scholarly journals underdog DREAMS: Improving Long-Term Quality of Life Outcomes for Florida’s Foster Youth and Families

2021 ◽  
Author(s):  
Annette Bell ◽  
Slyving Bourdeau ◽  
Asha Davis ◽  
Amanda Stanec ◽  
Derrick Stephens
Keyword(s):  
Foster Youth ◽  
Primary Care Providers ◽  
Care Providers ◽  
Life Outcomes ◽  
Physical And Mental Health ◽  
Childhood Experiences ◽  
Foster Care System ◽  
Adverse Childhood

Children and youth in the foster care system face significant and continuing barriers to both physical and mental health, including lack of a medical home, disruptions in primary care providers, frequent moves to new homes, excessive caseloads for oversight providers, and at times continuing exposure to the risk factors that are considered Adverse Childhood Experiences (ACEs). The underdog DREAMS project sought to alter the course of the foster youth experience via a tri-part model that focused on clinical, research, and advocacy interventions for foster youth and the development of the workforce that supports them through training on the impacts of trauma and poverty.

The Relationship Between Adverse Childhood Experiences and Recidivism in a Sample of Juvenile Offenders in Community-Based Treatment

2015 ◽  
Vol 61 (11) ◽  
pp. 1210-1242 ◽  
Author(s):  
Kevin T. Wolff ◽  
Michael T. Baglivio ◽  
Alex R. Piquero
Keyword(s):  
Juvenile Offenders ◽  
Adverse Childhood Experiences ◽  
Life Outcomes ◽  
Long Term Effects ◽  
Community Based ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Juvenile Justice Policy ◽  
The Relationship

Adverse childhood experiences (ACEs) have been identified as a key risk factor for a range of negative life outcomes, including delinquency. Much less is known about how exposure to negative experiences relates to continued offending among juvenile offenders. In this study, we examine the effect of ACEs on recidivism in a large sample of previously referred youth from the State of Florida who were followed for 1 year after participation in community-based treatment. Results from a series of Cox hazard models suggest that ACEs increase the risk of subsequent arrest, with a higher prevalence of ACEs leading to a shorter time to recidivism. The relationship between ACEs and recidivism held quite well in demographic-specific analyses. Implications for empirical research on the long-term effects of traumatic childhood events and juvenile justice policy are discussed.

scholarly journals Exploring the impact of adverse childhood experiences on symptomatic and functional outcomes in adulthood: advances, limitations and considerations

2017 ◽  
Vol 35 (1) ◽  
pp. 5-7
Author(s):  
J. Cotter ◽  
A. R. Yung
Keyword(s):  
Therapeutic Interventions ◽  
Traumatic Experiences ◽  
Physical And Mental Health ◽  
Cognitive Measures ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Clinical Disorders ◽  
Complex Relationships ◽  
The Impact

Exposure to traumatic experiences in childhood is a risk (and potentially causal) factor for the development of a range of adverse physical and mental health conditions. In addition to the onset of clinical disorders, there is emerging evidence that childhood trauma may also be associated with other long-term outcomes, such as the persistence and severity of an individual’s symptoms, as well as their long-term social and occupational functioning. However, the reasons for this remain poorly understood. A greater understanding both of the mediators that drive these associations, and those variables that enhance resilience against such damaging experiences may help to inform effective therapeutic interventions. In addition to biological and cognitive measures, there is a need to consider social and environmental factors, such as parental bonding and attachment, when investigating these complex relationships.

The Potential of Early Intervention for Preventing and Reducing ACE-Related Trauma

2019 ◽  
Vol 18 (3) ◽  
pp. 425-434 ◽  
Author(s):  
Kirsten Asmussen ◽  
Tom McBride ◽  
Stephanie Waddell
Keyword(s):  
Mental Health ◽  
Adverse Childhood Experiences ◽  
Quality Of Services ◽  
Physical And Mental Health ◽  
Vulnerable Children ◽  
Childhood Experiences ◽  
Societal Issues ◽  
Life Chances ◽  
Adverse Childhood

