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PACEs in Pediatrics

Tagged With "American Academy of Pediatricians"

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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)

Former Member ·
A study published by The National Academies of Sciences in 2016 resulting in 10 Recommendations to build support for parents... "Over the past several decades, researchers have identified parenting- related knowledge, attitudes, and practices that are associated with improved developmental outcomes for children and around which parenting- related programs, policies, and messaging initiatives can be designed. However, consensus is lacking on the elements of parenting that are most important...
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Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems [ScienceDaily.com]

Samantha Colson ·
A new study finds that severe childhood trauma and stresses early in parents' lives are linked to higher rates of behavioral health problems in their own children. The types of childhood hardships included divorce or separation of parents, death of or estrangement from a parent, emotional, physical or sexual abuse, witnessing violence in the home, exposure to substance abuse in the household or parental mental illness. "Previous research has looked at childhood trauma as a risk factor for...
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Pediatric Symposium at National ACEs conference offers lessons learned and the way forward

Laurie Udesky ·
To set in motion the Pediatric Symposium at the 2018 National ACEs Conference in San Francisco, Dr. Nadine Burke Harris, founder and CEO of the Center for Youth Wellness, told the audience of several hundred attendees that the American Academy of Pediatrics has made it very clear to its membership how critical it is that every pediatrician understand how toxic stress impacts the health of their patients. But, she said, when it surveyed its membership it found that only 11 percent knew about...
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Pediatrician and Psychiatrist present ACEs to Medical Licensing Board

Leslie Lieberman ·
Ps ych ia tr ist Sandr a Bloo m , Co-chair of the Philadelphia ACE Task Force and Associate Professor of at the Dornsife School of Public Health at Drexel  University, and Pediatrician Roy Wade of Children's Hospital of Philadelphia and a...
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Pediatrician Dr. Nadine Burke Harris tells Congress how forcibly separating children from their families impacts their health

Laurie Udesky ·
Pediatrician, Founder and CEO of the Center for Youth Wellness Dr. Nadine Burke Harris explained the science of adverse childhood experiences and the potentially severe health consequences of forcibly separating children from their parents to Congress in testimony she gave on June 27. To view Dr. Nadine Burke Harris' testimony, please click here : https://www.youtube.com/watch?v=Z_KfxwXo1Oo&feature=youtu.be
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Pediatrician Who Exposed Flint Water Crisis Shares Her 'Story Of Resistance' [npr.org]

Alicia Doktor ·
In August 2015, Dr. Mona Hanna-Attisha was having a glass of wine in her kitchen with two friends, when one friend, a water expert, asked if she was aware of what was happening to the water in Flint, Mich. Hanna-Attisha, a pediatrician in Flint, knew that the city had changed its water source the previous year. Instead of channeling water from the Great Lakes, residents were now drinking water from the nearby Flint River. She had been aware of some problems with bacteria after the switch,...
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Pediatricians can help children through separation and divorce [ChronicleNewspaper.com]

Samantha Sangenito ·
Pediatricians can support children whose parents are going through a divorce or separation by identifying the need for intervention and maintaining positive, neutral relationships with both parents, according to a new clinical report released by the American Academy of Pediatrics. More than 1 million American children annually are affected by their parents’ break-up and may suffer emotional trauma that requires extra support, according to the report, “Helping Children and Families Deal With...
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Pediatricians screen parents for ACEs to improve health of their babies

Jane Stevens ·
The  Children’s Clinic , tucked in a busy office park five miles outside downtown Portland, OR, and bustling with noisy babies, boisterous kids and energetic pediatricians, seems ordinary enough. But, for the last two years, a quiet...
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Pediatricians Want Parents to Keep Children's Vaccination Appointments amid Coronavirus [people.com]

By Claudia Harmata, PEOPLE, April 17, 2020 With social distancing in full effect due to the novel coronavirus (COVID-19) pandemic, parents are wondering if and when it’s OK to take their kids to the doctor, whether for a routine appointment or if their child is sick. While it’s important that families stay home when they can, health experts say parents should not skip routine appointments, especially those that involve vaccinations. “The American Academy of Pediatrics recommends that we keep...
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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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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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Prescribing nature for health draws providers to Oakland, CA, conference

Laurie Udesky ·
There’s now a growing body of research showing the positive health effects of nature. At a recent conference in Oakland, CA, clinicians who prescribe nature to help buffer ACEs and toxic stress experienced by children and families shared findings from their own research and others.
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Reminder: Live Chat with Donna Jackson Nakazawa

Christine Cissy White ·
"It's really not survival of the fittest - it's survival of the nurtured." Donna Jackson Nakazawa Date: Tuesday, November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats ( featured chat ) Hosted by: @Jane Stevens Topics to be Covered: Parenting with ACEs. What parents need to know. Affordable self-care for stressed and busy parents. Healing from ACEs & family wellness. How to Attend Online Chats: M embers of ACEs Connection : Go to Chats (top of page). Find...
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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 List -- Articles on ACEs in Pediatric Practices

