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PACEs in Pediatrics

Tagged With "Bringing Baby Home"

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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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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 screening for ACEs at Loma Linda University

Ariane Marie-Mitchell ·
Attached is the Whole Child Assessment which is being used by pediatricians to screen for ACEs at Loma Linda University. For further questions about the development or use of the WCA, please contact Ariane Marie-Mitchell at Loma Linda University, amariemitchell@llu.edu .
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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 Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE

Laurie Udesky ·
Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...
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Preventing ACEs - Press Release from Health Officials and 2019 CDC Report

Tory Henderson ·
Health Officials Seek to Prevent Adverse Childhood Experiences Press Release from the Association of State and Territorial Health Officials (ASTHO) ARLINGTON, VA (Nov. 6, 2019) —At least five of the top 10 leading causes of death are associated with adverse childhood experiences (ACEs), according to a new report released yesterday by the Centers for Disease Control and Prevention (CDC). ACEs, such as abuse, neglect, and witnessing violence or substance misuse in the home, can lead to...
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Prevention: Bringing Baby Home Training of Facilitators

Carolyn Curtis ·
A friend of mine recently referred her grandchild and his pregnant wife to a Bringing Baby Home class, because she noticed that the wife had a horrible background of abuse and at times had difficulty functioning. What the grandmother noticed with this couple was a change in the family dynamics. the couple knows how to get along, the father is engaged in parenting, and the baby thriving. This is really starting at the root of the problem. 20 years ago, Drs. John and Julie Gottman worked with...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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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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Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs

Laurie Udesky ·
photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...
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Resource list -- Books

Jane Stevens ·
Brandt, Joyelle and Daum, Dawn -- Parenting with PTSD: the impact of childhood abuse on parenting , 2017. " Our Mission: 1. To build a supportive community for parenting survivors, normalize the PTSD responses they may be having, and share resources for healing from adverse childhood experiences (ACEs) or other traumatic events. 2. To educate professionals working in the fields of physical, mental, and social health about common triggers that arise for parents with PTSD, and the challenges...
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Resource List -- Guides & Toolkits

Jane Stevens ·
AAP Trauma Toolbox for Primary Care -- This 6-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events. The series includes: Adverse Childhood Experiences and the Lifelong Consequences of Trauma (in Spanish ) Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting (in Spanish ) The...
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Resource list -- Handouts & tools

Jane Stevens ·
ACEs and Toxic Stress in Spanish -- A Spanish-language overview from AAP of "toxic stress, how it affects the body's systems, and how we can promote resiliency in children to help protect against toxic stress." ACE Surveys (different types of) -- A list of the original ACE study, adapted surveys, and expanded surveys. Circle of Parents -- " Circle of Parents ® provides a friendly, supportive environment led by parents and other caregivers. It’s a place where anyone in a parenting role can...
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Resource list -- Practices/ Frameworks

Morgan Vien ·
Benchmarks NC -- " Benchmarks is an alliance of nationally accredited agencies committed to providing quality care, leadership, and accountability in services to children, adults and families in North Carolina. Member agencies of Benchmarks deliver a broad continuum of behavioral health, child welfare, education, development disabilities and residential support services." Center on the Developing Child , Harvard University -- "We are a multidisciplinary team committed to driving...
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Resource List -- Research & Reports

Jane Stevens ·
AcademyHealth -- "As the professional home and leading national organization for health services researchers, policymakers, and health care practitioners and stakeholders, AcademyHealth – together with its members – increases the understanding of methods and data used in the field, enhances the professional skills of researchers and research users, and expands awareness." Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, Dube SR, Giles WH. The enduring effects of abuse and...
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Resource: Screening for adverse childhood experiences (ACEs) in pediatric practices

