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PACEs in Pediatrics

Tagged With "Central America"

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

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

Former Member ·
     Bright Futures and Healthy Child Care America Parent Resources:   Introducing new handouts that provide parents with tips on what child care programs will be working on with a child based on the child’s age. Each handout...
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California Teachers Build a 'Nest' For Migrant Kids at the Border [kqed.org]

By Sasha Khokha, KQED, October 25, 2019 Classical music plays, silk curtains blow in the wind and comfy couches offer a place to curl up with a book. There are wooden toys, colorful magnetic blocks, and crayons organized by color in glass jars. Children use light projectors to make patterns and shapes on the walls. It may sound like a high-end early childhood education center in California, but this is Tijuana. The students and their parents have fled violence in Central America, or other...
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Children’s Defense Fund Child Poverty in America 2013: Federal safety net programs cut child poverty by 40 percent.

Former Member ·
According to data released by the U.S. Census Bureau on October 16, 2014, federal safety net programs kept 8.2 million children, more than 11 percent of children, out of poverty in 2013, and cut the child poverty rate from 27.5 percent to 16.4...
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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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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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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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Mark your calendar for March 10 tweet chat on CA ACEs screening!

Laurie Udesky ·
Hey ACEs Connection communities! Please join us for a boisterous tweet chat about ACEs screening in California on March 10 at 10 am Pacific/ 1 pm Eastern for #SaludTues, hosted by @saludamerica and co-hosted by @CYWSanFrancisco, @acesconnection and @CHCShealth. Get your thumbs ready, and spread the word! What: Tweet chat Who: Salud America, co-hosted by Center for Youth Wellness, ACEs Connection and Center for Health Care Strategies. When: Tuesday, March 10, 10am Pacific/ 1 pm Eastern Why:...
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NPPC News and Resources

Molly Peterson ·
As 2019 comes to a close, we wish you a peaceful and healthy holiday season. As trauma-informed healthcare practitioners, this is also a time to acknowledge that the holidays can trigger loneliness and anxiety -- so please take time to care for yourself and perhaps provide extra support for your patients and families. As always, below you’ll find other news, webinars and resources we hope you find helpful for your ACEs screening efforts. Medi-Cal Funding Available for ACEs Screening Starting...
Comment

Re: Review of ACE studies confirms supporting parent-child relationship is key

Calista Scott ·
Dear, Dr. Ariane Marie-Mitchell, Please contact Megan V. Smith PhD of Yale University. Diaper Need is an ACE. Add diaper need to the WCA. Calista Scott, MSN, Director Diaper Bank of Skagit County (WA) Member of the National Diaper Bank Network http://www.nationaldiaperbanknetwork.org
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Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics

Laurie Udesky ·
What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...
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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs

On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

By Amanda Merck, Salud America!, February 12, 2020 Early childhood adversity like abuse and divorce is a root cause of many of the greatest public health challenges we face today. But doctors don’t even screen children for exposure to adversity. That’s changing in California, thanks to Dr. Nadine Burke Harris and other child advocates. As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences...
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AAP Federal Affairs Update

Former Member ·
    One week from today is  Tuesday, Nov. 4:   Election Day. Now is the time to speak up for children at the ballot box by  casting your vote ! This year, all 435 members of the U.S. House of Representatives and 36 members of...
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ACEs Research Corner — November 2019

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe

Jane Stevens ·
Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...
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Sitler: Managing Depression and Anxiety in Children [newarkadvocate.com]

By Penny Sitler, Newark Advocate, March 1, 2020 There’s much conversation about mental health in children and youth these days. At Welsh Hills School, local pediatrician Dr. William Knobelach recently spoke about depression and anxiety in school aged children to a standing room only crowd at a parent education event. The Adverse Childhood Experiences Study (ACES), which looks at the impact of childhood trauma on health and well-being later in life, frequently comes up in talks about mental...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science

Carey Sipp ·
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Strengths-based Approaches to Screening Families for Health-Related Social Needs in the Healthcare Setting [Center for the Study of Social Policy]

Laurie Udesky ·
How do you screen families to determine whether they have enough to eat or if they feel safe in their homes or communities without alienating them? In this new brief, authors Dr. Renee Boynton-Jarrett and JoHannah Flacks describe strength-based approaches to screening for health related social needs.
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Surviving all the way to college: Pathways out of one of America’s most crime ridden cities [Journal of Interpersonal Violence]

Laurie Udesky ·
photo: Daniel Case/ CC "The purpose of this study is to better understand the factors and processes related to resilience of youth who are among the most at risk for academic failure and involvement in the criminal justice system. To address the research questions about resilience and risk, in-depth interviews were conducted with a racially and ethnically diverse sample ( N = 146) from one of the “most dangerous” cities in America. To obtain an objective assessment of risk, crime data were...
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The Relentless School Nurse: Full Disclosure: I am Fearful to Welcome Another September

