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Tagged With "primary care"

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Oregon 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Oregon. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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Oregon bill takes preventive approach to psycho-social-spiritual impacts of climate change

A hearing will be held on April 3 on a recently introduced bill ( SB 1037 ) to create a task force to determine how to make resilience training available to all Oregonians in response to climate change. Under the bill, an 18-member task force would be created to study aspects of psychological, emotional, and psychosocial resilience education and skills training. The Oregon members of the International Transformation Resilience Coalition (ITRC), including ITRC coordinator, Bob Doppelt, have...
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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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Pennsylvania 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Pennsylvania. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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Personal stories from witnesses, U.S. representatives provided an emotional wallop to House Oversight and Reform Committee hearing on childhood trauma

Room erupts in applause for the grandmother of witness William Kellibrew during July 11 House Oversight and Reform Committee hearing. The power of personal stories from witnesses and committee members fueled the July 11 hearing on childhood trauma in the House Oversight and Reform Committee* throughout the nearly four hours of often emotional and searing testimony and member questions and statements (Click here for 3:47 hour video). The hearing was organized into a two panels—testimony from...
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Power and Opportunity in the States [rwjf.org]

Marianne Avari ·
States have long been laboratories for innovations that influence the health and well-being of their residents. This role has only expanded with the greater flexibility being given to the states, especially as gridlock in Washington, D.C. inspires more local action. The bevvy of new governors and state legislators who took office early this year also widens the door to creativity. Medicaid is perhaps the most familiar example of state leadership on health. With costs and decisions shared by...
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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Program updates from the Illinois ACEs Response Collaborative April 2019

Madison Hammett ·
Hello, Welcome to our April newsletter! This month, we are busy making plans for Illinois' inaugural Trauma-Informed Awareness Day coming up on May 15. Find out more about Trauma-Informed Awareness Day and all the great events happening throughout Illinois in this month's newsletter...
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Providers Hope Trauma Legislation Will Help Native Children in Foster Care [ChornicleOfSocialChange.org]

Samantha Sangenito ·
Recent federal legislation put forward by senators Sens. Dick Durbin (D-IL), Al Franken (D-MN) and Heidi Heitkamp (D-ND) proposes to address the issue of childhood trauma through the creation of a federal trauma task force. The Trauma-Informed Care for Children and Families Act would gather federal officials and members of tribal agencies to create a set of best practices and training to help create a better way to identify and support children and families that have experienced trauma. In...
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Recap- Virginia Summit On Childhood Trauma And Resilience 4/25/19

Chloe Edwards ·
On Thursday April 25, 2019 Voices hosted over 950 attendees at the Virginia Summit on Childhood Trauma and Resilience . The goal of the Summit was to connect child-serving professionals and advocates across the Commonwealth to best practices to prevent, and better address, the impacts of childhood adversity. California’s first Surgeon General and well-known ACEs expert, Dr. Nadine Burke Harris, provided the keynote address. Both Governor Northam and First Lady Pamela Northam addressed the...
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Republicans’ Changes to Medicaid Could Have Larger Impact Than Their Changes to Obamacare [NYTimes.com]

House Republicans are proposing to fundamentally alter the way the federal government has been financing Medicaid for more than 50 years. The changes are part of their plan to replace the Affordable Care Act, also known as Obamacare. “This is potentially more major than repealing the Affordable Care Act,” said Joan Alker, the executive director of the Center for Children and Families at Georgetown University. Medicaid provides health insurance to 74 million people, or one in five Americans.
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Resource Guide to Trauma-Informed Human Services [ACF.HHS.gove]

Samantha Sangenito ·
The Administration for Children and Families, the Substance Abuse and Mental Health Services Administrations, the Administration for Community Living, the Offices of the Assistant Secretary for Health and the Assistant Secretary for Planning and Evaluation at HHS have worked together to develop this Guide to Trauma-Informed Human Services. The guide is intended to provide an introduction to the topic of trauma, a discussion of why understanding and addressing trauma is important for human...
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Responding to adverse childhood experiences: An evidence review of interventions to prevent and address adversity across the life course [Public Health Wales]