Jane Stevens ·
Do the Roots of Mental Health Issues Lie in Early Childhood? [WAMU.org] -- Short article about Dr. Rahil Briggs at Montefiore Comprehensive Healthcare Center in the Bronx. May 27, 2016 Boston's architect of Community Well-Being: Reneé Boynton-Jarrett [ACEsTooHigh.com] -- How Dr. Boynton-Jarrett integrates ACEs science into her practice and community. Feb. 22, 2016 Stemming the cycle of toxic stress -- for the kids' sake [Kaiser Health News] -- How Drs. RJ Gillespie and Teri Pettersen...
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Review of ACE studies confirms supporting parent-child relationship is key

Laurie Udesky ·
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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Beyond Paper Tigers is Back!

Jennifer Hossler ·
Back for the second year, Beyond Paper Tigers conference will take place June 28th and 29th in Walla Walla, WA. Featuring Dr. Ken Ginsburg from Children's Hospital of Philadelphia as the keynote speaker, BPT builds on the story of one community and how they've learned that embracing trauma-informed care and implementing ACEs science truly takes a village. Operationalizing the latest in brain science, BPT will provide concrete strategies for intervention with youth, families, and communities...
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Book review: "Once I was very, very scared," a book on childhood trauma

Beth Grady MD ·
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Book review: "Once I was very, very scared," a book on childhood trauma

Beth Grady MD ·
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett

Christine Cissy White ·
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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Bringing trauma-informed care to children in need can ease toxic stress [statnews.com]

Alicia Doktor ·
During my 22 years as a pediatrician in an urban area, I have seen the worst of what America’s children must sometimes endure. Severe medical illness in children is thankfully rare. But severe adversity in homes and communities is all too common and causes toxic stress that has long-term consequences for my patients and future generations. A 6-year-old patient of mine called 911 on the third day that she and her younger siblings couldn’t wake their intoxicated mother. We cared for their...
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Brittany S. Bruggeman and Zach Spoehr-Labutta: Partnering for resilience in Gainesville [Gainesville.com]

Samantha Sangenito ·
Pupils widen. The heart pounds. Stress hormones flood the body. Lungs expand, and every muscle sits on the verge of action. This describes the stress response, a normal reaction to a normal emotion. However, when a child experiences this response in a strong, frequent or prolonged way due to adversity, without the support of an adult, it can cause health consequences lasting into adulthood. This phenomenon is called toxic stress. As a pediatrician at UF Health, helping children grow and...
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Building a Trauma-Informed Approach with Pediatric Physical Therapists

Jessica Barreca ·
In the profession of physical therapy (PT), the word "trauma" typically leads one to think of the physical manifestations of a catastrophic injury, subsequent emergency medical care, and lengthy rehabilitation services. However, the psychological aspects of trauma are not always as visible. Throughout an individual’s lifespan, PTs will provide services to restore function, manage pain, and increase physical activity. We provide education, hands-on care, and therapeutic exercise to improve...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs

Jane Stevens ·
Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs

Jane Stevens ·
[Editor's note: This blog was first posted in April 2017. Dr. Marie-Mitchell updated the assessment by modifying a few of the questions, so we are republishing with the new assessment, one in Spanish and one in English.] Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents...
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CA to reimburse for only one of three ACEs screeners

Laurie Udesky ·
California health care providers will soon begin to learn how many of the 13.2 million California children and adults in the state’s MediCal program have been exposed to adverse childhood experiences (ACEs). But the state’s proposed decision to reimburse only one of three recommended options for screening children has drawn mixed reactions from pediatricians. “If we have mandated legislation that only looks at one screening tool, it really limits the opportunity to improve that screening...
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California gets its first ever surgeon general (ktvu.com)

California's first-ever Surgeon General has launched a listening tour that will take her around the state to hear about people's hopes for the new position and the state's new commitment to improving Californians' health. Dr. Nadine Burke Harris is a pediatrician with degrees from U.C. Berkeley, U.C. Davis Medical School, and Harvard University. She says, as the daughter of a biochemist and a nurse, she knew what her dream job was at an early age. "My immediate priorities as Surgeon General...
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California healthcare providers adapt ACEs screening from in-person to virtual environment

Laurie Udesky ·
Dr. Amy Shekarchi, a pediatrician based in Los Angeles, CA, was helping to lead the rollout of ACEs screening among 50 health care providers at six clinics affiliated with the L.A. County Department of Health Services when the COVID-19 pandemic hit—days before she was set to launch the effort. “We had trained everybody in doing face-to-face [ACEs screening], and when COVID-19 happened we thought, let’s not throw the screening out. Everybody was ready,” says Shekarchi, who is the pediatric...
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California unveils ACEs Aware initiative to screen for trauma

Laurie Udesky ·
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...
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Can We Harness Pediatrician T. Berry Brazelton's Message of Hope?

