Tagged With "chronic illness"
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2019 Economics of Child Abuse in Mendocino County
Mendocino recently shared 2019 data related to the economic impacts of child abuse. The attached documents are in a printable format.
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37th Annual Child Abuse Prevention Symposium Recap
"Speak Out! Confronting the Culture of Child Sexual Abuse and Secrecy" was the theme of Santa Clara County's 37th Annual Child Abuse Prevention Symposium which featured a Keynote conversation with Olympic Gold Medal winning gymnast and current UCLA Assistant Gymnastics Coach Jordyn Wieber. Jordyn, and other athletes and survivors of former USA Gymnastics team doctor and serial child sex abuser Larry Nassar, earlier spoke to a U.S. Senate Subcommittee about a “culture of silence” more...
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Briefs on current adverse childhood experiences in children in selected California cities
Attached are briefs on current ACEs in children in selected California cities, with comparison with state and county data. They were prepared by the Data Resource Center for Child and Adolescent Health, a project of the Child and Adolescent...
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CA announces robust perinatal depression prevention for Medi-Cal recipients
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
[Editor's note: This blog was first posted in April 2017. Dr. Marie-Mitchell updated the assessment by modifying a few of the questions, so we are republishing with the new assessment, one in Spanish and one in English.] Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents...
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ACEs and Our Day with Dr. Vincent Felitti
“Where there is no struggle, there is no strength.” –Oprah Winfrey We think we can speak for all who attended the CA Department of Health Care Services Learning Series on January 17 th when we say we are immensely grateful to Dr. Felitti for sharing with us findings from the original CDC-Kaiser ACE study and inspiring us with his passion and heartfelt commitment to this body of work. Dr. Felitti, who turned 81 years old the next day on January 18 th , was the co-principal investigator on the...
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ACEs Aware Webinar: Trauma-informed practices to address stress from COVID-19
How can health care providers take care of themselves, their colleagues and their patients during this COVID-19 pandemic? First and foremost is recognizing how the pandemic can stir up trauma from the past, said Dr. Alicia Lieberman, a psychologist specializing in trauma. “COVID19 is reawakening traumatic reminders in many of us and in the families we work with. And that often makes it difficult for parents to protect themselves and their children,” she noted. Lieberman, the director of the...
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ACEs Champion Julie Kurtz Gives Every Child (and Adult) a Voice
Julie Kurtz hasn’t stopped creating ways to build and promote resilience in herself and others who have experienced trauma since she left her family home for college at age 18. Although she experienced four types of adversity during her childhood, the CEO of the Center for Optimal Brain Integration has traveled a complex journey to mitigate those adversities by recognizing her own internal resilience, building skills to buffer her toxic and traumatic stress, uncovering her voice through...
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ACEs Connection “Map the Movement” now includes an up-to-date section on laws and resolutions
Photo credit: Texasarchitects.org An updated map of laws and resolutions addressing ACEs science and trauma-informed policies is now available in the “Laws and Resolutions” section of Map the Movement (you can also find "Map the Movement" on the navigation bar on the ACEs Connection home page). The earliest law on the map was passed in the state of Washington in 2011, creating an ACEs science public-private partnership. The data base of the National Conference of State Legislatures (NCSL) is...
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ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property.
Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
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ACEs Science Champions Series: Allen Nishikawa: ACEs Storyteller Helps People Develop Their Resilience
Sonoma County ACEs Connection members Allen Nishikawa and Lena Hoffman at California Policymaker Education Day, 2018 Allen Nishikawa, a sansei, or third-generation Japanese American, majored in political science and American history at the University of Wisconsin, Madison, where he participated in antiwar (Vietnam) marches. But it was his experience as a military brat — moving from school to school across the U.S. and even to Japan as a child — that shaped his own childhood experiences and...
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Alternative IHEBA with ACEs for California (and Other) Pediatricians
If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...
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Assisted suicide: New California law to take effect June 9 (spcr.org)
Image: Justin Sullivan/Getty Images California's Legislature ended its special session on health care, meaning the state's assisted suicide will go into effect on June 9th. Under the law , signed by Gov. Brown in October , a patient who has been diagnosed as having six months or less to live can request that his doctor prescribe life-ending medication. The patient must make two oral requests at least 15 days apart, along with a written request witnessed by at least two people, one of whom...
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California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]
By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...