Jane Stevens ·
Adverse childhood experiences (ACEs) are stressful events during childhood that can have a profound impact on an individual’s present and future health. Growing up in the face of such adversities is recognised as an important public health concern in Wales and internationally. Actions to prevent and mitigate ACEs and their associated harms are essential to improve population health for present and future generations.
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Rhode Island 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Rhode Island. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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Robert Block: We need to be building adult capabilities to improve child outcomes [tulsaworld.com]

Alicia Doktor ·
You may have been hearing the phrase “trauma-informed care” a lot more recently and there are good reasons for that. As the landmark Adverse Childhood Experiences (ACEs) study from 1997 receives more and more attention, Oklahomans, from all walks of life and professions, are better understanding the social, emotional and cognitive damage already wrought on so many of our children. That damage, as the study reveals, manifests itself in challenging behavioral patterns in our children and poor...
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Seattle will offer employees 12 weeks of paid parental leave [SeattleTimes.com]

Clare Reidy ·
Trauma-preventive policy! Originally published in The Seattle Times, February 13, 2017 at 12:11 pm Updated February 13, 2017 at 7:56 pm ( http://www.seattletimes.com/seattle-news/politics/seattle-could-offer-employees-12-weeks-of-paid-parental-leave/ ) Seattle Mayor Ed Murray has asked the City Council to approve an ordinance to increase paid parental leave for city employees to 12 weeks. (Alan Berner/The Seattle Times) The Seattle City Council voted Monday to offer city employees up to 12...
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Snapshot of ACEs Statutes and Resolutions through end of 2018

The attached table summarizes all of the statutes and passed resolutions that contain the words "Adverse Childhood Experiences (ACEs)" and trauma-informed language through the end of 2018. There are nearly 60 statutes with the earliest law enacted in Washington State in 2011. The laws are categorized by subject matter such health care, education, training, and funding. If you are aware of something we missed, please leave a comment to this post.
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Snapshot of U.S. State Laws and Resolutions

Legislative sessions are opening in the 50 states, the District of Columbia and the territories—most in January—and will be addressing a myriad of issues from budgets, job growth, health care, immigration, the opioid epidemic, police-community relations, education and others ( featured in the State Legislatures Magazine ). Many of these proposals will impact how well communities will prosper and thrive, fewer will impact childhood adversity directly, and an even smaller number will...
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Snapshot of U.S. State Laws and Resolutions

Since the opening in January of many sessions in the 50 states, the District of Columbia and the territories, legislatures have addressed a myriad of issues from budgets, job growth, health care, immigration, the opioid epidemic, police-community relations, education and others ( featured in the State Legislatures Magazine ). Many of these proposals will impact how well communities will prosper and thrive, fewer will impact childhood adversity directly, and an even smaller number will...
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South Dakota 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for South Dakota. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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State ACE survey reports

The following are links to state reports on Behavioral Risk Factor Surveillance System (BRFSS) ACEs module data. Also included at the end of the list are links to the CDC 5-state study and a 10-state plus the District of Columbia study on ACEs...
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State and Federal Support of Trauma-Informed Care: Sustaining the Momentum

Mariel Gingrich ·
Policymakers increasingly recognize the impact of trauma and adverse childhood experiences on lifelong physical, emotional, and social health and are beginning to support efforts for incorporating trauma-informed care into the health and social service sectors. This new CHCS blog post looks at how proposed state and federal legislative, regulatory, and contracting policies aim to reduce trauma and toxic stress and promote resiliency and trauma-informed practices. It also explores how federal...
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STATE HEALTH CARE STRATEGIES TO ADDRESS CHILDREN’S TRAUMA, EXPOSURE TO VIOLENCE AND ACEs

