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PACEs in Pediatrics

Tagged With "Center for Youth Wellness"

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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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Parenting with PTSD One Liners & Parenting with ACEs Chat Reminder

Christine Cissy White ·
Parents with PTSD from ACEs sharing what's hard about parenting while post-traumatically stressed: "Managing the terror around the possibility of everyone being a perp." "How to talk to children about why they won't meet X relative." “There was a point when I would feel completely overwhelmed by something as simple as having to make breakfast and school lunches at the same time.” "I didn't understand that not all parents reacted or were triggered the way I was." "was stone set on not...
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Past child abuse may influence adult response to antidepressants [Reuters.com]

Samantha Sangenito ·
Antidepressants don’t work for everyone, and having a history of abuse during childhood may signal a low likelihood that the drugs will improve an adult’s symptoms of major depression, a recent study suggests. While there are few reliable predictors of which people will respond to specific antidepressants, lots of previous research links a history of trauma early in life with how well people tend to do on these drugs, researchers note in the journal Translational Psychiatry. "The presence of...
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Pediatric research: COVID-19 will lead to more childhood trauma. Health care must take it into account. [dispatch.com]

By Abbie Roth, The Columbus Dispatch, May 3, 2020 You might have seen the headlines warning that, as the COVID-19 pandemic continues, the current mental health crisis facing youth in the United States will only worsen. Like adults, children are experiencing new or intensified stressors as a result of the pandemic, including loss of routine, separation from friends and extended family, and increased anxiety and frustration. Some more extreme stressors — food insecurity, loss of a parent or...
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Pediatric Research: COVID-19 Will Lead to More Childhood Trauma. Health Care Must Take it Into Account[dispatch.com]

Written by Abbie Roth for the Dispatch, May 3 2020 You might have seen the headlines warning that, as the COVID-19 pandemic continues, the current mental health crisis facing youth in the United States will only worsen. Like adults, children are experiencing new or intensified stressors as a result of the pandemic, including loss of routine, separation from friends and extended family, and increased anxiety and frustration. Some more extreme stressors — food insecurity, loss of a parent or...
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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 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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Pediatricians Group: Doctors Should Prescribe Play Time For Kids (boston.cbslocal.com)

A new report is recommending kids do something critical for healthy development – play. The report ‘ The Power of Play ’ from the American Academy of Pediatrics recommends all pediatricians tell children that playing with parents and peers is a critical part of healthy development, fundamental for learning life skills and reducing stress. Dr. Michael Yogman of Mount Auburn Hospital authored the report which shows playtime has decreased significantly in the past 15 years, while screen time...
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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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Personalized Screen to ID Suicidal Teens in 14 ERs (NIMH)

Former Member ·
  Emergency Department Screen for Teens at Risk for Suicide (ED-STARS), a recently-launched study in a network of hospital emergency departments (EDs) across the country, will develop and test a personalized, computer-based suicide risk...
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Pinetree Institute Podcast With Dr. Christina Bethell: Positive Childhood Experiences (PCEs) and ACEs.

David Cote ·
The Pinetree Institute is a Maine non-profit located on the NH border in Eliot. They conduct research and present workshops on ACEs and resilience. A workshop with Dr. Christina Bethell was scheduled for today, but was cancelled because of COVID-19. Dr. Bethell's field of expertise is PCE (Positive Childhood Experiences) and their role in combatting ACEs and promoting resilience throughout the lifetime. Because of the circumstances, Pinetree Institute is offering a 40 minute podcast in which...
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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead

Christine Cissy White ·
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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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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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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Positive Youth Development Office of Adolescent Health (www.hhs.gov)

Former Member ·
The Office of Adolescent Health has identified a comprehensive range of federal resources on positive youth development. Below, find adolescent positive youth development resources on the following topics. (There are multiple links to resources...
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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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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...
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Q&A: Immigrant Children and Trauma [today.uconn.edu]

Alicia Doktor ·
Newcomer immigrant youth – refugees, asylum seekers, and unaccompanied children – face unique challenges when involved with the juvenile justice system, say a team of mental health and legal experts who have published a new book on the topic. Co-authored by UConn Health psychiatrist Julian Ford, the book seeks to raise awareness about those challenges among some of the first people that the youth will meet: juvenile court judges and advocates. In A Trauma-Informed Approach to Judicial...
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Recent Legislation that Supports Better Children’s Health Outcomes [nichq.org]