Robin M Cogan ·
School is about to begin and for the first time in my 18 years as a school nurse, I am fearful to welcome another September. I work in an urban district where community gun violence is sadly commonplace, but that is not my fear. I travel throughout the city from school to school where drug dealing is an open-air exercise, but that is not my fear. Emergencies are often solitary experiences because school nurses work independently, but that is not my fear. Families facing deportation from...
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The Relentless School Nurse: Soap, Toothbrushes & Sleeping on Concrete Floors

Robin M Cogan ·
Earlier in the year, I wrote a blog post about one of my newest students who was saving food that was served in school to bring home to her family. The 4-year-old girl, a recent immigrant from Guatemala, was storing food in her pants pockets instead of eating at school. Here is a link to the blog post: Pockets Filled With Chicken and Other Social Determinants of Health Yesterday, I was privileged to see this little girl welcome the guests for the end of year celebration as the students move...
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The Youngest Child Separated From His Family at the Border Was 4 Months Old [nytimes.com]

Marianne Avari ·
By Caitlin Dickerson, The New York Times, June 16, 2019. T he text messages were coming in all day and night with only two data points: Gender and age. With each one that arrived, the on-call caseworker at Bethany Christian Services in Michigan had 15 minutes to find a foster home for another child who was en route from the border. On a brisk winter day in February 2018, Alma Acevedo got a message that caught her breath: “4 months. Boy.” Since the summer of 2017, the 24-year-old social...
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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 Tool Guide (Developed with the AAP - Healthy Foster Care America)

Former Member ·
  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....
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Two Parkland Suicides Highlight the Lasting Impact of Trauma. Here's How Parents and Teachers Can Help Teens Who Are Struggling [time.com]

Alicia Doktor ·
A pair of recent suicide deaths in Parkland, Fla., serve as a stark reminder of the lingering effects of trauma — and underscore the importance of providing long-term support to those who are living with its consequences. Just days after 19-year-old Sydney Aiello, who survived the mass shooting at Parkland’s Marjory Stoneman Douglas High School last year, died by suicide , police confirmed that an unnamed current student at the high school had also died by “apparent suicide .” Police did not...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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What a Pediatrician Can Do for a Child Seeking Asylum—and What She Can’t

Laurie Udesky ·
Asylum Seekers in Tlaquepaque, Jalisco Migrant Refuge Center, photo by Daniel Arauz CC BY 2.0 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup,...
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What the ACEs Screening Movement Can Learn from the Healthcare Hotspotting Movement

Jim Hickman ·
No brief intervention or short-term infusion of services is a silver bullet that will overcome the long-term harm caused by structural racism, poverty, and multi-generational trauma.
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Yoga & Mindfulness: Strategies for Empowerment & Violence Prevention Among Homeless Youth [smdp.com]

Alicia Doktor ·
Dr. Petering and the MyPath Program are part of an ongoing partnership supported by SPY’s 4-year Innovations contract with LA County’s Department of Mental Health. “You need to try mindfulness and Yoga. It’s hard to live in the streets when you are homeless, people can’t live like that. The pain is too much, it’s too stressful and some people can’t handle it, so they take their own life. Let’s try these mindfulness techniques and yoga poses and see how much it will change, and things will...
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ACEs Aware Initiative Webinar

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ACEs Aware Initiative Webinar

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CANarratives.pdf

Jane Stevens ·
File

ParentingBook.pdf

Morgan Vien ·
Blog Post

CNN and 'Sesame Street' to Host a Town Hall Addressing Racism [cnn.com]

By Melissa Mahtani for CNN.com, on June 2nd 2020, As anger and heartbreak have swept across America over the killing of yet another black man at the hands of police, CNN and "Sesame Street" are refocusing their second town hall to address racism. The 60-minute special "Coming Together: Standing Up to Racism. A CNN/Sesame Street Town Hall for Kids and Families" will air on Saturday, June 6, at 10 a.m. ET. The show will talk to kids about racism, the recent nationwide protests, embracing...
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White Parents, It's Your Turn to Carry This Burden [newamerica.org]

By Autumn McDonald, New America, June 4, 2020 I date myself with a reference to Rodney King, and I do so intentionally. I was fourteen when he was brutally beaten by LAPD officers; I had no thoughts of kids, or how a parent protects them. But in households around the country, Black parents were having “ the Talk ” with their children— an intense, high-stakes training on the realities of racism— in the hopes of inoculating them against disproportionate police targeting and brutality. My...
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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...
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A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)

The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...
 
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