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New and Newsworthy
Network of Care:
AAP- CA3 in Partnership with SDSU Social Policy Institute
In November, after an intensive planning period, the Social Policy Institute (SPI) and the American Academy of Pediatrics, CA Chapter 3 (AAP-CA3), co-facilitated their first Network of Care convening, focused on bringing different community-based organizations (CBOs) and pediatric providers in the North County area together. The group actively engaged in discussions around services and programs that help build protective factors in families and can buffer the effects of ACEs or even prevent future ACEs. Led by Dr. Pradeep Gidwani, Medical Director at the AAP-CA3, and Lori Clarke, Chief Programs Officer at the SPI, the group discussed how solid referral pathways between CBOs and pediatric providers can be established to ensure children and families are connected with services and programs they need. As a follow-up to this first Network of Care session in North County, the SPI team is collecting referral information and related materials to share with all participants.
How ACE Training Helps My Patients Through the COVID-19 Pandemic
I am a primary care pediatrician. My usual day consists of seeing a few dozen kids in my office. Most of them are healthy and happy. We discuss growth and development, give some immunizations, and answer parental questions. Then COVID-19 hit, and everything changed.
Hope in Times of Adversity
Some but not all children face adversities growing up, such as abuse or neglect, caregiver substance abuse, divorce, or mental illness in their home and these challenges are considered Adverse Childhood Experiences (ACEs). ACEs are common and in California – about 6 out of 10 residents experienced at least 1 ACE before the age of 18, and 4 out of 10 reported at least 2 or more ACEs. And about 16 percent experienced 4 or more categories of ACES (1). Research suggests that children who experience four or more ACEs have a higher risk of poor health outcomes as adults than those with fewer ACEs.
ACEs Aware Grantee Spotlight with Dr. Nadine Burke Harris
Last month, ACEs Aware held a Grantee Spotlight with the California Surgeon General (Dr. Nadine Burke Harris) and ACEs Aware grant recipients. Dr. Burke Harris believes that California is taking the most innovative, forward-looking, and evidence-based approaches to addressing childhood adversity and toxic stress.
Looking ahead, Dr. Harris is hoping that the ACEs Aware Initiative will be able to provide more support, specifically to networks of care. ACE screening enables early detection. The purpose of screening is to identify individuals who may be at high risk for toxic stress response and to apply interventions that can address that. Some of those interventions happen at clinics and some happen in the community. She shares that it takes a network of care to address those interventions. ACEs Aware hopes to announce additional resources this winter.
Dovetail Learning: We Are Resilient Trainings
Dovetail Learning has launched its next round of We Are Resilient™ trainings. We Are Resilient™ is a practical hands-on approach to strengthening resilience, designed to aid screeners, healthcare providers, and staff to be more comfortable addressing ACEs and trauma and provide trauma-informed care. The training helps providers manage their own vicarious trauma and provides anticipatory guidance to support patients/caregivers in strengthening their own resilience skills. Training choices include 2 (90-min) Interactive webinars or 6 (1-hour) weekly Resilience Circle sessions. 

Free for Medi-Cal providers and staff. 
Training dates from Nov 30-Feb 28 available.

Note: These are supplementary trainings, supported by the ACEs Aware initiative, but these trainings do not qualify providers to bill Medi-Cal for ACE screenings. To be qualified for screening billing, please see Core Trainings on the ACEs Aware website
Resources To Help You Support Your Patients
Coping with Stress During the COVID-19 Pandemic One-Pager
Highlights From Recent Trainings/Webinars
(We watched them in case you didn't have time to!)
The Neurobiology of the Developing Child
Dr. Pradeep Gidwani's full workshop from the 11th Annual Early Childhood Mental Health Conference (September 10-12th, 2020)
Dr. Pavlovich Highlights from AAP-CA3's School Health Conference
Highlights include:
  • ACEs
  • ACEs Screening
  • Trauma-Informed Care
ACEs Connection: Hope & Progress, No Matter What
Highlights include a discussion about the relationship between ACEs, Racism and Inequity with Ingrid Cockhren.

How Healthcare Can Help
  • Use a trauma-informed framework
  • Learn & implement the key ingredients for a trauma-informed practice
  • Use key elements of trauma-informed care
  • Screen for substance use and substance use disorder
Upcoming Webinars/Events/Trainings
(Skimmed down so you know these are worthwhile!)

Network of Care Meeting
(Central San Diego)

December 11th, 2020
Noon - 1:30 p.m.


Network of Care Meeting
(East San Diego)

December 15th, 2020
Noon - 1:30 p.m.

AAP-CA3 ACEs Committee Meeting

January 19th, 2021
6:30-8 p.m.

AAP-CA3 Virtual Office Hours

January 28th, 2020
Noon - 1 p.m.

"The Clinical Encounter: Exams, Tests & Procedures"

December 17, 2020
Noon - 2 p.m.

"Screening and Responding to ACEs & Trauma"

January 14, 2021
Noon - 2 p.m.

"Staff Wellness, Vicarious Trauma & Burnout: Is it Real? What are the Differences"

February 18, 2021
Noon - 2 p.m.
"Balancing ACEs with HOPE: Healthy Outcomes from Positive Experiences"

January 7, 2021
Noon - 1 p.m.
"Impact of Childhood Exposure to IPV and Other ACEs on Health and Well-Being Throughout the Lifespan"

January 21, 2021
Noon - 1 p.m.
AAP Chapter Updates
AAP-CA1 ACEs Aware Grant
AAP-CA1 has been hard at work developing a comprehensive communications strategy for the ACEs initiative. Our communications team consists of six pediatricians, providing expertise on their experience screening for ACEs alongside our project manager and project coordinator overseeing the process. The group has shared their experiences and perspectives on ACEs screening in practice and outlined both the barriers and facilitators to adopting trauma-informed care practices. Our communications are intended to reach a varied audience of pediatricians, and try to motivate pediatricians in various stages of change to adopt new practices and work flows.
AAP-OC ACEs Aware Grant
As an ACEs Aware grant recipient, AAP-OC will conduct peer-to-peer learning and quality improvement to promote the initiative among the Medi-Cal provider community in Orange County.