Patient’s murder leads to soul searching, shift to ACEs science in UCSF medical clinic

Patient’s murder leads to soul searching, shift to ACEs science in UCSF medical clinic

It was the murder of a beloved patient that led to a seismic shift in the Women’s HIV Program at the University of California, San Francisco: a move toward a model of trauma-informed care. “She was such a soft and gentle person,” said Dr. Edward Machtinger, the medical director of the program, who recalled how utterly devastated he and the entire staff were by her untimely death.

“This murder woke us up,” he said. ”It just made us take a deeper look at what was actually happening in the lives of our patients.” The Women’s HIVprogram, explained Machtinger, was well regarded as a model of care for treating HIV patients – reducing the viral load of HIV in the majority of its patients to undetectable levels.

But the staff was clearly missing something. A closer look at the lives of their patients revealed that 40 percent were using hard drugs – including heroin, methamphetamine and crack cocaine, according to Machtinger. Half of them suffered clinical depression, the majority had isolated themselves due to deep shame associated with having HIV, and many experienced violence.

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New Orleans Mayor Mitch Landrieu’s address on removal of four Confederate statues

This 22 minutes is definitely worth the time. New Orleans Mayor Mitch Landrieu eloquently describes why New Orleans removed the statues, which weren’t erected immediately after the Civil War to honor the fighters, but to remind all who passed by the statues about white supremacy.

Here’s the text from the YouTube page on which this video appears:

On Friday, May 19, 2017, Mayor Mitch Landrieu delivered an address about the City of New Orleans’ efforts to remove monuments that prominently celebrate the “Lost Cause of the Confederacy.” The statues were erected decades after the Civil War to celebrate the “Cult of the Lost Cause,” a movement recognized across the South as celebrating and promoting white supremacy.

There are four prominent monuments in question. The Battle of Liberty Place monument was erected by the Crescent City White League to remember the deadly insurrection led by white supremacists against the City’s racially integrated police department and government. The Jefferson Davis statue on Jefferson Davis Parkway, the P.G.T. Beauregard equestrian statue on Esplanade Avenue at the entrance to City Park, and the Robert E. Lee statue at Lee Circle.

Pueblo, CO, clinic rewrites the book on primary medical care by asking patients about their childhood adversity

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In October 2015 in Pueblo, CO, the staff members of a primary care medical clinic – Southern Colorado Family Medicine at the St. Mary-Corwin Medical Center – start asking parents of newborn babies to kids five years old about the parents’ adverse childhood experiences and the resilience factors in their lives. They ask the same questions of pregnant women and their partners in the hospital’s high-risk obstetrics clinic.

The results are so positive after the first year that the clinic starts asking parents of kids up to 18 years old. The plans are to do the same in the hospital’s emergency room.

Why? They think it gives kids a leg up on a healthier start in life. They think it helps adults understand and manage their own health better. They think it helps physicians better understand and help their patients. Oh yeah – and it looks like it’s going to save money. Probably a lot of money.

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This EMT integrates ACEs, offers emotional first aid

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Peter Chiavetta and the handouts he gives patients

One day, when Peter Chiavetta was just out of college, he was driving down a road in Eden, NY. Before he could even give the slightest conscious thought to his actions, he swerved off the road onto the shoulder. The car that was heading straight at Chiavetta slammed into the vehicle behind him.

“I thought I was a good prepared citizen,” recalls Chiavetta. “I had road flares and a two-pound fire extinguisher in the trunk of my car. I’m standing in the middle of the road with my little fire extinguisher, while on the ground the two passengers in the car behind me had been ejected and were lying motionless. Out of nowhere a man appeared with a first-aid kit and tried to help one of the victims. The driver — covered with blood and his knees are chopped down to bone — was calling out to me for help. I had no idea how to help him.”

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How to bring restorative justice to your school

Levine-336x336By David Levine, JJIE.org

Hey, you! Yes, YOU can make it happen! Anyone can. Whether you are a principal, a student, counselor or teacher, you can be the one to speak up for restorative justice. “Be the change you wish to see in the world” (Mahatma Gandhi).
Though I currently work full time as a restorative justice facilitator, it wasn’t always this way. At my last school it was a student, a junior, who decided our school needed this approach. He found backing from our principal, and he found a mentor in me, his advisor/teacher.

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Katie A. foster care case, part 3: Los Angeles — making progress, but much work left in mental health services

AastridBy Jeremy Loudenback

The Katie A. v. Bonta lawsuits leveled California and Los Angeles County with the charge that every county in the state provide adequate mental health services for some of its most vulnerable children.

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Katie A. foster care case, part 2: Sun sets, perhaps prematurely, on CA settlement

National Center for Youth Law Executive Director John O’Toole.

National Center for Youth Law Executive Director John O’Toole.

By John Kelly

In Katie A. v Bonta, a class-action lawsuit over mental health services for children involved in California’s child welfare system, Los Angeles County settled with plaintiffs in 2003; the state settled on behalf of the other 57 counties in 2011.

Like most lawsuits and the settlements that stem from them, Katie A. involves lots of technical requirements. Counties must demonstrate that they assess and treat mental health using a core practice model that involves specified coordination and service delivery strategies.

But what it comes down to is this: Prior to the settlements, child welfare agencies in California were failing on both ends of the mental health spectrum.

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