Gail Kennedy ·
I found this document by Futures Without Violence to be a useful resource. From the forward: The health care system plays an important role both in identifying children who may be exposed to extreme adversity and violence, currently and in the past, and in providing the evidence-based interventions that can help children heal from trauma and prevent health conditions and other poor outcomes associated with trauma and ACEs. The health care system is also central in supporting the greatest...
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State Introduces 'Adverse Childhood Experiences' Training in DV Shelters and Support Programs (www.queenseagle.com)

Kim Dangerfield, ·
By Jonathan Sperling Direct care workers in domestic violence shelters, safe dwellings and domestic violence programs across New York state will be trained to recognize Adverse Childhood Experiences, thanks to a bill proposed by Queens Assemblymember Andrew Hevesi. Hevesi’s bill, which was signed into law by Gov. Andrew Cuomo on Wednesday, marks the first time the state recognizes Adverse Childhood Experiences, or ACE, and will create the first statewide ACEs training. Brooklyn State Sen.
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State profiles for 50 states and District of Columbia

Hi, Everyone: We’ve made a first pass at gathering highlights of ACEs initiatives in each of the 50 states and Washington, D.C. Within the text, below, are links to the individual posted profiles for each state. If you see corrections or want to make additions, we’d love that. Just add them in the comments section of that individual post. Instructions are at the top of each individual post. We will be turning those posts into living profiles that, with your help and input, we’ll keep...
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States Produce a Bumper Crop of ACEs bills in 2017—nearly 40 bills in 18 states

A scan done in March by the National Conference of State Legislatures (NCSL) through StateNet of bills introduced in 2017 that specifically include adverse childhood experiences (ACEs) in the text produced a surprising volume of bills (close of 40) in a large number of states (18). A scan done a year ago produced less than a handful. NCSL is a bipartisan organization that serves both state legislators and their staffs. The shear volume of bills in so many states represents a promising...
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Suicides among nurses are on the rise. Here's why one of America's fastest-growing jobs is facing a major crisis. (businessinsider.com)

Researchers from the University of California at San Diego recently conducted what they said is the first nationwide investigation into nurse suicides in more than 20 years. They found that both male and female nurses had higher rates of suicide than men and women in the US . The findings are consistent with the increasing rates of suicide across the country. The US suicide rate has risen in recent years, increasing by 28% in the past two decades , to the highest it's been since World War II...
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Tackling Patients’ Social Problems Can Cut Health Costs (californiahealthline.org)

Inspired by the way police departments mapped crime data to detect “hot spots,” family physician Dr. Jeffrey Brenner dug into ambulance records and emergency department data to show how high-cost patients were shuttling between city hospitals. “In America, we’re medicalizing social problems and we’re criminalizing social problems, and we’re wasting huge amounts of public resources,” Brenner said. “We have the wrong tools to solve the wrong problem.” To steer patients away from expensive...
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Telehealth Is Improving Health Care in Rural Areas (hbr.org)

Intermountain Healthcare is addressing the pressing needs of people who live in rural areas through telehealth, which uses secure video and audio technology to connect care providers in smaller health care facilities with specialists in large hospitals. The results we’ve experienced hold promise for rural communities throughout America. Patients are frequently transferred to distant acute care centers to receive specialized care. Local caregivers don’t get the opportunity to learn from...
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Colorado Steps up Quality Assurance Requirements for Serving Youth with Complex Needs (cmhnetwork.org)

Thanks to our colleagues at the National Wraparound Initiative for bringing this to our attention. This new bill in Colorado requires screening to identify youth with complex needs, establishes wraparound to serve them, and blends funding across agencies to make it happen! A model for other states to emulate! Child And Youth Behavioral Health System Enhancements Concerning enhancements to behavioral health services and policy coordination for children and youth, and, in connection therewith,...
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Connecticut 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Connecticut. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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Could where you live influence how long you live? (Robert Wood Johnson Foundation)