Claudia Gold ·
Photo courtesy of Brazelton Touchpoints Center As our nation mourns the passing of renowned pediatrician T. Berry Brazelton, hearing his voice through the outpouring of articles, video clips, and conversations on social media feels like a balm for the soul. In these trying times, his simple shift from learning "what's wrong" to listening for "what's right" in a child and family seems very much needed. In his 50 years practicing pediatrics, he saw up close the ways parents can struggle. With...
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Chronic Stress Exposure Among Young African American Children with Asthma: Racism is a Factor [annallergy.org]

By Bridgette L. Jones, Vincent Staggs, and Brianna Woods-Jaeger, Annals of Allergy, Asthma & Immunology, September 17, 2019 African American and Hispanic children are more likely to have a diagnosis of asthma and significantly higher disease related morbidity in comparison to non-Hispanic white children. Mortality rates are likewise higher as African American children are 8 times more likely than non-Hispanic white children to die from asthma 1. The cause of this striking health...
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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician

Christine Cissy White ·
Date: July 11th Time: 10 AM PST / 1 PM EST Location: Parenting with ACEs Group , Online Flyer: Attached below. Please share. Dr. Claudia M. Gold has practiced general and behavioral pediatrics for 25 years and specializes in early childhood mental health. She is on the faculty of the University of Massachusetts, Boston Infant-Parent Mental Health program, William James College, and the Austen Riggs Center where she is a Human Development consultant. Dr. Gold is author of the following...
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Course credit for "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing Throughout the Lifespan"

Jane Stevens ·
Dr. Beth Grady, a pediatrician at South San Francisco Clinic, developed a course called: "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing throughout the Lifespan". She did the presentation on June 15, 2016, and the webinar was posted on June 22, 2016. The termination date for the webinar is June 22, 2019. Instructions for earning 1 AMA PRA Category 1 Credit TM for this enduring material: Watch the video of the presentation, which can be accessed via this...
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Defang ACEs: End toxic stress by developing resilience through physician-community partnerships [Pediatrics]

Laurie Udesky ·
" When I was 12, my parents became part of the Maryland foster care system. Over many years, we took care of a total of 6 boys who had been placed in foster care. Some had suffered from physical and sexual abuse, others from neglect. Often, their parents struggled with mental health and substance use disorders. The traumas my siblings had experienced had clear impacts on their immediate mental and physical health. What we did not know was that these adverse experiences could also have...
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Disabled Kids at Higher Risk of Abuse, Study Finds [Consumer.HealthDay.com]

Samantha Sangenito ·
Children with certain mental or behavioral disorders are at increased risk of abuse or neglect, a new study suggests. The findings add to evidence that children with disabilities face higher abuse risks. But they also suggest those risks vary depending on the type of disorder a child has. "We've known for years that children with disabilities have an increased risk of abuse," said Dr. Vincent Palusci, a pediatrician at NYU Langone Medical Center, in New York City. But the new study "took a...
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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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14 Ways to Show Your Child Love: Valentine's Day and Every Day [aap.org]

From the American Academy of Pediatrics, February 5, 2020 One of the most important parts of parenting is also the sweetest: showing your child plenty of love and affection. “Building strong bonds and a positive relationship with your child has a nurturing effect on their physical, emotional, and social development,” said Jennifer Shu, MD, FAAP, a spokesperson for the American Academy of Pediatrics (AAP) and medical editor of its parenting website, HealthyChildren.org. “As parents, the...
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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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Iowa project aims to have all pediatricians, family docs screen for ACEs

Laurie Udesky ·
Dr. Amy Shriver is on a mission: to convince every pediatrician and family doctor in the State of Iowa to screen children for Adverse Childhood Experiences (ACEs). Dr. Amy Shriver The Des Moines-based Blank Children’s Hospital pediatrician is not alone. She’s part of Central Iowa ACES 360, a regional cross-sector coalition formed in 2011 that is working toward that ambitious goal. And they’re making substantial inroads. Central Iowa ACES 360 has just developed a one-hour trauma-informed...
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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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Kenneth Ginsburg, M.D., M.S. Ed on “Using Trauma Informed Care and a Strength Based Approach to Reach Teenagers and Build Resilient Kids and Communities,” Tuesday October 28th 6-8 PM

Joshua S Strait ·
If any of you have the opportunity to visit this outstanding lecture in Portland, I highly recommend it. I was able to hear Dr. Ginsburg give the same lecture yesterday in Seattle at an Osteopathic Medical Conference and was inspired. He is one of the...
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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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Left untreated, stress can affect kids’ health for a lifetime. Here’s how to help them cope. [WashingtonPost.com]

Clare Reidy ·
I woke up in an ambulance. The last thing I could remember was standing on a ledge in an auditorium and practicing for my school’s choir performance. I was in ninth grade, it was my first field trip in my new home here in the United States, and I was nervous. Then everything went black. I had fainted. Although my front teeth bore the brunt of my fall and saved me from serious injury, I had broken them all. As the paramedic gently explained to me why there was blood gushing from my mouth, he...
 
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