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California issues update on state residents' ACE scores from 2011 & 2013 surveys
The latest adverse childhood experiences survey from the California Department of Public Health shows that 42% of the population has an ACE score of 3 or higher; 16% have an ACE score of 4 or higher. Those with an ACE score of 4 or higher are: 3x more likely to be current smokers 4x more likely to have a depressive disorder 2x more likely to have asthma 2x more likely to be obese 4x more likely to have COPD 3x more likely to have a stroke Here are a few other highlights from the six-page...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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What you need to know about California's lockdown of seniors and the chronically ill [calmatters.org]
By Nigel Duara, Ana B. Ibarra, and Jackie Botts, Cal Matters, March 15, 2020 California Gov. Gavin Newsom on Sunday called for seniors and people with chronic conditions to isolate themselves during the coronavirus pandemic, raising questions about the state’s capacity to ensure delivery of food, medicine and services to some of its most vulnerable residents. Newsom pledged that his office would address specific issues related to this directive in a plan to be released on Tuesday, after...
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Why is it so hard to get mentally ill Californians into treatment? Three bills tell the tale (calmatters.org)
What responsibility does government have to protect people with serious mental illnesses who refuse treatment? How should it balance the right to liberty with the need for care? At the heart of the long effort to answer these questions is a law signed in 1967 by then-Gov. Ronald Reagan. Aimed at safeguarding the civil rights of one of society’s most vulnerable populations, the Lanterman-Petris-Short Act put an end to the inappropriate and often indefinite institutionalization of people with...
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With an epidemic of mental illness on the streets, counties struggle to spend huge cash reserves (latimes.com)
When California voters passed a tax on high-income residents in 2004, backers said it would make good on the state’s “failed promise” to help counties pay for the treatment of the mentally ill. After nearly 15 years, Proposition 63 — the Mental Health Services Act — has steered billions of dollars to the counties across the state. But huge sums remain unspent at a time when mental illness has become an epidemic among the homeless population. As of June 2017, $1.6 billion was being held in...
Ask the Community
Anyone using MHSA or other funds in innovative ways to address ACEs or trauma?
Question: Please share examples of innovative uses of existing funding to address ACEs and trauma. For example, Mental Health Services Act has a funding category called "Innovative Projects" which might be a way to fund ACEs and trauma related efforts. Are you aware of any CA communities that have found ways to utilize MHSA or other funds in unexpected ways - that have the potential of addressing trauma and ACEs? See below and attached for more background re MHSA. Background: The CA...
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Sharing the Stage Together, Dr. Gabor Mate and Dr. Vincent Felitti at CAMFT's 2018 Advancing the Art & Science of Psychotherapy Conference, April 26-29, 2018
For all of our progress in understanding and treating mental illness, it continues to be a subject of misapprehension, prejudice, and stigmatization. The reason for that may be not its strangeness but its familiarity. Very few individuals or families are not touched by at least some aspects of mental dysfunction, some periods of the discouragement, disconnect or anxiety that, on a deeper and more chronic level characterizes the mind state of the mentally ill. And beyond individual experience...
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State surgeon general’s prescription for a healthy Sacramento: Alleviating childhood trauma [sacbee.com]
California’s new surgeon general made Sacramento the first stop on her statewide listening tour, and after Tuesday’s event, Dr. Nadine Burke Harris told The Bee that capital residents are powerfully grappling with the long-term impact childhood trauma has on their families and neighborhoods. Burke Harris said many of the 100 Sacramento-area residents she met with asked her to find ways to bring training, resources and support to families, educators, nonprofits and other community-based...
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Staying Home: Not an Option Available to All [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, April 27, 2020 Stay home and save lives, governors have been telling residents since California’s Gavin Newsom led the way on March 19. But sheltering in place is a luxury that many Americans cannot afford, Claire Cain Miller, Sarah Kliff, and Margot Sanger-Katz wrote in the New York Times . “Service industry workers, like those in restaurants, retail, childcare, and the gig economy are much less likely to have paid sick days, the...
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Stress is making our children ill; here is what we can do about it [SFChronicle.com]
I will take my oath of office today and have the honor of representing Silicon Valley in the U.S. House of Representatives. My political campaign succeeded because of the help of hundreds of students. Their ambition and drive will allow them to flourish, but I am concerned about their well-being. These students were volunteering because of a genuine passion for giving back to the community. But a few also told me that the campaign work was a release, or as one student put it “a respite from...
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Riverside County aims to help mentally ill stop cycle of incarceration (cafwd.org)
When a national report was issued this summer that showed incarceration has largely replaced hospitalization for the severely mentally ill, the analysis reinforced what many counties across the country had been experiencing, including Riverside County. And according the Riverside County Jail Utilization Study conducted by CA Fwd, mentally ill offenders stayed in Riverside County jails for longer periods of time and were booked more often. The national report and the Riverside County jail...
