Tagged With "higher risk of infection"
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Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications [ajpmonline.org]
By Robert F. Anda, Laura E. Porter, David W. Brown, et al., American Journal of Preventive Medicine, March 25, 2020 INTRODUCTION Despite its usefulness in research and surveillance studies, the Adverse Childhood Experience (ACE) score is a relatively crude measure of cumulative childhood stress exposure that can vary widely from person to person. Unlike recognized public health screening measures, such as blood pressure or lipid levels that use measurement reference standards and cut points...
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Is child protective services effective?
An article called "Is child protective services effective?" in this month's Children and Youth Services Review finds that CPS involvement does not reduce the risk of further substantiated maltreatment. It highlights both the need to improve interventions and questions current mandates that are not garnering results. As the article explains, one possible reason interventions may be less effective is that most CPS cases are opened for neglect, not abuse, and most services are aimed at...
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Lesbian, Gay, Bisexual, Questioning, and/or Gender Nonconforming and Transgender Girls and Boys in the California Juvenile Justice System: A Practice Guide [nclrights.org]
If you are a child welfare professional working with youth in California, chances are this practice guide may be a useful resource! Developed by Impact Justice and the National Center for Lesbian Rights, and published in January 2017, this practice guide is designed to provide probation department practice guidelines, and policy recommendations for working with lesbian, gay, bisexual, questioning, and/or gender nonconforming and transgender girls and boys who interface with the California...
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Love as Destiny: A Former Foster Youth's Journey in Motherhood [chronicleofsocialchange.org]
By Katarina Sayally, The Chronicle of Social Change, October 25, 2019 If you haven’t heard enough stories about what breaking the intergenerational cycle of foster care looks like, I want to share one. This is our story, and it’s a good one. When I found out I was pregnant, the only fear I had was, “What if my baby ends up in foster care?” As a former foster youth who works in the field, I am constantly reminded of this possibility. One study found that mothers in foster care were twice as...
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Mental Health, Social Adversity, and Health-Related Outcomes in Sexual Minority Adolescents: A Contemporary National Cohort Study [thelancet.com]
By Background Sexual minority adolescents are more likely to have mental health problems, adverse social environments, and negative health outcomes compared with their heterosexual counterparts. There is a paucity of up-to-date population-level estimates of the extent of risk across these domains in the UK. We analysed outcomes across mental health, social environment, and health-related domains in sexual minority adolescents compared with their heterosexual counterparts in a large,...
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New federal program could help youths aging out of foster care in Maine [Portland Press Index]
By Eric Russell, Aug 1, 2019, Portland Press Index A new federal program targeting young people who age out of the foster care system could provide housing vouchers to as many as 25 youths in Greater Portland. U.S. Housing and Urban Development regional administrator David Tille will be in Portland on Friday to give more details about the initiative that was announced last week by HUD Secretary Ben Carson. Rhonda Siciliano, a spokeswoman for HUD, said Wednesday that the Foster Youth to...
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New York’s parent defender model lowers reliance on foster care [chronicleofsocialchange.org]
New York City’s brand of wrap-around legal representation may not prevent the removal of children from their families. But they might be getting home much faster, and without any risk to their safety. A much-anticipated study of parent representation released this week found that for parents represented by interdisciplinary law offices (ILO) – which include lawyers, social workers and parent advocates – youth spend about four fewer months in foster care than in cases represented by...
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Officials discuss strategies to help children through opioid crisis [wmur.com]
The Opioid Crisis – it is an ominous, frightening, pervasive threat with far-reaching feelers, literally taking hold of families across the country. This crisis is often referred to as the paramount issue in communities, cities, and states. An issue worthy of attention, strategy, and community mobilization. State leaders gathered Friday to discuss strategies to protect young people from opioids and the trauma often associated with the dangerous drugs. Tackling the opioid crisis before it can...
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Oregon foster youths seek $8.5M to help those aging out of foster care [Street Roots News]
Expansion proposed of Child Welfare’s Independent Living Program and other transition services Whitney Rodgers has spent nearly half her life moving from placement to placement in the foster care system, but it wasn’t until she turned 17 that she began to worry about what came next – after foster care. “I was always expecting there to be another step or two before I turned 18,” she said. “But then, at 17, I thought, the clock’s running out.” Rodgers admitted she had always been a flight risk...
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Oregon psychiatrist testifies before Senate Finance Committee on the impact of childhood adversity and toxic stress on adult health
Appearing before the powerful Senate Finance Committee in Washington, DC, recently, Dr. Maggie Bennington-Davis, psychiatrist and chief medical officer of Health Share Oregon, devoted a significant portion of her testimony to the role of adversity and toxic stress during childhood on adult health, both physical and emotional. She explained how Health Share Oregon—that state’s largest Medicaid coordinated care organization—examined the people with the costliest health bills and found them to...