How does where we live affect our opportunity to be healthy? For the first time in our history, the United States is raising a generation of children who may live sicker and shorter lives than their parents. Reversing this trend will of course depend on healthy choices by each of us. But not everyone in America has the same opportunities to be healthy. According to the most recent data available from the Centers for Disease Control and Prevention , average life expectancy in the U.S. is 78.6...
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CTIPP-CAN hosts conference call with presentation by Laura Porter on social investment bonds to fund trauma-informed programs

Tomorrow (Wednesday) at 2:00 EST, Laura Porter will present on the use of social investment bonds to fund the implementation of trauma-informed programs as part of a Campaign for Trauma-Informed Policy and Practice-Community Advocacy Network ( CTIPP-CAN ) conference call. In an announcement from CTIPP-CAN organizer, Dan Press says “this is a novel, challenging and potentially invaluable approach for overcoming the problem many of us see –local and state governments unwilling or unable to...
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Cycle of Risk: The Intersection of Poverty, Violence, and Trauma (issuelab.org)

We make the case that the conditions that foster violence and the conditions that perpetuate poverty are interconnected and reinforce each other; we further show the traumatic effects of violence -- and how trauma drives both poverty and violence. We then examine how violence has been used to enforce systems of racial oppression and how communities of color are disparately impacted by violence today. The conditions that perpetuate poverty and the conditions that foster violence often...
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Del. Police to Notify Schools when a Student Experiences Trauma at Home [whyy.org]

By Mark Eichmann, WHYY, July 26, 2019 When a child experiences trauma like a domestic violence incident at home, the impact on their life can last weeks, months or even years. It can also have an immediate effect on their success in the classroom. Gov. Carney signed a law on Friday that’s designed to provide more support for those students — immediately following a traumatic incident. The Take Care Delaware law calls for police or emergency care providers to inform school officials if a...
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Director's Note about tonight's PBS broadcast of Broken Places (4/6)

Christine Cissy White ·
The film trailer is available here. Learn more about Broken Places via this review written by @Laurie Udesky (ACEs Connection Staff) entitled, Documentary Broken Places uses archival footage to tell stories of ACEs and resilience over time . Tonight's Airing: Check your local listing time here. Film clips and more viewer information can be found on the PBS website .
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Durbin, Capito, colleagues introduce bipartisan, bicameral legislation to address childhood trauma [Office of Senator Durbin of IL]

The following is a press release issued by the office of U.S. Senator Durbin (D-IL) on Monday, June 10, announcing the introduction of bipartisan bicameral legislation that builds on last year’s opioid legislation SUPPORT for Patients and Communities Act and recommendations from a recent GAO report. A link to the bill and other information will be provided as soon as possible. In the meantime, an earlier draft of the bill and a section by section are attached to this post. For Immediate...
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Eleven state profiles feature ACEs-science data, initiatives

One of the resources shared with participants in the Sept. 13-14 convening of First Spouses in Milwaukee to address trauma was a series of state information sheets that featured data on ACEs prevalence and ACEs/trauma-informed/resilience-building initiatives. These one-pagers provided a succinct summary of state highlights on trauma that in some instances were well known to the First Spouses but for others, provided new information. In partnership with state trauma leaders, ACEs Connection...
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Energizing a Trauma-Informed Response to COVID-19: An Opening to Seize within Current Federal Funding

Marlo C. Nash ·
Photo: Marlo Nash with her grandfather, Grandpa Johnny In 1918, my grandfather lost both of his parents to the Spanish flu within a week of each other. He was seven when his mother died, had his 8 th birthday the following week, then lost his father. Grandpa Johnny was separated from his three siblings and placed into the abusive home of a relative. At age 12, he escaped to live on the streets until he found his own placement with a couple as their house servant. The most he ever said about...
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Feeling Blue? Oregon Students Allowed To Take 'Mental Health Days' (npr.org)

Oregon's suicide rate has outpaced the national average for the past three decades. In an effort to combat stigma around mental illness, four local teen activists took matters into their own hands and championed a proposed state law. Oregon schools will now excuse student absences for mental or behavioral health reasons, as with regular sick days. In other words, if a student is feeling down, they can stay home from school without getting docked for missing classes. The law, signed by Gov.
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Florida 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Florida. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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GAO report on challenges that states face in addressing child trauma

