding factors like ACEs becomes an expected part...
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Re: How can we help people understand that asking for help is a strength?

Robert Schmitt ·
Thanks Dr. Marie-Mitchell your comments are helpful and correct. Larry Schmitt
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Re: Investment in a social pediatrics initiative

Daun Kauffman ·
Are there any links ?
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Re: Investment in a social pediatrics initiative

Hi Denise, are there any links to material that is connected to this program? If so, I think many would like to see the nuts and bolts of what went into this initiative.
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Re: For a pediatrician and former teacher ACEs awareness came from a punch in the face

I am writing a short piece about the webinar that Dr. Selvaraj participated in this morning: Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned and am wanting to interview people in pediatrics who listened in on the webinar about their impressions. Please private message me and let me know when would be a good time to reach you and a contact number. I'll be finishing it on Monday. I'm on Pacific time.
Comment

Re: A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Elise, Thanks for posting this event! I know that many members of ACEs in Pediatrics are interested in how cross sector collaborations are working to help prevent and mitigate ACEs. I am wondering if any of the sessions will be recorded?
Reply

Re: ACE's questionnaire in Pediatric emergency room

Jayne Ness ·
I'm a pediatric neurologist at University of Alabama at Birmingham and Children's of Alabama. ACEs in the Peds ED: I've discussed ACE screening with some of my Peds ED colleagues (and there's interest) but that's as far as we've gotten.... ACE screening elsewhere: Is anyone doing ACEs in sub-specialty pediatrics? I am looking for help on "best practices" in this setting. Over the past few months I have been informally asking an unscientific sample of my parents in Peds Neurology clinic to...
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Re: ACE's questionnaire in Pediatric emergency room

Former Member ·
I’m kind of bad here because I didn’t read your entire reply but this area of somatic complaints and concerns over behavioral problems like ADHD - is really where I started asking the ACE questions mixed in with a bunch of other psychosocial questions - and the ACEs were always very high. I’ve been doing this since at least 2004. Rahil Briggs is awesome in this area as is NBHarris and they have a webinar coming up in a few days on integrating this into care. For Neurology - chronic...
Comment

Re: Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

Tina Cain ·
“Thus, it should be standard practice for medical professionals to screen and assess for trauma in a safe environment. It is critical that primary and behavioral health systems have communication channels to inform each other about a person’s trauma and its effect on their mental health and physical wellbeing. In order to achieve this outcome, we are proposing state legislation to mandate trauma-informed care education in all California medical, dental and nursing programs. In addition, we...
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Re: Montefiore Integrated Pediatric Behavioral Health Training Institute, May 14 & 15, 2018

Resmiye Oral ·
looking forward to having your team to give grand rounds at the UIHC this fall rahil. great work. resmiye oral
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