Alicia Doktor ·
In recent months, there has been a surge of legislative actions for children’s health advocates. New laws have been passed that provide funding for programs and research initiatives essential for improving the health and well-being of children and families across the country. Here, NICHQ provides an update on the legislation, as well as a brief analysis of the impact on children’s health. We share this update to help our readers stay informed about policies that influence children’s health...
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Recently released research on ACEs; incarceration; separating families at the border

Laurie Udesky ·
Behavioral risk factor surveillance system state survey on exposure to adverse childhood experiences (ACEs): Who declines to respond? [Children and Youth Services Review] "A wealth of research has examined the prevalence and impact of adverse childhood experiences (ACEs) via various research methodologies. Some of these studies have also examined the presence of nonresponse bias, showing minimal nonresponse bias effects. More recently, many states and the District of Columbia have used the...
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Register Now for the 2018 ACEs Conference & Pediatric Symposium — Early Bird Ends July 31!

Jane Stevens ·
Join the Center for Youth Wellness and ACEs Connection at the 2018 ACEs Conference , "Action to Access", in San Francisco, October 15-17. This conference offers experts and practitioners working in healthcare and other sectors a hands-on opportunity to deepen their understanding of the life-long effects of ACEs, so that they can help build a better future for all children exposed to early adversity and trauma. Participants will connect with experts in health, early childhood education, child...
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REMINDER: Nominate a Trauma-Informed Care Champion: #TICchampion

Mariel Gingrich ·
This week (Dec. 3-7), the Center for Health Care Strategies (CHCS) invites you to recognize people around you who are trauma-informed care champions. Nominate someone via Twitter using #TICchampion, and learn about other champions across the nation by following @CHCShealth.
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Report Offers Insights For Trading Juvenile Incarceration For Community-Based Strategies [witnessla.com]

Alicia Doktor ·
Over the last 20 years, youth violence dropped precipitously (and unexpectedly) in California. Law enforcement arrested minors 22,601 times for violent crimes in 1994. That arrest rate dropped 68 percent, to 7,291 arrests two decades later, in 2017. In addition, a collective turning away from harshly punitive incarceration for kids, and a movement toward community-based diversion and services, have helped keep kids out of juvenile lockups. (But not all kids—racial disparities in the juvenile...
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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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Report reviews research and strategies for building resilience among trans youth

Laurie Udesky ·
Some 41 percent of transgender adults report that they have attempted suicide at some point in their lives, according to a report by the University of Minnesota Extension Center for Family Development, Children, Youth & Family Consortium reviewing research. Those attempts are associated with bullying and victimization, according to a growing body of research, cited in the report. The authors reviewed research and strategies that could be used by communities to build resilience among...
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[Repost] Building Trauma-Informed Connections via Telehealth During COVID-19 [acesaware.org]

By ACEs Aware, April 21, 2020 The physician speakers will share opportunities and guidance for providing trauma-informed care via telehealth as well as resources providers can offer to patients to help mitigate the impact of COVID-19 related stress on physical and mental health. This is particularly critical for patients who have experienced, or who are currently experiencing, Adverse Childhood Experiences (ACEs) or other adversities. Futures Without Violence will share resources providers...
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[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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Research roundup: ACEs and children with Autism Spectrum Disorder; ACEs impact on pre-diabetes; parental incarceration and health care use; can a safe neighborhood reduce the risk of obesity?

Laurie Udesky ·
Adverse Childhood Experiences Are Associated with Unmet Healthcare Needs among Children with Autism Spectrum Disorder [The Journal of Pediatrics] Objective: "To explore associations between level of adverse childhood experiences (ACEs) and unmet healthcare needs among children with autism spectrum disorder (ASD) using a population-based sample." The Differential Impact of Adverse Childhood Experiences in the Development of Pre-Diabetes in a Longitudinal Cohort of US Adults [The Journal of...
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Research roundup: Healthy parenting; resilience building; ACEs and substance use; ACEs and justice-involved youth recidivism; ACEs and fetal alcohol exposure; integrating ACEs into nursing curriculum

Laurie Udesky ·
Effective Discipline to Raise Healthy Children [Pediatrics] Addressing the social emotional needs of children in chronic poverty: A pilot of the Journey of Hope [Children and Youth Services Review] From Child Maltreatment to Adolescent Substance Use: Different Pathways for Males and Females? [Feminist Criminology] Adverse Childhood Experiences and Justice-Involved Youth: The Effect of Trauma and Programming on Different Recidivistic Outcomes [Youth Violence and Juvenile Justice] Quality of...
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Research roundup: IPV and intergenerational trauma, screening for adversity, early child ACES and epigenetic changes