Lisa Schafer ·
Now that we know that trauma early in life can have a significant impact on an individual’s health and wellness throughout their life, health care organizations are beginning to focus on providing more trauma-informed care. Screening for adverse childhood experiences (ACEs) in pediatric, clinical settings promotes early intervention and can be a tangible entry point for organizations interested in providing trauma-informed care. The Center for Community Health and Evaluation is a nonprofit...
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Review of ACE studies confirms supporting parent-child relationship is key

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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Schools Finding Record Numbers of Homeless Students, Study Says [edweek.org]

Alicia Doktor ·
States have never found so many homeless students in public schools before. The next challenge will be finding ways to keep those students in school long enough to earn a diploma. Nearly 1.36 million children—more than all the students in New York City—went to school in 2017 without knowing where they would sleep at night, finds a new report by the national campaign Education Leads Home , which looked at new national data as well as graduation rates for homeless students in 26 states. That's...
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September 2017 Special Issue of Academic Pediatrics: Child Well-Being and Adverse Childhood Experiences in the US

Former Member ·
The United States is on the threshold of advancing much needed improvements in child and population well-being by addressing the epidemic of adverse childhood experiences and finding ways to come together, use what we know, and heal and catalyze a new epidemic of child and family flourishing. A special issue of Academic Pediatrics highlights new national research with inspiring commentaries across a wide range of leaders, each of whom calls out the critical importance of an immediate, strong...
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Beyond Trauma: Building Resilience to ACEs (brochure)

Christine Cissy White ·
Wish you had a fairly easy and short way to share all about ACEs? Wish it was in-depth enough to share with teachers, doctors, nurses and therapists but not so long or jargony it puts family and friends to sleep? Here's the perfect thing to share when you've been all up in the faces with ACEs and want to back up your words before, during or after. This brochure is comprehensive but not so long that it remains in the "I'll get to it later," pile. Please feel free to print, forward, download...
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Building a Movement to Birth a More Just and Loving World [Groundswell March 2018]

Karen Clemmer ·
The National Perinatal Task Force: Building a Movement to Birth a More Just and Loving World - In my 20 years as a public health nurse, I've never seen race called out so clearly in a report like this. Data has shown disparities, however the data was presented in a tidy way — very apolitical, purposely written to not ruffle any feathers or point fingers - " persistent racial gap ". This report written by The National Perinatal Task Force is refreshingly honest and this is important. We need...
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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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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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‘Bureaucratic Ninjas’ Slice Red-Tape To Battle Health Disparities [KHN.org]

Samantha Sangenito ·
When a receptionist hands out a form to fill out at a doctor’s office, the questions are usually about medical issues: What’s the visit for? Are you allergic to anything? Up to date on vaccines? But some health organizations are now asking much more general questions: Do you have trouble paying your bills? Do you feel safe at home? Do you have enough to eat? Research shows these factors can be as important to health as exercise habits or whether you get enough sleep. Research has begun to...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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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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California considers investing $100 million in-home visits for new moms and their babies [SCPR.org]

Samantha Sangenito ·
A bill working its way through the state legislature would create a state-funded program to help new mothers in the first few months and years after the birth of their children. The CalWORKs Baby Wellness and Family Support Home Visiting Program would spend $100 million to offer home visits from nurses or social workers to new mothers who are living in poverty. Support for home visiting programs is grounded in research that has found regular postpartum home visits can improve the health of...
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Center for Youth Wellness ACEs questionnaire and guide

Jane Stevens ·
The Center for Youth Wellness’ Adverse Childhood Experiences (ACEs) Questionnaire (CYW ACE-Q) is available for physicians to download from the CYW web site.     The questionnaire is designed for use in the primary care home only....
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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 and our dialogue with death

Cristian Zanartu ·
[Editor's note: Dr. Cristian Zanartu, an internist and palliative medicine specialist, is currently volunteering at Bellevue Hospital during the pandemic.] I was angry. So angry. How come the smartest country in the world is acting like the dumbest? Why aren’t health authorities giving us clear guidelines now, before this starts? Like: how to quarantine, how to quarantine from a symptomatic loved one in the same household (we knew by late February from Chinese data that most spread happened...
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COVID-19 Response: Using Telehealth for Maternal & Infant Healthcare - Mahmee 03-20-2020

