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PACEs in Pediatrics

Tagged With "Trauma"

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Pediatric research: COVID-19 will lead to more childhood trauma. Health care must take it into account. [dispatch.com]

By Abbie Roth, The Columbus Dispatch, May 3, 2020 You might have seen the headlines warning that, as the COVID-19 pandemic continues, the current mental health crisis facing youth in the United States will only worsen. Like adults, children are experiencing new or intensified stressors as a result of the pandemic, including loss of routine, separation from friends and extended family, and increased anxiety and frustration. Some more extreme stressors — food insecurity, loss of a parent or...
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Positive Relationships Can Buffer Childhood Trauma and Toxic Stress, Researchers Say [bostonglobe.com]

By Kay Lazar, The Boston Globe, October 15, 2019 Traumatic events and toxic relationships during childhood can cast long shadows, often damaging mental health well into adulthood. But a growing body of research suggests sustained, positive relationships with caring adults can help mitigate the harmful effects of childhood trauma. And specialists say pediatricians, social workers, and others who work with kids should take steps to monitor and encourage those healthy relationships — just as...
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[Repost] Building Trauma-Informed Connections via Telehealth During COVID-19 [acesaware.org]

By ACEs Aware, April 21, 2020 The physician speakers will share opportunities and guidance for providing trauma-informed care via telehealth as well as resources providers can offer to patients to help mitigate the impact of COVID-19 related stress on physical and mental health. This is particularly critical for patients who have experienced, or who are currently experiencing, Adverse Childhood Experiences (ACEs) or other adversities. Futures Without Violence will share resources providers...
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RYSE gathering: To promote healing from trauma, institutions need to stop seeing youth as the problem

Laurie Udesky ·
A young man told clinical therapist Marissa Snoddy recently that when she calls him a leader, she got it all wrong. “He said, ‘I just came from Juvenile Hall,’ I’m not a leader.” But, she said, “We just kept giving him love. And we said, ‘You’re courageous for showing up and being here,’” The very fact that he was there, she explained, showed he was a leader. Snoddy related the anecdote recently for 80 people attending the Trauma and Learning Series launch led by Rising Youth for Social...
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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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Bill On Governor’s Desk Aims To Reduce Childhood Trauma By Diverting Parents Into Treatment, Instead Of Prison [witnessla.com]

By Taylor Walker, Witness LA, September 13, 2019 An estimated 10 million US children have parents who are currently locked up, or who have previously been incarcerated. A bill currently on Governor Gavin Newsom’s desk, SB 394, seeks to reduce the number of parents and children separated by incarceration by boosting diversion. Children arguably suffer the worst consequences of mass incarceration. In 2014, a UC Irvine study found that having a parent behind bars can be more damaging to a kid’s...
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Building trust is now a critical part of health care

Laurie Udesky ·
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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California has Begun Screening for Early Childhood Trauma, But Critics Urge Caution [sciencemag.org]

By Emily Underwood, Science, January 29, 2020 On 1 January, California became the first U.S. state to screen for adverse childhood experiences (ACEs)—early life hardships such as abuse, neglect, and poverty, which can have devastating health consequences in later life. The project is not just a public health initiative, but a vast experiment. State officials aim to cut the health impacts of early life adversity by as much as half within a generation. But critics say the health benefits of...
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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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Call For Workshop and Poster Submissions: Third Philadelphia Trauma Training Conference

Neil Andress ·
The 3rd Annual Philadelphia Trauma Training Conference: Promoting Equitable Access to High Quality Services for Vulnerable Children and Families , will be held on Thomas Jefferson University's East Falls Philadelphia Campus July 29 th -August 1st, 2019 . This unique training conference will provide an intensive, collaborative, and engaging experience to providers, educators, and leaders across health, education, and social service disciplines, as well as to community members invested in...
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Chicago healthcare providers start center for ACEs science education; aim to reach all medical, health students by 2025

