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PACEs in Pediatrics

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Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19

From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
Blog Post

Resources for health care providers to prevent burnout during COVID-19

Laurie Udesky ·
Editor's note: We will be providing ACEs in Pediatric members with resources to help navigate the challenges of COVID-19. Please see these resources below, including registration for a webinar to help prevent burnout in health care providers. It was complied by the Illinois ACEs Response Collaborative. Healthcare Workers and the Workplace Healthcare providers, human service workers, journalists, and the service industry are all facing enormous difficulties in the face of coronavirus.
Blog Post

SAVE THE DATE! ACEs Aware Initiative Webinar [acesaware.org]

Wednesday, February 26, 2020 Noon – 1 p.m. Join a live webinar with: Dr. Nadine Burke Harris, MD, MPH – California Surgeon General Dr. Karen Mark, MD, PhD – Medical Director, Department of Health Care Services Dr. Melissa Merrick, PhD – President & CEO, Prevent Child Abuse America Dr. Brigid McCaw, MD, MPH, MS, FACP – Clinical Advisor, ACEs Aware The webinar will provide an overview of the ACEs Aware initiative; why providers should screen for Adverse Childhood Experiences (ACEs); the...
Blog Post

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.
Blog Post

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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Caring adult relationships can make the difference for children in trauma [register-herald.com]

Alicia Doktor ·
Social workers, law enforcement officers and other children’s advocates gathered Wednesday for the first day of the West Virginia Children’s Justice “Handle With Care” Conference to learn more about child trauma, intervention and ways to help children become successful. In a state that leads the nation for opioid overdose deaths and babies born with Neonatal Abstinence Syndrome, West Virginia children are often witnesses to and victims of trauma. The West Virginia Defending Childhood...
Blog Post

Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health

Audrey Stillerman ·
I was honored to have my review article, “Childhood Adversity and Lifelong Health: from research to action”, chosen as the November 2018 cover story of the Journal of Family Practice . Here is a link to the article. Access is free after registration with the journal and retrievable directly by anyone who has Medline PubMed access. https://www.mdedge.com/jfponline/article/178388/pediatrics/childhood-adversity-lifelong-health-research-action Highlights from the article include: - recognition...
Blog Post

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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Love in the TIme of Coronavirus: Inequities and Supporting Children

Bob Sege ·
This blog is re-posted from positiveexperience.org/blog/ Link there for associated resources, and for the other blogs in the series. Having safe, stable, and equitable environments to live, learn and play forms the second of the 4 Building Blocks of HOPE. Children need homes where they feel safe and secure and have their basic needs met. Children thrive in an environment that encourages curiosity and provides opportunities for learning to play and interact with other children. Today’s blog...
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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.
Blog Post

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.
Blog Post

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...
Comment

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: 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

Even Infants Need Mental Health Care, so new Chicago Clinic Caters to Those 5 and Under [chicagotribune.com]

By Peter Nickeas, Chicago Tribune, September 20, 2019 In and around Chicago’s Little Village neighborhood, long-standing causes of friction like gun violence and poverty have for some families combined with newer fears of immigration crackdowns and deportation of loved ones — and mental health professionals hope to address toxic stress that can have long-term effects on the lives of very young children. Aiming to rectify the shortage of mental health care available to infants and children...
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Finding the Right Words About COVID-19 [chcf.org]

By Kate Meyers, California Health Care Foundation, March 26, 2020 Health care organizations in California and around the US are working incredibly hard to prepare for or respond to a surge of patients suffering from symptoms related to COVID-19. Appropriately, preparation has focused on trying to ensure adequate numbers of health care professionals and sufficient supplies and equipment in the right places at the right times as the demand grows. That focus on numbers and logistics is...
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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!
Blog Post

Sesame Street in Communities Takes on Trauma

Mary Beth Colliins ·
Just this morning, Sesame Street in Communities announced its initiative to support foster children, foster parents, and the providers who serve foster care. Further, more trauma related topics will be addressed soon. The upcoming programing is detailed in today’s The Atlantic article “For-Now Parents’ and ‘Big Feelings’: How Sesame Street Talks About Trauma: ‘The Muppets can often do what humans can’t. They’ve got this special power.’ ” “ "Through its Sesame Street in Communities...
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Shifting the focus from trauma to compassion

Laurie Udesky ·
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
Blog Post

Taking Care of Our Patients, Our Teams, and Ourselves: Trauma-Informed Practices to Address Stress Related to COVID-19

Join ACEs Aware Webinar for a webinar on: Wednesday, March 25, 2020 Noon – 1 p.m. Register for the webinar Speakers: Edward Machtinger, MD Alicia Lieberman, PhD Brigid McCaw, MD, MPH, MS, FACP The webinar will cover how trauma-informed principles and practices can help providers and their teams sustain high quality care of patients, and take good care of themselves in the face of acute stress resulting from COVID-19. This includes ways to help patients increase buffering and protective...
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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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Trauma Informed Care for people with Developmental Disabilities Conference

Suzanne Frank ·
Sponsored by the Family Resource Center-Parents Helping Parents May 12,2018 in San Jose,CA
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Trauma Informed Care from the Baby's Perspective

Kate White ·
The Association for Prenatal and Perinatal Psychology and Health is pioneering a model of care that includes the baby starting at conception. Our model also includes transgenerational and intergenerational trauma, prenatal experiences, birth and attachment and bonding. We have a conference on this topic October 5-7, 2018, in Denver, CO. See: https://birthpsychology.com/2018-conference/welcome I will be a the Zero to Three conference representing our programs for a poster session. If you are...
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Trauma-Informed Care May Ease Patient Fear, Clinician Burnout [jamanetwork.com]