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Over 14,000 CA foster youth facing end to critical services
May is National Foster Care Month. If foster youth are not reunified with their families or adopted by age 21, youth “age out” of the state’s foster care system and services often end abruptly. In 2015, more than 14,000 California foster youth—nearly a quarter of all those in care statewide—were between the ages of 16 and 20 years old.
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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)
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
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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Building Resilience in Foster Children: The Role of the Child's Advocate [repository.law.umich.edu]
Children who enter the foster care system often suffer from the effects of traumatic stress. The sources of their trauma may vary: they may be the victims of physical abuse, sexual abuse, or neglect-or they may be exposed to violence in their homes or communities. Similarly, many children who enter the child welfare system have experienced the loss of one or more significant adults in their lives, often through death or abandonment. Although the removal of a child from an abusive or...
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Child maltreatment not a clear path to adult crime
Research has found a significant link between childhood abuse and neglect and crime in adulthood. But a recent University of Washington study finds that link all but disappears when accounting for other life factors. “We find that...
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Child Welfare and Human Trafficking - Connections Rooted in Trauma
Recently in Washington State, there has been a massive, multi-pronged coordinated effort to address Commercially Sexually Exploited Children (CSEC) across systems. As this effort made its reach to child welfare, I was reminded of a documentary I watched years ago about two girls who were swept into a life of sexual exploitation, kept from their families and everything familiar. One of the girls was in and out of foster care and group homes, the other had run away from her family home, both...
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Community Buffers Help Children in Foster Care Thrive [hometownsource.com]
By Sheila McCoy, Morrison County Record, February 2, 2020 Children who are placed in foster care or are adopted often carry trauma and other mental health issues with them. It is a natural response to their experiences. While many receive counseling and other mental health services, there are several ways the community can help the children to build resiliency to their adverse childhood experiences. Examples of adverse childhood experiences are emotional, physical and sexual abuse,...
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CRI is hiring an Associate Director!
Community Resilience Initiative is seeking an innovative and passionate individual to join our organization as an Associate Director (AD). The AD reports to the Executive Director and to the Board of Directors. Job Overview The role of the Associate Director is to sustain the resilience-based, trauma-responsive capacity building work at the local, regional, state and national stage for which CRI is recognized. Success in this position will be evidenced by recognition of its exceptional...
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Fathers’ Day in America [Message by The Rev. Patricia Templeton]
I recently finished a haunting novel, Before We Were Yours , in which Lisa Wingate tells a fictionalized account of the true story of one of this country’s great scandals, the Tennessee Children’s Home Society and its director, Georgia Tann. From the 1920s through 1950, Tann and her organization facilitated the adoption of thousands of children across the country. Tann was a prominent member of society, held up as the “Mother of Modern Adoption,” and consulted by Eleanor Roosevelt on issues...
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Finding Resilience in Broken Promises [socialjusticesolutions.org]
I remember the day very clearly; just after finishing dinner several cop cars that were escorting an emergency child protective services worker pulled up to the house. The worker had gotten the go ahead for removal about a half hour earlier based on a complaint that was later found to be unsubstantiated. But due to our household falling in the highest risk category from prior complaints, the state is required by law to visit immediately. And while that specific complaint wasn’t...
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Flourishing From The Start: What Is It, And How Can It Be Measured? [childtrends.org]
This comprehensive research brief discusses the important factors needed to promote child well-being across childhood. Of course, recommendations are grounded in maternal-infant health and relationships, but the recommendations also discuss how to build protective factors across developmental domains and the development of the child. The researchers make many actionable recommendations for both practice and policy, as well as how to obtain ongoing data, and make data collection and...
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Foster care children at much greater risk of physical, mental health problems [EurekAlert.org]
Children who have been in the U.S. foster care system are at a significantly higher risk of mental and physical health problems - ranging from learning disabilities, developmental delays and depression to behavioral issues, asthma and obesity - than children who haven't been in foster care, according to a University of California, Irvine sociologist. "No previous research has considered how the mental and physical well-being of children who have spent time in foster care compares to that of...
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Fostering Stable Housing Opportunities Act: A Necessary Step to Protect Those Aging Out [chronicleofsocialchange.org]
Those of us who've worked in child welfare know all too well that child welfare systems do not make good parents. Meaning, youth who age out of foster care are lacking, more often than not, supportive connections that all youth launching into adulthood need to ensure their success. Think about where you went for your first Thanksgiving when you were a freshman in college. Think about who you called the first time you were short on your rent. Many youth who've aged out of foster care don't...
