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The Relentless School Nurse: Full Disclosure: I am Fearful to Welcome Another September

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...

Expanding concepts of youth adversity: Relationships with a positive Patient Health Questionnaire-2 [Journal of Pediatric Health Care]

" Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey," To read more of the abstract and for full text access options, please click on the link: ...

Trained or not, family doctors and pediatricians are on the front lines of mental health care [tennessean.com]

When a sick kid steps into the pediatrician’s office, it could be for just about anything: an ear infection, a twisted ankle or an upset stomach. And sometimes, behind all those outward symptoms, there is something deeper that needs attention. Pediatricians and family doctors have long served a crucial but largely undefined role in American mental health care, diagnosing and treating depression and anxiety in addition to everyday physical injuries and common diseases. But amid rising concern...

Pediatricians Group: Doctors Should Prescribe Play Time For Kids (boston.cbslocal.com)

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

Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs

photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...

A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!

We are thrilled to announce the premiere of Wrestling Ghosts , a documentary about breaking the cycle of trauma, at the LA Film festival on Sept. 27th. “Incredible. Haunting and strange and beautiful and incredibly moving.” -Dan Cogan, Founder Impact Partners Wrestling Ghosts follows the epic inner journey of Kim, a young mother who, over two heartbreaking and inspiring years, battles the traumas from her past in order to create a new present and future for her and her family. In this...

Adverse Childhood Experiences Run Deep: Toxic Early Life Stress, Telomeres, and Mitochondrial DNA Copy Number, the Biological Markers of Cumulative Stress [BioEssays]

" This manuscript reviews recent evidence supporting the utility of telomeres and mitochondrial DNA copy number (mtDNAcn) in detecting the biological impacts of adverse childhood experiences (ACEs) and outlines mechanisms that may mediate the connection between early stress and poor physical and mental health. Critical to interrupting the health sequelae of ACEs such as abuse, neglect, and neighborhood disorder, is the discovery of biomarkers of risk and resilience. The molecular markers of...

Surviving all the way to college: Pathways out of one of America’s most crime ridden cities [Journal of Interpersonal Violence]

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...

Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science

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...

Building a Movement to Birth a More Just and Loving World [Groundswell March 2018]

The National Perinatal Task Force: Building a Movement to Birth a More Just and Loving World - In my 20 years as a public health nurse, I've never seen race called out so clearly in a report like this. Data has shown disparities, however the data was presented in a tidy way — very apolitical, purposely written to not ruffle any feathers or point fingers - " persistent racial gap ". This report written by The National Perinatal Task Force is refreshingly honest and this is important. We need...

The hazards of out-of-home care for children experiencing adverse home environments [thelancet.com]

There is mounting evidence that children who experience early adversity are at heightened risk for developing physical and psychological sequelae later in childhood; moreover, such sequelae can be biologically embedded, impacting multiple biological systems (including the epigenome), thereby elevating the risk that these effects will persist into adulthood. Two common forms of adversity that affect tens of millions of children each year are maltreatment and removal from parental care and...

Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

Pediatrics, August 2018, VOLUME 142 / ISSUE 2 by Adam Schickedanz, Neal Halfon, Narayan Sastry, Paul J. Chung BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child...

Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

Pediatrics, August 2018, VOLUME 142 / ISSUE 2 by Adam Schickedanz, Neal Halfon, Narayan Sastry, Paul J. Chung BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child...

Pediatrician Dr. Nadine Burke Harris tells Congress how forcibly separating children from their families impacts their health

Pediatrician, Founder and CEO of the Center for Youth Wellness Dr. Nadine Burke Harris explained the science of adverse childhood experiences and the potentially severe health consequences of forcibly separating children from their parents to Congress in testimony she gave on June 27. To view Dr. Nadine Burke Harris' testimony, please click here : https://www.youtube.com/watch?v=Z_KfxwXo1Oo&feature=youtu.be

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