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Tagged With "Trauma-Informed"

Blog Post

American Acad of Pediatrics Policy Statement - Immigration policies need to be trauma-informed [www.medpagetoday.com]

Leslie Lieberman ·
The American Academy of Pediatricians has made a bold statement about the proposed DHS policy to separate children from their parents and the use of detention - clearly linking these policies to their potential to traumatize children. To that end, children should never be separated from a parent unless it is for the child's safety, and the Department of Homeland Security should discontinue the use of family detention and use community-based alternatives to detention to treat immigrant...
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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 Health Conference and ACEs

Dr. Charlene Grecsek ·
May 14, 2019 and May 15, 2019 there is a Behavioral Health Conference hosted by the United Way in Broward County. Be sure to stop by the Children's Services Council/ ACES Broward table to sign up to be a part of the ACE's Broward Community. At the conference, CSC President/CEO Cindy Arenberg Seltzer will be giving a brief introduction about ACE's. https://www.drugfreebroward.org/events/behavior-health-conference/
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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

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...
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Stopping Generational Trauma in Communities of Color [sundial.csun.edu]

By Michaella Huck, The Sundial, February 3, 2020 Over the past decade, clinicians and scholars have intensely studied and treated the effects of intergenerational trauma suffered by communities of color (i.e. one generation to the next — be it individual or collective) that is passed onto future generations. Intergenerational trauma is defined as the transmission of historical oppression and its negative consequences across generations. There is significant evidence of the impact of...
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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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Trauma-informed, Resilience-oriented Approaches Learning Community [thenationalcouncil.org]

By The National Council for Behavioral Health, October 2019 The National Council for Behavioral Health is pleased to announce the 2020-2021 Trauma-informed, Resilience-oriented Approaches Learning Community. Since 2011, we have worked with behavioral health, social service and community organizations to implement trauma-informed, resilience-oriented organizational change. This Learning Community will provide participating organizations, systems and communities with the tools and skills to...
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]

By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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UT San Antonio Researchers Pilot Ways to Help Youth Deal with Trauma [expressnews.com]

Kay Reed ·
(retrieved from https://www.expressnews.com/news/education/article/UT-San-Antonio-researchers-pilot-ways-to-help-15015016.php#photo-18954339 ) Before 12-year-old Rihanna Briseño started taking classes at Good Samaritan Community Services, she was quick to dislike people and get angry. The Rhodes Middle School sixth-grader didn’t know why, but sometimes her brain told her the right thing was to beat another kid up. “I would say those things that I’m not going to say now,” Rihanna told the...
Blog Post

Webinar covered how to build trauma-informed connections via telehealth

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...
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Why the Nation Should Screen All Students for Trauma Like California Does [theconversation.com]

By Sunny Shin, The Conversation, November 18, 2019 As the first person to hold the new role of Surgeon General of California, Dr. Nadine Burke Harris is pushing an unprecedented plan to implement universal screenings for childhood trauma within the state’s schools. Childhood trauma is defined by the National Institute of Mental Health as an “emotionally painful or distressful” event that “often results in lasting mental and physical effects.” Burke Harris’ plan is already more than a dream:...
Comment

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

Elise, Thanks for posting this event! I know that many members of ACEs in Pediatrics are interested in how cross sector collaborations are working to help prevent and mitigate ACEs. I am wondering if any of the sessions will be recorded?
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Re: Trauma Informed Care for people with Developmental Disabilities Conference

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

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...
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Re: Trauma-informed, Resilience-oriented Approaches Learning Community [thenationalcouncil.org]

Former Member ·
The “resilience” terminology is too ambiguous. Personally, I have to reject it because I never know what anyone is referring to.
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Re: Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

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

We Stand in Solidarity with the Worldwide Protests for Racial Justice

In response to the police brutality and racism that caused the deaths of George Floyd , Ahmaud Arbery , Breonna Taylor and countless other African Americans and people of color, ACEs Connection supports the worldwide protests demanding racial justice. Integrating practices and policies based on the science of adverse childhood experiences (ACES) — being trauma-informed — requires us to be racially just. Our organization's vision is a world where all people thrive. Our goal is to prevent...
Comment

Re: We Stand in Solidarity with the Worldwide Protests for Racial Justice

Michael McCarthy ·
I just saw this will be airing on CBC Canada. Birth of a Family WATCH FULL EPISODE NOW< https://gem.cbc.ca/media/cbc-d.../38e815a-00d30a8d6e1 > Sunday, June 21, 2020 at 7 PM on CBC-TV THE SIXTIES SCOOP EXPLAINED [ https://www.cbc.ca/cbcdocspov/...hofafamily_scoop.jpg ] https://www.cbc.ca/cbcdocspov/...ties-scoop-explained
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Re: We Stand in Solidarity with the Worldwide Protests for Racial Justice

Michael McCarthy ·
Thank you, I'm sharing these resources on social media.
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Re: We Stand in Solidarity with the Worldwide Protests for Racial Justice