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Framework to Reduce Criminalisation of Young People in Residential Care [apo.org.au]
From the Victoria State Government, February 2020 The safety and wellbeing of young people and staff is paramount in providing residential care in Victoria. Attention needs to be directed at ensuring young people placed in residential care receive the necessary support to enable them to achieve the same outcomes as their peers in the broader community. A significant proportion of young people in residential care have experienced extensive abuse and neglect. The impact of this trauma may lead...
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Guidance for Teachers and Counselors to Help Kids at Risk at Home
People are beginning to be aware that one result of the increased stress around COVID-19 is the tragic fact that child abuse and neglect is increasing, but the safety net provided by schools is no longer in place. Teachers and counselors can continue to be a hero to students in this time of crisis, and can help mitigate the negative impact of traumatic events and stress. Caregivers might not be able to do it alone. We (Dr. Rachel Gilgoff, a child abuse pediatrician and trauma expert, and...
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Handouts for parents about ACEs, toxic stress & resilience
Hey everyone, here are some handouts that our founder, Jane Stevens, discovered as she was writing a story about the trauma-in formed elementary schools in Spokane, WA . We've updated it, and provided three different versions. The text is the...
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Happy Halloween
Goblins and ghosts don’t scare me. What scares me is what scares many grandparents across the U.S., a grandchild at risk. Recently I was talking with a friend about my situation as guardian of my grandson, and she confided in me. She told me she’s scared every time her grandson goes back home with his mom. My friend “helps out” when her daughter finds herself in a tough spot. My friend worries there’s enough for her grandson to eat when he’s home with his mom. She worries he’s safe from the...
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Health Status of Young Adult Mothers with a History of Child Welfare Involvement [policylabchop.edu]
How many of you are aware of the disproportionate relationship between adolescent mothers and the child welfare system? As this research points out, although teen pregnancy is on the decline nation-wide, half of female youth who have current or previous involvement with child welfare also experience pregnancy by age 19 – and half of that number have experienced multiple pregnancies by this age. Researchers at Children’s Hospital Philadelphia research institute looked at one Mid-Atlantic city...
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Helping Youth Transition to Adulthood: Guidance for Foster Parents
Please see the attached document to learn more about: The transition to adulthood and self-sufficiency can be challenging for any young person. For teenagers who have been living in foster care, the transition to life outside of care can be daunting. Generally, youth who have experienced foster care do not have the same safety nets and support networks as others their age, and the transition challenges can be even greater.
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How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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HOWEVER KINDLY INTENTIONED: STRUCTURAL RACISM AND VOLUNTEER CASA PROGRAMS [cunylawreview.org]
When we talk about child welfare reform, we shouldn’t shy away from issues of disproportionality and institutionalized oppression, as both are prevalent, present, and deserving of dialogue. One area of conversation I’ve noted of late is with CASA programs. CASA’s are Court Appointed Special Advocates who make recommendations to the court on behalf of the child’s best interest. More often than not, CASA volunteers are well-meaning individuals who give their time to help children. But, many...
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I’m Sick of Asking Children to Be Resilient [nytimes.com]
FLINT, Mich. — A baby born in Flint, Mich., where I am a pediatrician, is likely to live almost 20 fewer years than a child born elsewhere in the same county. She’s a baby like any other, with wide eyes, a growing brain and a vast, bottomless innocence — too innocent to understand the injustices that without her knowing or choosing have put her at risk. Some of the babies I care for have the bad luck to be born into neighborhoods where life expectancy is just over 64 years. Only a few miles...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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2017 Kids Count Data Book [aecf.org]
Wednesday June 14th the Annie E. Casey Foundation released the 2017 Kids Count Data Book - State Trends in Child Well-Being. This comprehensive report is " a premier source of data on children and families." You can download the report from this post, as well as on the Kids Count website , where you can also access an interactive data map in their Data Center . This is an invaluable amount of data available to the public, relevant to anyone working with children and families - with the...
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2019 State Trends in Child Well-Being [aecf.org]
By the Annie E. Casey Foundation. The 30th edition of the Annie E. Casey Foundation’s KIDS COUNT® Data Book begins by exploring how America’s child population — and the American childhood experience — has changed since 1990. And there’s some good news to share: Of the 16 areas of child well-being tracked across four domains — health, education, family and community and economic well-being — 11 have improved since the Foundation published its first Data Book 30 editions ago. The rest of the...
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4 New Facts About ACEs Parents Need to Know [yahoo.com]
By Lisa Heffernan, Yahoo Lifestyle, January 24, 2020 Many Americans have at least one adverse childhood experience (ACE) before the age of 17. These ACEs include child neglect and emotional, physical, or sexual abuse, household challenges like substance abuse, mental illness, incarceration, parental separation, or divorce, and witnessing intimate partner violence. A collaboration between the Centers for Disease Control and Prevention (CDC) and Kaiser Permanente San Diego, the original ACE...
