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Module 5 Resources: Public Health Approach and Cost-Benefits of Trauma-Informed Care (New in 2018)

Websites and Online Materials

  1. Kaiser family medicine clinic launches 4-question ACE survey pilot for adults – ACEs Connection – In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs) in a shorter survey.
  2. "Moving from Understanding to Implementing Trauma-Responsive Services" — Takeaways from SAMSHA Forum in Johnson City, TN – ACEs Connection – Johnson City Police Department and East Tennessee State University lead a summit in Johnson City, Tennessee to discuss the growing system of care and effort to help the area become a Trauma-Informed Care Community
  3. Oakland, CA, trying out model used in Baltimore to reduce trauma, increase resilience – ACEs Connection – Community organizations in Baltimore came together in 2015 to build community resilience. Trauma figured large in many lives: violence in the community, in schools, and in homes; police brutality; loss of loved ones to incarceration or death; house fires; and homelessness. Much of the dysfunction was systemic and rooted in racism.
  4. 2018 Building Strong Brains Tennessee ACEs Summit – ACEs Connection.com – The 2018 Building Strong Brains Tennessee ACEs Summit took place last week in Nashville, TN.  The theme of this year’s summit was “Celebrating Successes and Imagining Possibilities” and there is plenty to celebrate.  Tennessee is one of the most innovative states when it comes to ACEs awareness and understands that childhood trauma is the root cause of its poor health outcomes, high rates of addiction and other ailments.
  5. How Tuning In to Your Body Can Make You More Resilient – Greater Good Magazine – By balancing our physiology and nervous systems, this article list some body-based practices that can help through hard times listed by Linda Graham from her book “Resilience: Powerful Practices for Bouncing Back from Disappointment, Difficulty, and Even Disaster”
  6. UPDATED with Broken Places Documentary: Hosting a Film Screening to Start or Grow an ACEs Initiative: How-to Guide - ACEs Connection – Movie screenings of documentaries can be popular ways to introduce communities to ACEs science. This guide teaches how to use the films to help people understand and talk about why ACEs, trauma-informed and resilience-building frameworks matter to people, families, communities, systems, and survivors.
  7. 7 Strategies to Turn Trauma Into Strength-Yes Magazine – This article outlines a few strategies that have been helpful in recovering from a traumatic experience. Some of these strategies include: mindfulness, vulnerability, self-compassion, and gratitude. The article estimates that 90% of us will experience trauma at some point in our lives.
  8. A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?, AcesConnection.com – Pediatrician Dr. Burke Harris wants to make ACES screening a part of pediatric medicine. She thinks that society is not there yet, but believes this should be an integral part of medicine. This started when she observed many health issues in a low-income high-needs community where there was a large amount of child adversity. If the hyperlink does not work, please copy and paste this link into your browser. http://www.acesconnection.com/g/aces-in-education/blog/a-conversation-with-nadine-burke-harris-how-should-pediatricians-address-childhood-adversity 
  9. Books & Therapies for Healing Nervous System Responses to Stress, Trauma (and Perceptions of Threat), acesconnection.com-Resources are provided as to how to make sense of trauma through the biological healing of the nervous system. Suggestions of how to treat trauma include various books about chronic illnesses. If the hyperlink does not work, please copy and paste this link into your browser. http://www.acesconnection.com/blog/books-and-therapies-for-healing-nervous-system-responses-to-stress-trauma-and-perceptions-of-threat
  10. Why Emotional Eating Can Be A Consequence of Trauma, AcesConnection.com-People usually eat to fulfill the feeling of hunger, but with trauma victims, they are unable to be fulfilled and this results in emotional eating. Trauma completely alters the brain forever if untreated, and trauma victims use food to gain control. If the hyperlink does not work, please copy and paste this link into your browser. http://www.acesconnection.com/blog/why-emotional-eating-can-be-a-consequence-of-trauma
  11.  Trauma Informed Student Codes of Conduct, AcesConnection.com-Schools have not made it to being trauma-informed until their discipline policies show so. The discipline policies must incorporate the neuroscience behind trauma. If the hyperlink does not work, please copy and paste this link into your browser http://www.acesconnection.com/blog/trauma-informed-student-codes-of-conduct
  12. Treating the Lifelong Harm of Childhood Trauma, NYTimes.com-- An interview with Dr. Nadine Harris discusses the impact of childhood trauma on health in detail. She gives the example of a four year-old named Diego, who experience trauma at only age four and stopped growing. She also states that even if someone who experienced trauma does not drink, smoke or use drugs, he or she is still more likely to experience heart disease and other chronic health problems. The most important action to take right now is universal screening for trauma.
