Tagged With "ACEs"

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Announcing a New Parenting and ACEs Blog from Stress Health, an Initiative of the Center for Youth Wellness

Diana Hembree ·
Research shows that the right kind of support and care can mitigate the impact of toxic stress in children and help them bounce back.
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Jim Hickman ·
In California, we are coming full circle in recognizing the connection between poverty and health.
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Bay Area Doctors Target Health Consequences of Childhood Trauma [sfchronicle.com]

By Erin Allday, San Francisco Chronicle, January 5, 2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by...
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Behavioral Medicine journal seeking manuscripts on resilience

Heather Gehlert ·
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Behavioral Medicine journal seeking manuscripts on resilience

Heather Gehlert ·
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett

She talks with parents about the relationship between childhood adversities they have experienced and how that may have an impact on parenting. “I frame things a bit more broadly than ACEs,” she said, “because I think it’s very important to reflect on a broader number of exposures than were covered in the original study, such as poverty or structural violence and racism.”
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California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]

By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...
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Careful, It's Not Over Yet & Parenting with ACEs & PTSD

Note: Dawn Daum & Joyelle Bran dt are the featured guests on the live chat held in the Parenting with ACEs Group on Tuesday, June 13th at 10 AM PST / 1 PM PST. The topic is Parenting with PTSD & ACEs. Dawn and Joyelle are artists, activists and parents. They met a few years ago and set about creating an online community for parent survivors to working to break the cycle of abuse. Here's a small sample of the work they have done and are doing: Wrote a resource about Parenting as an...
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Intergenerational associations of parent adverse childhood experiences and child health outcomes [ Pediatrics]

To what extent do parents' adverse childhood experiences (ACEs) affect ACEs and health status among their children? Linking data of 350 parents and their children from the 2012 Southeastern Pennsylvania Household Health Survey (HHS) and the Philadelphia ACE Survey, researchers found statistically significant correlations between parents' ACE scores and their children's health status. "Our results suggest that the full scope of health effects of ACEs is not limited to the exposed individual.
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LGBTQ + Youth - a book reviewed in Journal of GLBT Family Studies

Dr. Lee-Anne Gray ·
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...
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Life Expectancy by Zip Code: Where You Live Affects How Long You Live

Life expectancy is highly correlated with ACE scores and complex childhood trauma. Enter your address or zip code to know what the health outcomes are in your neighborhoods and communities. Robert Wood Johnson Foundation Life Expectancy Calculator
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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...
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Montefiore Medical in Bronx screens 12,000+ kids for ACEs

Creative Commons/Flickr/Family drawing by Meggy ____________________________________ Since 2016, more than 12,000 children beginning at the age of 1-years-old have been screened for adverse childhood experiences (ACEs) at Montefiore Medical Center in Bronx, New York, according to Miguelina German, the director of Quality & Research in the Pediatric Behavioral Health Integration Program and project director of Trauma Informed Care at the center. Parents of infants are asked to fill out...
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Nadine Burke Harris' new book, The Deepest Well, weaves ACEs science and personal stories

Dr. Nadine Burke Harris, MD, MPH, FAAP/Courtesy of Center for Youth Wellness In this short interview , pioneering pediatrician and author Dr. Nadine Burke Harris, the founder and CEO of the San Francisco-based Center for Youth Wellness , discusses her pivotal new book The Deepest Well. In the book Burke Harris weaves together the hard science behind adversity and trauma with personal stories. It was a particular patient, Burke Harris explains, that led her to shift her research and practice.
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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 organization calls all pediatricians to end crisis that's "hiding in plain sight"

When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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New Screenings for Childhood Trauma Raise Hopes, Questions [calhealthreport.org]

By Claudia Boyd-Barrett, California Health Report, December 20, 2019 California health officials are gearing up for the launch of a statewide screening effort that aims to help doctors measure children’s exposure to trauma and their risk of related health problems. Starting Jan. 1, California will become the first state in the nation to reimburse health care providers who screen patients enrolled in the Medi-Cal program for “adverse childhood experiences” or ACEs. The $40 million effort has...
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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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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...
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WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation

Molly Peterson ·
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. On Monday, December 2nd at 1pm PT , we will be holding a webinar to discuss the findings of these pilot site case studies. To attend, please...
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Nurturing Children During Times of Stress: A Guide to Help Children Bloom by Yolo CAPC and YCCA

Natalie Audage ·
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...
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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,...
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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...
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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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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities. Preventing Child Abuse and Neglect (PCAN) Date & Time: Tuesday, December 10,...
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Hundreds Attend ACEs Town Hall Featuring California Surgeon General Nadine Burke Harris (with video) [northcoastjournal.com]

By Iridian Casarez, North Coast Journal, November 22, 2019 The Sequoia Conference Center on Humboldt County Office of Education’s campus was at capacity, 448 people had landed a seat — while at least another 100 watched from a live stream in a separate room. The draw was a conversation among California’s first Surgeon General Nadine Burke Harris and a panel of locals spearheading Humboldt County’s efforts to alleviate the impacts of Adverse Childhood Experiences, also known as ACEs. “Thank...
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress

Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]

By Barbara Feder Ostrov, California Healthline, January 7, 2020 Starting this year, routine pediatric visits for millions of California children could involve questions about touchy family topics, such as divorce, unstable housing or a parent who struggles with alcoholism. California now will pay doctors to screen patients for traumatic events known as adverse childhood experiences, or ACEs, if the patient is covered by Medi-Cal — the state’s version of Medicaid for low-income families. The...
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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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A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!

Charlotte Graham ·
We are thrilled to announce the premiere of Wrestling Ghosts , a documentary about breaking the cycle of trauma, at the LA Film festival on Sept. 27th. “Incredible. Haunting and strange and beautiful and incredibly moving.” -Dan Cogan, Founder Impact Partners Wrestling Ghosts follows the epic inner journey of Kim, a young mother who, over two heartbreaking and inspiring years, battles the traumas from her past in order to create a new present and future for her and her family. In this...
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ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)

Veronique Mead ·
I was first inspired to create a fact sheet summarizing the effects of adverse childhood experiences (ACEs) after reading a comment in “Got Your ACE score?” A reader wished she had a form to give her doctor that documented the vast body of evidence explaining how early trauma increases risk for chronic physical and mental health conditions and much more. I could relate.
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ACEs and resilience research roundup: Paternal ACEs, family resilience, reforming health care

CC by SA 3.0 Parental Adverse Childhood Experiences and Pediatric Healthcare Use by 2 Years of Age EA Eismann, AT Folger, NB Stephenson… - The Journal of Pediatrics , 2019 … ACEs and several child outcomes,8, 9, 10, 11, 12 but less is known about the intergenerational impact of paternal ACEs .7, 13 The … 12 months, 15 months, 18 months, and 24 months of age, based on Bright Futures and the American … Adverse childhood experiences ( ACEs ) are associated with forced and very early sexual...
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ACEs, biomarkers and the cost of adversity

How useful and necessary are biomarkers in telling the story of how toxic stress from adverse childhood experiences and resilience can impact a child’s long-term health? In the introduction to an article in the journal BioEssays , Dr. Kathryn Ridout, a Kaiser Permanente San Jose psychiatrist, and her co-authors examine what is known about two biomarkers and quote data on child maltreatment and its economic burden over time that says it all. “When totaling the costs of health care, child...
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The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff

The JPB Research Network on Toxic Stress , led by Dr. Jack Shonkoff, is working on developing biological and behavioral markers for adverse childhood experiences (ACEs) and resilience that they believe will be able to measure to what extent a child is experiencing toxic stress, and what effect that stress may be having on the child’s brain and development. The JPB Research Network on Toxic Stress is comprised of scientists, pediatricians and community leaders, and is a project of the Center...
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The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners

Robin M Cogan ·
Pediatricians and school nurses are powerful partners when we intentionally collaborate to improve the continuity of care in the populations we serve. It is the intentionality of relationship building that can bear the most fruitful outcomes to improve the health and well-being of our most vulnerable population, our children. We are far more effective working in concert than in our silos. School communities are looking for guidance, answers, and action to address the explosion of...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]