Laurie Udesky ·
In 2017, Dr. Audrey Stillerman and three other women from the Chicago healthcare community founded the THEN Center . Its goal is lofty: By 2025, it wants every graduating student in medical and health sciences across the United States to apply core concepts of childhood adversity, neurobiology, resilience and health equity into their work. Dr. Audrey Stillerman Today, the THEN Center (The Collaborative Study of Trauma, Health Equity and Neurobiology) is well on its way. Its founders are...
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COVID-19: The Trauma of Witnessing So Much Illness and Death Will Have Lasting Effects [medicinenet.com]

From MedicineNet, May 3, 2020 The tragic death by suicide this week of an emergency department physician who had been caring for COVID-19 patients in New York City underscores the huge psychological impact of the pandemic -- which will linger long after the virus is gone, experts say. "For frontline responders, the trauma of witnessing so much illness and death will have lasting effects for many," Bruce Schwartz, MD, president of the American Psychiatric Association (APA), said during the...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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Join us in San Antonio for the 2019 AAP Trauma Informed Pediatric Provider course

Tammy Piazza Hurley ·
The American Academy of Pediatrics will once again be holding the Trauma-Informed Pediatric Provider Course: Addressing Childhood Adversity and Promoting Resilience March 2-5, 2019 in San Antonio, TX. The Trauma-Informed Pediatric Provider course will assist health care providers and those working in or with child servicing agencies to identify children who have experienced adversity, trauma and toxic stress and will discuss their presentation and the risk factors involved. This three and...
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Launching a Revolution [hsph.harvard.edu]

By Madeline Drexler, Harvard Public Health, Winter 2020 In 2007, pediatrician Nadine Burke Harris, MPH ’02, set out on an idealistic mission: to deliver quality medical care to one of San Francisco’s poorest and most underserved neighborhoods—Bayview-Hunters Point, in the isolated southeastern corner of the city. Before Burke Harris arrived on the scene, only one pediatrician was serving the neighborhood’s 10,000 children. The community’s plight was starkly apparent in its ZIP code. In 17 of...
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Leaders in SF public housing deal with their own and community trauma head on

Laurie Udesky ·
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...
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National collaborative provides roadmap for doctors to ask about adult patients' ACEs, current trauma

Laurie Udesky ·
How do you ask patients about current and past trauma? And how do you respond to their disclosures? Those are two key questions that members of a national collaborative who are among the early adopters of trauma-informed care practices have answered in a recent article in the journal Women’s Health Issues. Dr. Edward Machtinger To Dr. Edward Machtinger, the lead author of the paper entitled, “ From treatment to Healing: Inquiry and response to recent and past trauma in adult health care” ,...
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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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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 Sesame Street Tools Help Build Resiliency [rwjf.org]

Alicia Doktor ·
The Robert Wood Johnson Foundation and Sesame Workshop share a common vision of giving all children—especially the most vulnerable among us—a strong and healthy start in life. We know that childhood experiences lay the foundation for children to grow into productive and successful adults, and promoting healthy behaviors and supporting families from the very beginning can help kids thrive. But it’s equally important to address challenges that can undermine their healthy development. That’s...
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New Video Explores “What is Trauma-Informed Care?”

Mariel Gingrich ·
In this new animated video, meet “Dr. Cruz,” who addresses these questions and shares what she has learned about caring for patients with exposure to trauma, including abuse, neglect, and violence.
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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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One way Childhood Trauma Leads to Poorer Health for Women [news.osu.edu]

By Jeff Grabmeier, Ohio State News, September 17, 2019 Researchers have long known that childhood trauma is linked to poorer health for women at midlife. A new study shows one important reason why. The national study of more than 3,000 women is the first to find that those who experienced childhood trauma were more likely than others to have their first child both earlier in life and outside of marriage – and that those factors were associated with poorer health later in life. The findings...
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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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Opinion: Screenings Alone Won’t Prevent Adverse Childhood Experiences—We Must Address Community Trauma [calhealthreport.org]

By Rachel A. Davis and Howard Pinderhughes, California Health Report, December 19, 2019 Earlier this month, California’s Surgeon General Nadine Burke Harris launched an ambitious campaign to reduce adverse childhood experiences, which can cause lifelong health problems. With more than 60 percent of Californians saying they were exposed to a traumatic childhood event, adverse childhood experiences are at crisis levels in the state. The ACEs Aware campaign will train and pay health care...
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Re: A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!