  13. How Childhood Trauma Can Affect Your Long-Term Health, AcesConnection.com-Dr. Nadine Harris discusses how childhood trauma impacts health in the long-term. She had an “aha” moment where she found in a paper that people who suffered from traumatic childhood events were more likely to have chronic health problems, such as heart disease or obesity, later in their life. If the hyperlink does not work, please copy and pasta this link into your browser. She was treating a seven-year-old who asthma and realized asthma medicine was not enough for this child because he experienced such trauma—his trauma had to also be treated in order to help his asthma. If the hyperlink does not work, please copy and paste this link into your browser http://www.acesconnection.com/blog/how-childhood-trauma-can-affect-your-long-term-health-nytimes-com
  14. How Childhood Experiences Contribute to the Education-Health Link, Medicalxpress.com-This article describes the correlation between health and education, and provides the example of cigarette smoking—the highest percentage of smokers have a diploma below a G.E.D or high school diploma. Similarly, trauma (abuse, neglect, poverty, etc.) put people more at risk for health problems, including cognitive development issues, which can interfere with learning properly. College students who had childhood trauma may find post-secondary education to be more difficult. This is a public health crisis, and while there is no vaccine, people need treatment, and educational environments need to change.
  15. A Prescription for Trauma, AcesConnection.com-.If the hyperlink does not work, please copy and paste this link into your browser. This resource discusses treating trauma, and talks about how pharmacists just pick out the right medicine for the right problem or disease, but then the pharmacist who is speaking in the article has an epiphany that one must look at patients on a deeper level, and a pill is not the answer. If the hyperlink does not work, please copy and paste this link into your browser http://www.acesconnection.com/blog/a-prescription-for-trauma
  16. Co-Occurring Substance Use, Pyschu,org-In 2014. 7.9 million adults in the United States have a co-occurring disorder, meaning they have been diagnosed with both a mental health and substance use disorder. These are very difficult to diagnose because the symptoms are often complex and severe. Integrated treatment allows for professionals to address both disorders at the same time.
  17. The devastating, undiagnosed, toll of toxic stress on children, PBS.org-In this informative video, Dr. Nadine Burke Harris discusses how trauma can cause a child’s fight or flight response, which can also alter the structure of a not yet developed brain. This is called toxic stress and Dr. Burke Harris believes that every medical professional needs to be equipped with screening tools for trauma.
  18. Suicide Clusters within American Indian and Alaskan Native Communities: A Review of Literature and Recommendations, SAMHSA.gov-This resource is a paper that examines the prevalence and causes that are known about suicide in American Indian and Alaskan Native communities. This is to provide stakeholders with recommendations to prevent suicide within these communities, often including trauma-informed care.
  19. Psychopathy, Autism and School Shootings, theneurotypical.com-This journal discusses the not only the possible correlation, but also the features of psychopathy, autism, and school shootings by analyzing the people involved Sandy Hook shooting in Connecticut.
  20. Chronic Pain and Childhood Trauma, Health.Harvard.edu-This resource discusses the link between chronic pain and childhood trauma. The author herself has experienced childhood trauma in the form of abuse and suffers from severe PMS. She first read about this in a magazine, and then made the connection for her own chronic pain. The resource then discusses why addressing pain and trauma should go hand and hand with one another.
  21. New Video from CDC: We can Prevent ACEs, AcesConnection.com – This 5 min video by the CDC promotes the idea that ACEs and their consequences are preventable. There are five strategies that help stop ACEs before they even start: strengthening economic support, changing social norms, providing quality child care and early education, enhancing parenting skills, intervening to lessen harms and prevent future risk. If the hyperlink does not work, please copy and paste this link into your browser http://www.acesconnection.com/blog/new-video-from-cdc-we-can-prevent-aces
  22. Trauma, SAMHSA-HRSA Center for Integrated Health Solutions – SAMHSA considers trauma an important health area and recognizes its position as a risk factor for intimate partner violence and suicide. This site provides resources for clinicians/staff, organizations, patients/consumers, and policymakers and leadership.
  23. Suicide Prevention, SAMHSA-HRSA Center for Integrated Health Solutions – The SAMHSA site on suicide prevention is geared toward health, behavioral health, integrated care leadership, providers, and patients/consumers. Provided are warning sides of immediate risk, and high risk groups for suicide.
  24. Intimate Partner Violence, SAMHSA-HRSA Center for Integrated Health Solutions – SAMHSA provides resources for clinicians/staff, organizations, patients/consumers and families, and policymakers and leadership on the topic of Intimate Partner Violence(IPV). The CDC defines Intimate Partner Violence (also described as domestic violence [DV]) as "physical, sexual, or psychological harm by a current or former partner or spouse. This type of violence can occur among heterosexual or same-sex couples and does not require sexual intimacy."

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