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Roundup on people who are homeless, efforts to assist them: Haircuts, HUD grants, pets, mentally ill, young adults
Ventura County's homeless bring in their pets for free shots, licenses (VenturaCountyStar.com) -- Danna Aten, who is staying at a hotel in Ventura while working at a nursing job in Oxnard, stopped by Catholic Charities in Ventura so that her service dog, Memi, could be vaccinated. In all, Ventura County Animal Services vaccinated 28 dogs and licensed 27 of them. Modesto homeless treated to haircuts as part of DoubleTree event (ModestoBee.com)-- The free haircuts were part of the DoubleTree...
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Sacramento Native American Health Center Presentation by Jeanine Gaines (Citizen Potawatomi Nation)
On June 11th, Jeanine Gaines from the Citizen Potawatomi Nation presented to the Resilient Sacramento ACEs Connection meeting discussing the intersection of ACEs and historical trauma of first nation people. My intention was to upload the information for everyone to review right away but I found myself so emotionally moved that it took a full moon meditation to be able to free my feelings and write about my experience during and after the presentation. I consider myself well read concerning...
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School districts step up protections for immigrant students [EdSource.org]
As fears mount about a federal crackdown on undocumented immigrants, a growing number of California school districts are trying to reassure students they will be able to attend school without the intrusion of federal authorities. Last week, State Superintendent of Public Instruction Tom Torlakson again urged school leaders throughout the state to declare their districts “safe havens” to protect immigrant children. In December, he urged district leaders to use Sacramento Unified’s “safe...
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Schools Should Recognize Trauma as a Disability, Compton Lawsuit Says [KQED.org]
A group of middle and high school students in Compton have filed a first-of-its-kind federal lawsuit saying violence at home and in their neighborhoods has impaired their ability to learn at school. The students, along with three teachers who are also plaintiffs, allege the Compton Unified School District has failed to recognize and address their trauma-induced disabilities, and therefore has denied their legal right to an equal education. ....You have to address trauma in order to do...
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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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The California Pregnancy-Associated Mortality Review [ CMQCC, CDPH, MCAH, PHI]
New reports, recently released: The California Pregnancy-Associated Mortality Review (CA-PAMR) is a statewide, in-depth examination of deaths while pregnant or within one year after end of pregnancy, which aims to identify the cause and timing of death, factors that contributed to the death, and improvement opportunities in maternity care and support, with the ultimate goal to reduce preventable deaths and associated health disparities. CA-PAMR is a collaborative effort between the Maternal,...
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The Economics of Child Abuse: A Study of California
While the impact of maltreatment on a child and their family is devastating, child maltreatment also has serious effects far beyond those for the victim. Maltreatment results in ongoing costs to taxpayers, institutions, businesses, and society at large. Local communities bear the brunt of these costs in the form of medical, educational, and judicial costs, though more tragic signs are seen in homelessness, addiction, and teen pregnancy. To create a concrete understanding of the widespread...
Calendar Event
How Our Environment Gets Under Our Skin (webinar)
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Toxic stress: the other health crisis politicians should be talking about [STATnews.com]
By Jim Hickman, STATnews.com, June 21, 2019 A t nearly 50,000 deaths each year, the opioid epidemic is shaping up to be the central public health issue of the 2020 presidential election. From President Trump on the right with a declaration of national emergency to Sen. Elizabeth Warren on the left with a 10-year, $100 billion plan to fight addiction, the candidates are racing to outdo each other on one of the few issues that transcends our polarized politics. But there’s another burgeoning...
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ACEs Science Champions Series: Training future counselors to integrate ACEs science in the classroom
Nemia with peacock used in therapy with children. Talking with an animal is often easier than talking with an adult for a child who's experienced abuse. _________________________________________ Toni Nemia, program and clinical director for the University of San Francisco Child and Family Center's School-Based Family Counseling, says that her graduate students are often surprised to hear that ACEs science (adverse childhood experiences) has an international reach. In fact, Scotland is an...
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Traumatic Experiences Widespread Among U.S. Youth, New Data Show
[This is a media release from the Robert Wood Johnson Foundation.] New national data show that at least 38 percent of children in every state have had at least one Adverse Childhood Experience or ACE, such as the death or incarceration of a parent, witnessing or being a victim of violence, or living with someone who has been suicidal or had a drug or alcohol problem. In 16 states, at least 25 percent of children have had two or more ACEs. Findings come from data in the 2016 National Survey...
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Expand Fresno’s veterans’ courts to all of California (fresnobee.com)
(Image by John Walker: Arthur Casares, a homeless Desert Storm Army veteran admires his new pair of jeans during the Central Valley Veterans Stand Down in 2009 at VFW Post 8900 in Fresno.) .) Read more here: http://www.fresnobee.com/opinion/readers-opinion/article91362442.html#storylink=cpy “War is hell.” Most Americans who have never experienced the trauma of combat understandably cannot appreciate the full context or gravity of this statement. But to those with family, neighbors or friends...