Michelle Wright ·
Hi Charlotte, This sounds fantastic! I live in the UK, do you this it is possible atal to have access to this screening please? I work within Maternity and believe it is vital to screen Mothers (and fathers) for ACEs and intervene with appropriate supports to try break this cycle! Brilliant work👍🏻
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Re: A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!

Michelle Wright ·
Hi, Just to add to my earlier post please. If possible I would love to show this screening to my University Cohort (1st 2nd and 3rd year Student Midwives). It is essential for all professionals to understand this information and be educated on the impact of parental/maternal ACEs and the intergenerational impact which can be mitigated by screening and having multidisciplinary supports in place! If possible I would love to help share your fantastic work within my community x
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Re: Join us in San Antonio for the 2019 AAP Trauma Informed Pediatric Provider course

Carroll Brennan ·
I attended this course in Houston in 2018 and HIGHLY recommend it!
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Re: Trauma Informed Care from the Baby's Perspective

Tina Faber ·
Your attachments are so tiny that I can't read them. When I try to make them larger, they become blurry. Can you re-attach?
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Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

Priya Batra ·
the links to read the whole article don't work
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Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

Laurie Udesky ·
HI Priya, Thank you. It should be fixed momentarily.
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Re: 12 Things I Wish My Doctor Understood About Childhood Trauma

Martina Jelley ·
Thank you, Anna. Patients' stories are so helpful to all of us clinicians. My colleagues and I are teaching students and residents about ACEs and how to talk to adults about ACEs. We are also working on a set of competencies that we hope will be adopted into medical school curricula all over the country. Physicians are starting to learn - but there is a long way to go!
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Re: 12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
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Re: Taking Care of Our Patients, Our Teams, and Ourselves: Trauma-Informed Practices to Address Stress Related to COVID-19

Laurie Udesky ·
Hi Martina! I think it likely will be recorded. It usually takes a week or so for the recordings to become available. I will write up a summary of the webinar, and will add the link to the recording when it becomes available. And it will also be available on the ACEsaware website. Stay tuned.
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Re: Taking Care of Our Patients, Our Teams, and Ourselves: Trauma-Informed Practices to Address Stress Related to COVID-19

Laurie Udesky ·
Oh, and one more thing. If you register for the webinar, you'll also be notified when the recording is available.
Blog Post

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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FREE WEBINAR "Clinician Burnout or Wellness: Care Team Well-being and the Health of the Nation"

Madison Hammett ·
Join the Illinois ACEs Response Collaborative on Thursday, February 6th for this free webinar highlighting provider burnout and the role of team wellness in trauma-informed transformation!
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How "Sesame Street" is helping kids learn to cope with trauma [abcnews.go.com]

Laura Pinhey ·
Big Bird and his " Sesame Street " buddies are taking on a new mission: helping kids learn to cope with stress and trauma. Sesame Workshop, the nonprofit offshoot of the long-running children's program "Sesame Street," launched the powerful new initiative, which was designed with the help of psychologists, the same week that the nation was rocked by the deadliest mass shooting in modern U.S. history. The initiative includes materials for parents, caregivers and social workers, as well as...
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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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Increasing Resilience: Primary Healthcare Providers' Opportunities to Promote Protective Factors Before and After Childhood Trauma [avahealth.org]

By Machelle D. Madsen Thompson and Bart Klika, Academy on Violence and Abuse, March 2020 Lifespan research reveals that although ACEs are common, many people are able to move toward recovery and achieve reportedly good functional status. This resilience does not occur in isolation but is supported by a composite of protective factors that empower a child to return to functional status following ACEs. Resilience is observed when a child is immersed in positive influences, such as supportive...
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9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

By Amanda Merck, Salud America!, February 12, 2020 Early childhood adversity like abuse and divorce is a root cause of many of the greatest public health challenges we face today. But doctors don’t even screen children for exposure to adversity. That’s changing in California, thanks to Dr. Nadine Burke Harris and other child advocates. As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences...
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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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