Tagged With "ACEs Aware Initiative"

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Careful, It's Not Over Yet & Parenting with ACEs & PTSD

Note: Dawn Daum & Joyelle Bran dt are the featured guests on the live chat held in the Parenting with ACEs Group on Tuesday, June 13th at 10 AM PST / 1 PM PST. The topic is Parenting with PTSD & ACEs. Dawn and Joyelle are artists, activists and parents. They met a few years ago and set about creating an online community for parent survivors to working to break the cycle of abuse. Here's a small sample of the work they have done and are doing: Wrote a resource about Parenting as an...
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Intergenerational associations of parent adverse childhood experiences and child health outcomes [ Pediatrics]

To what extent do parents' adverse childhood experiences (ACEs) affect ACEs and health status among their children? Linking data of 350 parents and their children from the 2012 Southeastern Pennsylvania Household Health Survey (HHS) and the Philadelphia ACE Survey, researchers found statistically significant correlations between parents' ACE scores and their children's health status. "Our results suggest that the full scope of health effects of ACEs is not limited to the exposed individual.
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ACEs and resilience research roundup: Paternal ACEs, family resilience, reforming health care

CC by SA 3.0 Parental Adverse Childhood Experiences and Pediatric Healthcare Use by 2 Years of Age EA Eismann, AT Folger, NB Stephenson… - The Journal of Pediatrics , 2019 … ACEs and several child outcomes,8, 9, 10, 11, 12 but less is known about the intergenerational impact of paternal ACEs .7, 13 The … 12 months, 15 months, 18 months, and 24 months of age, based on Bright Futures and the American … Adverse childhood experiences ( ACEs ) are associated with forced and very early sexual...
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Review of ACE studies confirms supporting parent-child relationship is key

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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So you've screened for ACEs...Now what?

Margaret Wayne ·
Docs for Tots has partnered with the Center for Youth Wellness (CYW) to bring together diverse pediatric offices across Long Island and assist them in implementing universal ACEs screening. CYW, national experts on ACEs, has demonstrated that by addressing ACEs and building resilience through community resources, behavioral therapy, and support, the health outcomes of individuals can improve. A key goal of CYW is to have every pediatrician universally screening for ACEs in order to identify...
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Re: So you've screened for ACEs...Now what?

Margaret, Thanks so much for posting this. I think the more discussion about ways to address the questions posed in this post, the easier it will be for health care providers to move forward on implementing ACEs screening.
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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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Mark your calendar for March 10 tweet chat on CA ACEs screening!

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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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.

Laura Haynes Collector ·
Babies are obviously very different from older children developmentally, including their ability to understand and process trauma. Indeed, a baby may be completely unaware of an actual ACE— say, the incarceration of their father— which a middle schooler would be painfully aware of. Yet at the same time, the baby could be much-more-acutely impacted by the secondary effect of this same ACE: a sad, stressed, and distracted mother. Similarly, if a parent dies in a car accident when a child is in...
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program

In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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Announcing a New Parenting and ACEs Blog from Stress Health, an Initiative of the Center for Youth Wellness

Diana Hembree ·
Research shows that the right kind of support and care can mitigate the impact of toxic stress in children and help them bounce back.
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Jim Hickman ·
In California, we are coming full circle in recognizing the connection between poverty and health.
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Montefiore Medical in Bronx screens 12,000+ kids for ACEs

Creative Commons/Flickr/Family drawing by Meggy ____________________________________ Since 2016, more than 12,000 children beginning at the age of 1-years-old have been screened for adverse childhood experiences (ACEs) at Montefiore Medical Center in Bronx, New York, according to Miguelina German, the director of Quality & Research in the Pediatric Behavioral Health Integration Program and project director of Trauma Informed Care at the center. Parents of infants are asked to fill out...
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Nadine Burke Harris' new book, The Deepest Well, weaves ACEs science and personal stories

Dr. Nadine Burke Harris, MD, MPH, FAAP/Courtesy of Center for Youth Wellness In this short interview , pioneering pediatrician and author Dr. Nadine Burke Harris, the founder and CEO of the San Francisco-based Center for Youth Wellness , discusses her pivotal new book The Deepest Well. In the book Burke Harris weaves together the hard science behind adversity and trauma with personal stories. It was a particular patient, Burke Harris explains, that led her to shift her research and practice.
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New organization calls all pediatricians to end crisis that's "hiding in plain sight"

When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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NJ medical school program requires all first-year students to learn about ACEs science

In 2015, Dr. Beth Pletcher, a pediatrician and associate professor specializing in genetics, was at the annual conference of the American Academy of Pediatrics in Washington D.C. when she heard two speakers that forever changed her work with medical students. Dr. Beth Pletcher “I went to two talks on adverse childhood experiences (ACEs) that were so mind-boggling to me that I decided on my drive back to New Jersey that I had to do something about it,”says Pletcher, director of the Division...
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For a pediatrician and former teacher ACEs awareness came from a punch in the face

Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities. Preventing Child Abuse and Neglect (PCAN) Date & Time: Tuesday, December 10,...
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A Kaiser pediatrician, wise to ACEs science for years, finally gets to use it

Dr. Suzanne Frank has known about the impact of childhood adversity on young lives for decades. She’s seen the fallout in the faces of young people huddled in beds at a children’s shelter where she worked years ago. She’s seen it as the regional child abuse services and champion for the Permanente Medical Group. And she’s seen it in hospital examination rooms where, as a member of the Santa Clara County’s Sexual Assault Response Team, she’s been called in to examine shell-shocked children...
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The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff

The JPB Research Network on Toxic Stress , led by Dr. Jack Shonkoff, is working on developing biological and behavioral markers for adverse childhood experiences (ACEs) and resilience that they believe will be able to measure to what extent a child is experiencing toxic stress, and what effect that stress may be having on the child’s brain and development. The JPB Research Network on Toxic Stress is comprised of scientists, pediatricians and community leaders, and is a project of the Center...
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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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Why Kids With ACEs Shouldn't Get a Pass on Chores

Diana Hembree ·
Don't worry that chores are too stressful for kids with ACEs, says trauma researcher Bob Sege, MD. “You don’t want to coddle them,” Sege said, “because the message they will get is that they are damaged goods. They need to know that the adversity they suffered is only one part of them; it’s not all of them.”
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs

Former Member ·
I’m certain as the ACE score increases - so does the score of the PSC-17. It does when I have looked at them both at the same time and it only makes sense. Also lots of poor parents have a hard time reading. That puts more risk for stress on the parent.
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs

ACEs Science application, explanation, and example of evidence-based effectiveness! Great post. Thank you!
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs

Daun Kauffman ·
Approximately what percent of families take advantage of the option to be surveyed ?
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Re: NJ medical school program requires all first-year students to learn about ACEs science

Suzanne Frank ·
Bravo! Great work!!! This work improves patient care and builds resilience in medical students. A path to control stress and prevent burn out in medicine and the health care system. We need more physicians like Dr. Pletcher. Suzanne Frank,MD Santa Clara County,CA ACEs Network Steering Committee
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Re: As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Ariane Marie-Mitchell ·
Hi Jim, I completely agree that poverty is important, but add these two comments for consideration: 1) The AB340 work group already recommended that trauma screening include ACEs and other social determinants such as poverty. We recommended for use the Whole Child Assessment, the PEARLS, or any other tool that a pediatrician wants to use that meet these criteria; 2) While poverty is important, it is NOT the same as ACEs. The literature on ACEs guides us toward specific interventions. While...
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Re: For a pediatrician and former teacher ACEs awareness came from a punch in the face

I am writing a short piece about the webinar that Dr. Selvaraj participated in this morning: Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned and am wanting to interview people in pediatrics who listened in on the webinar about their impressions. Please private message me and let me know when would be a good time to reach you and a contact number. I'll be finishing it on Monday. I'm on Pacific time.
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Re: Healthy Spaces December 2019 Webinars

Tina Cain ·
Do you all role out SEEK. I think it had a greater evidence base than Screening for ACEs. Thanks.
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion

Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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CYW's Provider Training Courses now available online

Jim Hickman ·
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
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CYW's Provider Training Courses now available online

Jim Hickman ·
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
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Re: CYW's Provider Training Courses now available online

Veronique Mead ·
Hi Jim, Thanks so much for sharing. Can you say how long each of these first two courses are? Is it all video for example? Are there reading materials as well? Thanks!
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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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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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Re: 10 ways to avoid ACEs (during the pandemic)

Patricia Gurney ·
Thank you so much! I am really concerned about how families are coping right now. I especially worry about children at risk for abuse/neglect, away from any eyes or supports who might protect them.
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Re: 10 ways to avoid ACEs (during the pandemic)

Elizabeth Meeker ·
Really appreciate the reframe on social distancing to social connection and physical distancing!
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Re: 10 ways to avoid ACEs (during the pandemic)

Hi Patricia, I likely will be organizing a brainstorming session for health care providers. I'm also going to be doing a story looking at the issues of prevention tools, workaround for vulnerable families -- those at risk for child abuse or intimate partner violence. Please let me know what other information I can gather in order to support you in your work. In the meantime, I'll be posting here and cloning other articles I think may be helpful.
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Re: 10 ways to avoid ACEs (during the pandemic)

Thanks Elizabeth for your comment!. I agree with you about the reframe. Physical distancing feels more accurate and less daunting to me!
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Behavioral Medicine journal seeking manuscripts on resilience

Heather Gehlert ·
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Behavioral Medicine journal seeking manuscripts on resilience

Heather Gehlert ·
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett

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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Medical students' ACE scores mirror general population, study finds

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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[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...
Ask the Community

ACE's questionnaire in Pediatric emergency room

Teresa Drake ·
We are interested in conducting research in a Peds ER involving asking the 10 ACE questions to patients. Has anyone done this?
Reply

Re: ACE's questionnaire in Pediatric emergency room

Jayne Ness ·
I'm a pediatric neurologist at University of Alabama at Birmingham and Children's of Alabama. ACEs in the Peds ED: I've discussed ACE screening with some of my Peds ED colleagues (and there's interest) but that's as far as we've gotten.... ACE screening elsewhere: Is anyone doing ACEs in sub-specialty pediatrics? I am looking for help on "best practices" in this setting. Over the past few months I have been informally asking an unscientific sample of my parents in Peds Neurology clinic to...
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Re: Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett

Christine, thank you for this instructive and inspiring post. I just received an inquiry about ACEs and trauma-informed training for pediatric practices and wanted to know more about the training Dr. Boynton-Jarrett participated in that was "provided by an interdisciplinary group of clinicians and service providers at Boston Medical Center, with a Vital Village community resident partner at the table." Do you have a way to contact the trainers? Thank you, Elizabeth
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Re: ACE's questionnaire in Pediatric emergency room

Former Member ·
I’m kind of bad here because I didn’t read your entire reply but this area of somatic complaints and concerns over behavioral problems like ADHD - is really where I started asking the ACE questions mixed in with a bunch of other psychosocial questions - and the ACEs were always very high. I’ve been doing this since at least 2004. Rahil Briggs is awesome in this area as is NBHarris and they have a webinar coming up in a few days on integrating this into care. For Neurology - chronic...
 
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