Laurie Udesky ·
Maternal witness to intimate partner violence during childhood and prenatal family functioning alter newborn cortisol reactivity [Academic Pediatrics] I screen, you screen, we all scream for risk screens [The Journal of Pediatrics] Screening for Toxic Stress Risk Factors at Well-Child Visits: The Addressing Social Key Questions for Health Study [The Journal of Pediatrics] Environmental influences on health and development: nutrition, substance exposure, and adverse childhood experiences...
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Research roundup: New Hampshire weighs in on ACEs; ACEs and suicidal behavior; Intergenerational transmission of ACEs; ACEs in Brazilian street youth; ACE prevalence in juvenile offenders

Laurie Udesky ·
photo by Barbara Hobbs/ wikimedia commons Addressing Childhood Adversity and Social Determinants in Pediatric Primary Care: Recommendations for New Hampshire [Institute for Health Policy and Practice] Associations of adverse childhood experiences and suicidal behaviors in adulthood in a US nationally representative sample [Child: Care, health and development] Intergenerational transmission of adverse childhood experiences via maternal depression and anxiety and moderation by child sex...
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Research roundup on ACEs and resilience

Laurie Udesky ·
The Empower Action Model: A Framework for Preventing Adverse Childhood Experiences by Promoting Health, Equity, and Well-Being Across the Life Span A Srivastav, M Strompolis, A Moseley, K Daniels - Health Promotion Practice, 2019 Postpartum depression screening in primary care K Orringer, S Kileny - Contemporary Pediatrics , 2019 Toward fostering resilience on a large scale: Connecting communities of caregivers SS Luthar, NL Kumar, R Benoit - Development and psychopathology, 2019 Mentoring...
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Research roundup: Prospective ACE study and commentary about it; ways of asking about trauma; research on the power of internal resilience in juvenile offenders and a companion essay

Laurie Udesky ·
Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes JAMA Open Prospective Study Delves Deeper Into Mental Health Effects of Childhood Trauma Psychiatry From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care Women's Health Issues Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health Adverse...
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Research roundup: Toxic stress biomarkers; trauma-informed curriculum; an ACEs pilot from Wales; resilience in justice-involved youth

Laurie Udesky ·
Novel method of measuring chronic stress for preterm infants: Skin cortisol Psychoneuroendocrinology Current State of Trauma-Informed Education in the Health Sciences: Lessons for Nursing Journal of Nursing Education Asking about adverse childhood experiences (ACEs) in health visiting Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health
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Research roundup: Two-gen approach to depression; cross-sector collaboration for special health care needs; ACEs and resilience screening at a Vermont clinic, and more resilience

Laurie Udesky ·
CC3.0/Urcomunicacion Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Pediatrics Psychosocial Factors in Children and Youth With Special Health Care Needs and Their Families Pediatrics ACEs and Resilience: Increasing patient knowledge of Adverse Childhood Experiences and stress coping techniques University of Vermont Adverse childhood experiences and sources of childhood resilience: a retrospective study of their combined relationships with child...
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Research roundup: Two-gen study highlights case for early intervention; mitigating adversity in foster children; testing an expanded ACE survey

Laurie Udesky ·
Linkage between teen mother's childhood adversity and externalizing behaviors in their children at age 11: Three aspects of parenting Child Abuse & Neglect Decision-making in foster care: A child-centered approach to reducing toxic stress in foster children Children and Youth Services Review Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire–2 Journal of Pediatric Health Care
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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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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 -- Professional development

Jane Stevens ·
Alberta Family Wellness's Professional Development & Training -- " Researchers, practitioners, and policy-makers who work with children and families need opportunities to enhance their skills, explore new ideas, and make professional connections. To provide these opportunities, the AFWI partners with leading experts and institutions across North America representing a range of disciplines and sectors. These partnerships work to develop educational tools, curricula, and training programs...
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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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Resource: What is epigenetics?

Bonnie Berman ·
How does epigenetics relate to child development? New resource from the Harvard Center on the Developing Child explains. Science tells us that the interactions between genes and environment shape human development. “Epigenetics” is an emerging area of scientific research that shows how environmental influences—including the experiences we provide for children—actually affect the expression of their genes. This means that the old idea that genes are "set in stone" has been disproven. Nature...
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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.
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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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Review of Tools for Measuring Exposure to Adversity in Children and Adolescents [Journal of Pediatric Health Care]

Laurie Udesky ·
photo/ Creative Commons " Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential...
 
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