Too many children face disadvantages that negatively impact their health, happiness and future life chances. Adverse Childhood Experiences (ACEs) represent a particularly traumatic set of circumstances that have been found through research to dramatically increase the likelihood of poor adult physical and mental health outcomes. While we do not view ACEs to represent the only or necessarily the most serious risks to children’s development, we do recognise them to pose a substantial threat. This article identifies twenty-four interventions with causal evidence of preventing or reducing ACE-related trauma and considers how they could be offered through system-wide strategies aimed at improving the lives of children who are at the greatest risk. While we are not suggesting that these interventions – on their own or in combination – represent a magic solution to ACEs, or the wider societal issues that contribute to them, we do propose that knowledge about their effectiveness can improve the quality of services that support the needs of highly vulnerable children.

scholarly journals Family Medicine Resident Knowledge of Adverse Childhood Experiences

PRiMER ◽  
2021 ◽  
Vol 5 ◽  
Author(s):  
Kimberly Collins ◽  
Carolin Spice ◽  
Bailey C. Ingraham ◽  
Morhaf Al Achkar
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Adverse Childhood Experiences ◽  
Primary Care Providers ◽  
Comfort Level ◽  
Care Providers ◽  
Childhood Experiences ◽  
Knowledge And Attitudes ◽  
Adverse Childhood ◽  
Family Medicine Residents

Introduction: Exposure to adverse childhood experiences (ACEs) has been associated with poor health in adulthood. Primary care providers can provide more appropriate medical care and intervene if they ask patients about ACEs. The purpose of this study is to determine existing knowledge and attitudes about ACEs among family medicine residents within the Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) region. Methods: Researchers developed a nine-question survey to assess family medicine residents’ knowledge and attitudes about ACEs, and their comfort level in addressing ACEs. The survey was distributed to 540 residents in 22 family medicine residency programs in the WWAMI region. Results: Most residents reported they had some (32%) or moderate (35%) knowledge of the ACEs study. However, 30% reported no knowledge of the ACEs study, and very few (3%) reported significant knowledge. Of 117 respondents reporting at least some prior knowledge of ACEs, 42% had first heard about ACEs during residency. The ACEs topics that respondents felt least comfortable addressing during a patient encounter were a patient’s personal history of sexual abuse (75%) and witnessing physical abuse (47%). Most residents (84%) indicated that they would like to see ACEs integrated into their residency curriculum. Discussion: This study demonstrates a gap in residency training on the topic of ACEs in family medicine residencies within the WWAMI region. Residents are uncomfortable addressing ACEs with patients but are receptive to learning about this topic. More teaching about ACEs can increase residents’ comfort level with addressing these topics in the primary care setting.

scholarly journals Tyrosine Kinase Inhibitor Induced Isolated Pericardial Effusion

2015 ◽  
Vol 8 (1) ◽  
pp. 88-93 ◽  
Author(s):  
Vineet Agrawal ◽  
Eric S. Christenson ◽  
Margaret M. Showel
Keyword(s):  
Primary Care ◽  
Pericardial Effusion ◽  
Tyrosine Kinase ◽  
Kinase Inhibitor ◽  
Early Recognition ◽  
Primary Care Providers ◽  
Incidence Rates ◽  
Term Therapy ◽  
Care Providers

Long-term therapy with tyrosine kinase inhibitors (TKI) has resulted in improved outcomes for patients suffering from Bcr-Abl fusion protein-harboring leukemias. As a result, a growing population of patients on TKI therapy present to their primary care providers. In this case, we report on the case of a 62-year-old male who presented with a symptomatic pericardial effusion. After pericardiocentesis, malignancy and infectious etiologies were excluded. The pericardial effusion was attributed to his TKI, with a transition of this medication to a different TKI. A repeat evaluation 1 month following the withdrawal of the offending agent showed no recurrence of his pericardial effusion on echocardiogram. In this report, we will highlight a rare but important side effect of TKI therapy before discussing its purported mechanisms and differing incidence rates. Early recognition of serosal inflammation related to long-term TKI therapy by primary care providers is important in preventing patient morbidity and mortality.

scholarly journals Long-term follow-up after active surveillance or curative treatment: quality-of-life outcomes of men with low-risk prostate cancer

2017 ◽  
Vol 26 (6) ◽  
pp. 1635-1645 ◽  
Author(s):  
Lionne D. F. Venderbos ◽  
Shafak Aluwini ◽  
Monique J. Roobol ◽  
Leonard P. Bokhorst ◽  
Eric H. G. M. Oomens ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Treatment Quality ◽  
Life Outcomes ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer ◽  
Long Term Follow Up
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