Thanks Michael for sharing these resources!
Blog Post

Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Recently a family doc published a "Viewpoint" in the Journal of the American Medical Association suggesting restraint and caution in using the ACEs screening tool (Campbell TL. Viewpoint, Screening for Adverse Childhood Experiences (ACEs) in Primary Care: A Cautionary Note , JAMA Published Online: May 28, 2020, doi:10.1001/jama.2020.4365) because (1) there were no evidenced based treatments, (2) asking the questions would offend patients and parents, and (3) risk of labeling people with such...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
No we should not be asking these ACEs in the Peds office. I don’t think that any of our patients should have their name, DOB, medicaid number and a billing code sent to the state documenting 4 or more or less than 4 ACEs. This HAS A REAL POSSIBILITY of misuse. We took an OATH to do no harm and this could cause real harm. Also your second “expert” is Dr. Nemeroff. He has been a real proponent for psychotropic use in kids. That right there is a red flag to me.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Mike Flaningam ·
Jeoffry, I share your frustrations. I give credit to JAMA for publishing several articles, over the last six months, on ACEs, but am disappointed they didn't see the value of printing your letter. No doubt all of us, who have been bitten by the ACEs bug, have multiple stories of disappointment in how others don't "get it". (Last year, I submitted a Point of View paper to JAMA, describing my experience in addressing ACEs with my patients, and it was denied.) My frustration now, as in those...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Veronique Mead ·
Jeoffry, Although I have concerns about required screening for ACEs in a society and medical culture that has little understanding of trauma, still commonly believes the only effects of trauma are psychological, often tells individuals with “functional” diseases, mental health conditions, low income or who are discriminated against that it’s all in their heads, does not provide health insurance and mental health treatment for all – I believe it is important to move forward because of all...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Ms Mead I am so grateful for your heartfelt comments. It must have taken a lot of thought and energy to put together such an extensive essay. Your intimate passion and concern come through and I share it. I am glad you found a way (in spite of personal circumstances) to put your wisdom and caring to use. I would riff of your desire to see our society become "more trauma informed" to say I honestly think we live in a relatively brutal and unjust, selfish and violent society. Child abuse is...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
I can see this information used to discriminate against disadvantaged people. Pediatricians should not be collecting scores that can be used in a harmful way against children or parents. You are basically asking a parent to put a number on the chart associated with their name that represents the "parental risk factors" for child abuse and neglect that we all know about from the various medical textbooks we use. I was looking at Zitelli and the ACE questions are listed in the section as...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
Billing Codes Directly Associated with a Score Less than 4 or 4 or more.: DHCS Operational Implementation Element Description\ Payment Effective Date January 1, 2020 Attest to Completing Training By July 1, 2020 Target Population Children and adults up to 65 Provider Types Almost all Rate $29 HCPCS Codes • G9919: ACEs score of 4 or greater, high risk • Screening performed – result indicates patient at high risk for toxic stress; education and interventions (as necessary) provided • G9920:...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
Is it Social Justice to take disadvantaged kids (or any kids) and to collect their Name, DOB, Medicaid Number and a Billing Code representing 4 or more ACES or Less than 4 ACES and send that information to the state? Can you tell me Jeff please; is that your idea of Social Justice? It is not my idea of Social Justice and all I have seen from the California community is getting a score - nothing about how to talk to parents about the score or anything.... Just GET THAT SCORE DOCTOR. This does...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Veronique Mead ·
Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
But, Alas, pediatricians are medical clinicians, not police. If they did not ask about language skills they may never uncover a hearing problem that could be treated. If they do not ask about home environment, they may overlook abuse -which they have the responsibility and skills to treat.This is not prejudice, punishment or stigmatization but caring outreach and risk assessment in the vast majority of circumstances.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
You DO NOT NEED AN ACE SCORE to get a psychosocial history. You do not need to put a family at risk to do a psychosocial history and provide services to patients. I know. I have been doing it for 20 years. All this score can be used for when put in the medical record is to harm children, parents and families. If I were forced to get this score, I would tell all my patients that the government is forcing me to ask you questions that could put you at risk for having your children removed from...
Blog Post

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

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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The Resilient Beginnings Network Is Taking Grant Applications!

Diana Hembree ·
Interested SF Bay Area safety net organizations can apply for funding to participate in this three-year program on resilience and trauma-informed care.
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Addressing students' social, emotional and behavioral stress -- not truama -- when they return to school [smartbrief.com]

By Howie Knoff, SmartBrief, August 31, 2020 Throughout this pandemic, the American public has sometimes had to choose between science and beliefs, between objective data and personal testimonials. And while the medical, social, economic and educational toll from the COVID-19 virus is unprecedented, some of the effects have been politicized by our leaders, and sensationalized by the press. Sadly, the latter has occurred when discussing the emotional status of our students as districts prepare...
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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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'I don’t know how we can really achieve racial equity if we’re not hearing the voices of those whom we hope to serve'

Dr. Shandi Fuller recalls that when she first assembled an all-staff meeting at the Solano County Family Health Services to show how equity and ACEs screening should go hand in hand, some staff members were bewildered. “Why are we talking about equity?” they asked. As Fuller explained to attendees at “A Better Normal,” an ACEs Connection webinar on Oct. 13, the question led her and a colleague to develop training for medical providers on this concept. The webinar was also based on extensive...
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]

Jennifer A Walsh ·
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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From Wildfires to Childhood Trauma, a Resilience Cooperative Transformed the Way Clinics Face the Unthinkable

Diana Hembree ·
What helped Sonoma health center staffers navigate one catastrophe after another was what they had learned about trauma in the Resilient Beginnings Collaborative.
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A hospital builds awareness about trauma, deploys acts of empathy

In late 2018, Roberta Azzo, an operations program manager at Bon Secours St. Francis Medical Center in Midlothian, Virginia, decided to take an all-hands-on-deck approach to infusing the hospital’s culture with a trauma-informed approach to care. This involves recognizing that trauma is widespread and that it can cause all kinds of troubled behavior, learning ways to de-escalate that behavior, and preventing practices that trigger patients and staff who have experienced trauma. The hospital...
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