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ACEs Science Champions Series: First 5 San Mateo County (CA) Forges Ahead with Trauma-Informed Initiative
Each year for the past 20 years, First 5 San Mateo County has spent nearly $7 million to help meet the needs of children from birth through age five, and support their families. In 1998, First 5 was established and funded in California by Proposition 10, which funneled tobacco tax dollars into transforming the early childhood system and guaranteeing better outcomes for all counties in the state. In January 2018, the First 5 San Mateo County started a planning committee based on incorporating...
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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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Keeping The Mentally Ill Out of Jail (capradio.org)
A summit is underway this week to develop ways to reduce the number of mentally ill people in county jails. Sheriffs, judges, elected officials, and mental health professionals from 53 countie s are in Sacramento this week. Department of Justice surveys show nearly two-thirds of people in jail have a mental illness. The Stepping Up Initiative is hosting the summit. It was started in 2015 and now counts about 320 counties nationwide as partners in the effort. To read more of Bob Moffitt's...
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Learning Community Recording Available: Building Family, Agency, and Community Resilience: Rural Policies to Improve Housing Affordability and Accessibility
The third Sierra Learning Community for the 2019-20 fiscal year focused upon Building Family, Agency, and Community Resilience: Rural Policies to Improve Housing Affordability and Accessibility. The power point and other materials distributed to attendees are attached to this post. View the recording by clicking here: 2.13.20 Sierra Learning Community ANNOUNCEMENTS Make sure to visit the Strategies2.0 YouTube Channel to access recordings of all the Strategies2.0 sponsored webinars and...
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May 22nd as Adverse Childhood Experiences (ACEs) and Resilience Awareness Day by Sacramento County Board of Supervisors
In preparation for the proclamation being presented today at the Sacramento Board of Supervisors meeting May 21st at 9:30 AM, I sent the attached news release to the Sacramento Bee and Capital Radio. Please feel free to share with the community. Dear....... I wanted to let you know about an important event that is coming up next week and see if you could help me spread the word. On May 21st Supervisor Patrick Kennedy and the Sacramento Board of Supervisors are going to declare May 22nd as A...
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McGuire, First 5 Humboldt talk ‘ACEs’ at town hall [Times Standard News]
Humboldt County has one of the highest rates of childhood trauma and abuse in the state with 75 percent of locals being affected by at least one adverse childhood experience — or ACE. T his county along with Mendocino County, have the highest percentage of residents with four or mor e ACEs. “A child who experiences ACEs is 12 times [more likely] to attempt suicide, 12 times. A child who has four or more ACEs experiences [is] seven times [more likely] to be and alcoholic or 10 times higher to...
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Mentally ill homeless people keep going to jail. But a study says L.A. County can fix that [Los Angeles Times]
On a typical day, thousands of homeless and mentally ill people are behind bars in Los Angeles County’s jails. But more than half of them would be good candidates to divert into housing with supportive services instead, according a new study from the Department of Health Services. If enough housing and services were available, nearly 3,000 people in custody at any given time would be eligible for release — either before their trials or before finishing their sentences. The study, released...
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Nadine Burke Harris debuts "The Deepest Well: Healing the Long-Term Effects of Childhood Adversity" in Philadelphia
Dr. Nadine Burke Harris debuted her book, The Deepest Well: Healing the Long-Term Effects of Childhood Adversity , at the Philadelphia Free Library this evening in a talk and book signing. This first stop in an ambitious book tour that crisscrosses the country reflects a mission that Burke Harris has pursued for nearly a decade: to spread the knowledge about the science of adverse childhood experiences, and about how people can use this knowledge to help solve our most intractable problems.
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Nevada County therapist helps incarcerated practice mindfulness behind bars [TheUnion.com]
At first glance, jails and prisons may not seem like the best environment for a mindfulness program. The noise level alone can be unsettling, let alone the windowless, cinder block walls. But John Eby turned that notion on its head. Instead, he asked, what better place could there be for a mindfulness class? In 2014, Eby, a psychotherapist who has worked for many years with Nevada County’s incarcerated and mentally ill, introduced an eight-week pilot mindfulness program in the jail at the...
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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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New Study Shows Communities Can Reduce the Effects of Adverse Childhood Experiences [Mathematic Policy Research]
[ Ed. note: Following is a media release published yesterday by Mathematica Policy Research. This follows on the heals of the report, "Self-Healing Communities" that Laura Porter, Dr. Robert Anda and WHO wrote for the Robert Wood Johnson Foundation. Both reports and executive summaries are attached to this blog post. Both reports are significant, because they show that community ACEs initiatives -- with "modest investments and limited staff" -- are solving some of our most intractable...