By Bridget M. Kuehn, JAMA Network, January 29, 2020 For many sexual assault survivors whom Anita Ravi, MD, MPH, sees as a New York City–based family physician, the prospect of even basic medical care can be frightening. Some have put off Papanicolaou tests and mammograms for years or even decades. To help them, Ravi has adopted a trauma-informed approach that works to restore patients’ trust and give them a greater sense of control over their visit. This may include asking permission before...
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Webinar covered how to build trauma-informed connections via telehealth

Laurie Udesky ·
When Dr. Erika Roshanravan, a family physician with CommuniCare in Woodland, CA, thinks back to her patient visits prior to the COVID-19 pandemic, one way she drew their deep-seated concerns was to ask the reason for the visit and to interject throughout, “Is there anything else?” And it’s asking that question during phone and video visits that has also helped her understand the true reason for her patients’ needs now, she told people who attended an ACEs Aware webinar on April 29 entitled:...
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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...
Ask the Community

Seeking trauma-informed medical care

Chris Simon ·
On the chance that someone here can offer a referral or advice, I'm looking for a trauma-informed medical doctor who can be my wife's Primary Care Physician. She is 39 years old and has gone without medical care for over 27 years as a result of her childhood trauma which involved severe neglect and long-term social isolation. I need to find a physician who is willing to communicate with me before her first appointment so I can fully explain her condition and what kind of approach will best...
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ACEs Aware Initiative Webinar

Calendar Event

ACEs Aware Initiative Webinar

Comment

Re: Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health

Veronique Mead ·
Dear Audrey, What a terrific summary and highlighting of the major points about ACEs, including the often minimized risk for autoimmune and other chronic diseases. Congrats on this huge success of getting ACEs in front of family docs and other primary care providers. I'm so thrilled to see it and am sharing on my chronic illness trauma blog and FB page and more!!
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Re: Trauma Informed Care for people with Developmental Disabilities Conference

Carey Sipp ·
This is so important. Thanks for sharing. Trainings such as this are needed in all towns and cities.
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Re: Trauma Informed Care for people with Developmental Disabilities Conference

Laurie Udesky ·
Hi Suzanne, Thanks so much for posting this. I know there's some research around the association between parents' ACE scores and concerns around developmental issues in their young children. I came across a study recently that was correlating parental ACE scores with mothers' concerns about developmental issues in their infants. It must be said that the findings were not statistically significant, but it was interesting that parents whose ACE scores were between 1 and 3 were 1.86 more likely...
Reply

Re: Seeking trauma-informed medical care

Veronique Mead ·
Dear Chris, I just saw your request and that you posted this question perhaps a year ago. Seeing no other comments I wanted to check in to see if you've found good care with someone who can connect well with your wife. I was once a family doctor and ended up retraining as a trauma therapist and specializing in chronic illness. If additional support is helpful I'd suggest your wife get support for healing some of these effects of trauma she has around events from childhood as they could make...
Comment

Re: Sesame Street in Communities Takes on Trauma

Daun Kauffman ·
Quoting the story: “ What seems to me to be the active ingredient here is the normalization of these experiences for children,” Fisher said. “[It can be] really ostracizing and isolating for children to perceive that their circumstances are different than others’. It seems an extremely difficult communication goal [with kids at least] to "normalize" the experience, but at the same time say "what happened to you is not okay" -- soooo we should try to say that "what's wrong is 'normal'" ?...
Blog Post

Screening for Adverse Childhood Experiences (ACEs) in Primary Care [jamanetwork.com]

By Thomas L. Campbell, JAMA, May 28, 2020 Adverse childhood experiences (ACEs), such as experiencing or witnessing violence or abuse or living with a parent with mental illness or substance use disorder, have been shown to have a powerful influence on subsequent mental and physical health and life expectancy. Exposure to ACEs has been linked to more than 40 negative health conditions, including poor mental health, substance use disorder, adverse health behaviors, chronic physical disease,...
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New Model of Service Delivery and Supporting Toolkit for Identifying and Linking Systems of Care for Children and Youth

Charlotte Eure ·
Service providers and the children, youth, and families whom they serve have long faced system barriers which often present more challenges than solutions. In today’s climate, the COVID-19 pandemic has further exacerbated many of these issues, forcing child and youth-serving providers to find unique ways to meet the needs of individuals and communities. For many reasons, the relevance and timing of the arrival of the Virginia HEALS model of service delivery could not have been more perfect.
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Emergency departments look inward to deepen practices that support traumatized patients

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

Megan Gerber MD MPH ·
https://www.springer.com/us/book/9783030043414 On sale through 9/30/2020.
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WEBINAR: Parental ACEs and Pediatrics: Transforming Well Care on 9/17

Bonnie Berman ·
12-1pm on September 17 Registration for the CALIFORNIA ACES ACADEMY- Second Free Live Webinar with Free CME/CE is now available. Dr. RJ Gillespie will present Parental ACEs and Pediatrics: Transforming Well Care. This is a supplemental training. For Aces Aware Medi-Cal certification visit ACEsAware.org . Please see the attachment for more information
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ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits

Laurie Udesky ·
This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...
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O’Donnell: Opening 'so many doors for families': COVID-19 underscores importance of wraparound care for new moms and children

Linda Manaugh ·
For once, being a biracial, low income, Medicaid patient didn't work against Selina Martinez. In 2015, two weeks after giving birth at a Manhattan hospital, Martinez arrived at Montefiore Medical Center in the Bronx where she was diagnosed with salmonella. During a monthlong stay, hospital staff members learned times were tough for the new mom. She'd been getting psychiatric care since the stillbirth of her last child, her husband was recovering at home from pancreatic cancer treatment and a...
 
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