Gail Kennedy ·
For those of you unable to join the 'COVID-19 Response: Using Telehealth for Maternal & Infant Healthcare' webinar today (Friday, March 20, 2020), here is a link to the webinar recording. Hosted by Mahmee , a maternal-infant health care coordination platform committed to equity, discussed how to make adjustments to clinical workflows and triage prenatal and postpartum concerns. Best practices were offered for identifying patients who should continue receiving in-clinic and in-home...
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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic [jamanetwork.com]

By Abby R. Rosenberg, JAMA Pediatrics, April 14, 2020 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers and organizations starts with...
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Daddy, Papi, Papa, or Baba: The Influence of Fathers on Young Children’s Development - Zero to Three

Former Member ·
In this podcast, Dr. Kyle Pruett talks about the important and unique role fathers play in the lives of young children.  Dr. Pruett is clinical professor of child psychiatry at the Yale School of Medicine and is a past president of ZERO TO...
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Developmental Delay Referrals Improve With QI Plan

Former Member ·
  Children with developmental delays stand a better chance of getting the early-intervention services they need if clinicians take the time to document screening efforts and follow-up with a simple telephone call, investigators say.   When a...
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10 ways to avoid ACEs (during the pandemic)

Bob Sege ·
How can we reduce ACEs and toxic stress during the COVID-19 pandemic? Many of us are concerned that increased stress might increase the risk for ACEs. For example, most child abuse happens when adults reach their breaking point. However, we are not powerless in the face of these challenges. Using HOPE ( Healthy Outcomes from Positive Experiences ) as a guide, here are 10 suggestions to reduce ACEs now: Think about social connection and physical distance , not social distance. Continuing to...
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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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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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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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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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Little kids and 'toxic stress': we can solve this [cnn.com]

Alicia Doktor ·
All children have incredible potential, most with parents, teachers and other adults in their lives who want the best for them. Unfortunately, many schools, particularly those that serve children with the greatest need, face obstacles that limit children's educational success -- rote curriculums, insufficient support for teachers and scant extracurricular options, to name a few. Educators, parents and policymakers have long acknowledged such obstacles, but we now know that there is another...
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Love in the Time After Covid-19 [positiveexperience.org]

Bob Sege ·
By Dr. Robert Sege, positiveexperience.org, April 23, 2020 A lot has happened in the month since we first published “ Love in the Time of Coronavirus ” in this blog space. We are now publishing regularly and have featured the perspectives of Drs. David Willis , Danielle Laraque-Arena , Heather Forkey, and Moira Szilagyi . We have also established our own community at ACEs Connection , and post contributions there frequently. Visit our blog to read all posts, our publications page for media...
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Love in the time of Coronavirus: HOPE-informed thoughts for parents

Bob Sege ·
This has been quite a week, and we are now facing major disruptions in our own family lives. There is no doubt that the events of this winter and spring will be memorable for children. In that spirit, here are a few ideas to help make those memories (at least somewhat) happy.
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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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Managing Post-Traumatic Stress in a Pandemic: Practices & Resources Updated Regularly

Christine Cissy White ·
[Ed. note: Cissy posted this in the Practicing Resilience community, and it's cross-posted here to make sure everyone sees it. We don't want anyone to miss out on these resources!] Are you looking for new ways to get connected, supported, or to manage stress while managing post-traumatic stress during this pandemic? I am. No matter what our past or present life circumstances, it's safe to say a whole bunch of us are feeling more stressed and if we live with chronic post-traumatic stress to...
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma

Laurie Udesky ·
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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Medical students' ACE scores mirror general population, study finds

Laurie Udesky ·
A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...
 
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