By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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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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Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels [jamanetwork.com]

By Christina Bethell, Jennifer Jones, Narangerel Gombojav, et al., JAMA Pediatrics, September 9, 2019 Question : Are positive childhood experiences (PCEs) associated with adult depression and/or poor mental health (D/PMH) and adult-reported social and emotional support (ARSES) independent from adverse childhood experiences (ACEs)? Findings : In this cross-sectional study, adults reporting higher PCEs had lower odds of D/PMH and greater ARSES after accounting for ACEs. The associations of...
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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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Prevention: Bringing Baby Home Training of Facilitators

Carolyn Curtis ·
A friend of mine recently referred her grandchild and his pregnant wife to a Bringing Baby Home class, because she noticed that the wife had a horrible background of abuse and at times had difficulty functioning. What the grandmother noticed with this couple was a change in the family dynamics. the couple knows how to get along, the father is engaged in parenting, and the baby thriving. This is really starting at the root of the problem. 20 years ago, Drs. John and Julie Gottman worked with...
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Reminder! NPPC Pilot Site Applications are due Friday, March 1st!

Leah Medoff ·
Becoming a Pilot Site is a great way to get the support you need! Identify and implement an ACEs screening protocol that’s right for your practice and patient population Help your peers in the broader NPPC network by sharing data, best practices and insights from your pilot experience If you are ready to apply, please click the link below to access the application. NPPC Pilot Site Cohort 2 Application For more information, you can find the recording of our informational webinar and the...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Resource: Screening for adverse childhood experiences (ACEs) in pediatric practices

Lisa Schafer ·
Now that we know that trauma early in life can have a significant impact on an individual’s health and wellness throughout their life, health care organizations are beginning to focus on providing more trauma-informed care. Screening for adverse childhood experiences (ACEs) in pediatric, clinical settings promotes early intervention and can be a tangible entry point for organizations interested in providing trauma-informed care. The Center for Community Health and Evaluation is a nonprofit...
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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...
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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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Sesame Street will help Memphis kids with their ACEs

Tiffany Thomas-Turner ·
(Posted in the Commercial Appeal on December 5, 2018 ) Every child deserves to grow up with a strong connection to a caring adult and a loving family. But for one in four kids in Shelby County, a supportive relationship with a parent figure isn’t so easy to come by. The legacy of adverse childhood experiences (ACEs) — ranging from physical, emotional, or sexual abuse; physical or emotional neglect; the loss of a parent through illness, death, divorce, or incarceration; or domestic violence...
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So you've screened for ACEs...Now what?

Margaret Wayne ·
Docs for Tots has partnered with the Center for Youth Wellness (CYW) to bring together diverse pediatric offices across Long Island and assist them in implementing universal ACEs screening. CYW, national experts on ACEs, has demonstrated that by addressing ACEs and building resilience through community resources, behavioral therapy, and support, the health outcomes of individuals can improve. A key goal of CYW is to have every pediatrician universally screening for ACEs in order to identify...
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Updated scoring guide for the Whole Child Assessment

Ariane Marie-Mitchell ·
Calculating a Child-ACE score is not necessary for using the Whole Child Assessment to screen and counsel families. However, because we know some providers for different reasons may want to calculate a score, we have simplified and updated the scoring guide at the bottom of the WCA forms and provided scoring instructions. No changes to any questions were made. https://lluch.org/health-professionals/whole-child-assessment-wca
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Want to end ACEs? Ask a young student how.

Dominic Cappello ·
Adverse childhood experiences (ACEs) are a huge threat to our students, diminishing their capacity to learn and succeed. In all thirty-three counties of New Mexico, an epidemic of trauma exists, spreading like a virus as it is passed down generation after generation. We know from the research that our students suffer when they endure ACEs in the form of abuse, neglect, hunger, and living with parents who misuse substances, are violent, and have untreated mental health challenges. We know in...
 
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