The Government Accountability Office (GAO) released a report on May 22 on the challenges that states face in their efforts to support children affected by trauma. The findings were based in part on interviewing state and local officials in six states (Colorado, Massachusetts, North Carolina, Ohio, Washington, and Wisconsin) along with questionnaires to 16 states. The request for the report was made by two Illinois members of Congress, U.S. Senator Dick Durbin and Congressman Danny Davis, and...
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Georgia 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Georgia. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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Gov. Hutchinson proclaims Oct. 13 as ACEs Awareness and Action Day in Arkansas

Jane Stevens ·
First Lady Susan Hutchinson, who attended the recent First Spouses Trauma-Informed conference in Wisconsin , attended a photo op with Gov. Asa Hutchinson to commemorate the Adverse Childhood Experiences Awareness and Action Day proclamation for Oct. 13. (The proclamation is attached to this post.) First row (from left): Rev. Belinda Price, Pulaski Heights United Methodist Church; Dr. Alan Mease, Arkansas Department of Health; First Lady Susan Hutchinson; Gov. Asa Hutchinson; Janie Ginocchio,...
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Gov. Wolf: Office of Advocacy and Reform Announces Plan to Build a Trauma-Informed Pennsylvania [phila.gov]

Caitlin O'Brien ·
The Office of Advocacy and Reform (OAR), established by Governor Tom Wolf’s 2019 executive order to protect Pennsylvania’s vulnerable populations, today announced the launch of a volunteer think tank comprised of 25 experts representing a diversity of fields and backgrounds who will develop a plan to make Pennsylvania a trauma-informed state. “The people of Pennsylvania are compassionate, thoughtful and resilient. We take care of each other, and that drive to protect our families and our...
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Governor Carney Announces Trauma-Informed Initiatives [news.delaware.gov]

Alicia Doktor ·
WILMINGTON, Del . – Governor John Carney on Tuesday announced two new initiatives from the Family Services Cabinet Council to implement Executive Order 24 , which launched efforts to make Delaware a trauma-informed state. The Family Services Cabinet Council – a cabinet-level group reestablished by Governor Carney in February 2017 to coordinate public and private services for Delaware families – will promote Trauma Awareness Month throughout Delaware during May 2019 and launch the...
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Governor Carney Signs Executive Order Making Delaware a Trauma-Informed State [Delaware.gov]

Jane Stevens ·
Governor Carney on Wednesday signed Executive Order #24 making Delaware a trauma-informed state. This Order provides direction for the Family Services Cabinet Council to help mitigate the impact of adverse childhood experiences (ACEs) and build resilience in children, adults and communities. ACEs can include physical, emotional, or sexual abuse; physical or emotional neglect; household dysfunction, including substance abuse, untreated mental illness, or incarceration of a household member;...
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Governor Declares May 3-9 Resilience Week in Virginia

Charlotte Eure ·
As Greater Richmond SCAN , in collaboration with members from the Greater Richmond Trauma-Informed Community Network and the 26 Trauma-Informed Community Networks across the state , began planning for the first annual Resilience Week Virginia, we certainly did not imagine we would be celebrating in the midst of a global pandemic. We worked to adapt activities and events to be done virtually as it became clear that the week, May 3-9, would take place in the midst of these strange new...
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Handle With Care funding is part of federal opioid legislation [WVMetroNews.com]

Clare Reidy ·
By Shauna Johnson in News | October 17, 2018 at 11:25AM CHARLESTON, W.Va. — President Donald Trump is expected to soon sign into law the 2018 SUPPORT for Patients and Communities Act, the comprehensive, bipartisan legislation aimed at addressing the opioid epidemic across the United States on many fronts. Included in it is funding to support programs that offer trauma-informed care for young people, specifically programs like Handle With Care which got its start in West Virginia and has...
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Hawaii 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Hawaii. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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