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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A Community Approach to Trauma Sensitivity / Making a Difference Conference in MA in November
The 6th Annual Making a Difference Conference for SESPs, Foster/Adoptive and Kinship Caregivers and their Professional Partners will be held in Marlborough, MA on November 14, 2017. The theme is A Community Approach to Trauma Sensitivity. There will be at least two talks will be about ACEs! Speakers/Topics: Keynote: Managing the Hearts and Souls of Many, Dana Royster-Buefort, M.Ed., C.A.G.S. Workshops Tackling ACEs by Building Resilient Communities , Renee D Boynton-Jarrett, MD, ScD . Note:...
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A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?
Pediatrician Nadine Burke Harris is a masterful storyteller. I learned in a conversation with her at Wheelock College before her presentation for the Brookline, MA organization Steps to Success , that before she decided to become doctor, Dr. Burke Harris wanted to be an author. Only after the smashing success of her TED talk: How childhood trauma affects health across a lifetime , when she was approached by a literary agent, did she find her way to writing. Her newly released book The...
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A grandmother learns to be a mom again [CopeFamilyCenter.org]
One Friday afternoon, as Jana was on her way to pickup her grandson from school , she received a very disturbing call. The police had come to her daughter’s apartment the night before, arrested her for drug involvement and taken her grandson, David, into the custody of Marin County’s Child Protective Services . After meeting with CPS, she was able to obtain temporary custody of D avid and take him home with her to Napa. She was not prepared to instantly become a mother again . David’s father...
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A Trauma-Informed Approach to Supporting Families Impacted by Addiction
RFQ ANNOUNCEMENT: Celebrating Families! California Expansion Project Update: Due to the expanding ACEs response in California, and subsequent interest in Celebrating Families! we are extending the due date for proposals to May 24 th. Invitation to Expand Celebrating Families!™ Statewide The California State Office of Child Abuse Prevention (OCAP) recognizing the effectiveness of Celebrating Families! (CF!), has awarded Prevention Partnership International (PPI) a $100,000, 2-year challenge...
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A Wakeup Call About Children's Sleep and What To Do About It [psychologytoday.com]
By Robyn Koslowitz, Psychology Today, November 3, 2019 Only half of children in the United States routinely get enough sleep each night, and this has significant effects on their academic performance and social, and emotional well-being. A comprehensive study analyzed responses from parents or caregivers of 49,050 children, 6 to 17 years old, who were part of the 2016-2017 cohort of the National Survey of Children’s Health. They were queried about how many nights of sleep a randomly selected...
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About CAPTA: A Legislative History [childwelfare.gov]
Follow here , or download this fact sheet from the Child Welfare Information Gateway, About CAPTA: A Legislative History. This is a great quick reference tool if you are learning about, or studying child welfare law, policy, or reform!
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ACEs Research Corner — February 2020
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 science. Thank you, Harise!! -- Jane Stevens] Kambeitz C, Klug MG, Greenmyer J, Popova S, Burd L. Association of adverse childhood experiences and neurodevelopmental disorders in people with fetal alcohol...
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ACEs Research Corner — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
The evidence is clear. When bad things happen to us as young children, we are at significantly increased risk for not only mental health problems, but also a wide range of physical health problems including asthma, heart disease, and even early death. These "bad things" all involve disruptions in caregiving relationships. A national movement directed at screening for ACEs in pediatric practices has emerged from this work. My suggestion that the implication of the Adverse Childhood...
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Adverse Childhood Experiences and Psychosocial Well-Being of Women Who Were in Foster Care as Children [the Permanente Journal]
Research has shown that many children in foster care later have psychosocial problems as adults; this is often attributed to cumulative adversities and a lack of supportive caregivers. The risk factors associated with foster care, such as maternal separation and multiple placements, often counteract many protective factors that can ameliorate the effects of childhood adversities. This study assessed the relationship between adverse childhood experiences (ACEs) and psychosocial well-being in...
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Aging Out Institute: The best Collection of Resources for Aging Out of Foster Care on the Internet
National Resources Below you will find programs that are not state-specific, but rather can be leveraged regardless of where the foster youth lives in the U.S. Simply click on the name of the program to get to more information about it. A Home Within:...
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All hands on deck (from a distance): remote care for traumatized moms and babies
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
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An American Public Health Crisis - the 'Pair of ACEs' [huffingtonpost.com]
The Soil in which we’re Rooted; the Branches on which we Grow Each of the children described above experiences adversity within their families: parents with substance abuse problems, physical and emotional neglect at a very young age, fear that family will be deported. Each child also lives in a community that faces adversity: widespread poverty, lack of opportunity, lack of needed social services – including in mental health. When childhood adversity occurs in the context of an adverse...