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Supporting student mental health takes the whole village, from educators to families to community organizations.
By Mary Westervelt, PACEs Connection member
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We know how challenging it can be to support a youth who is impacted by the stress and stigma of a parent's substance use, and we also know that your care can be one of the greatest sources of well-being a youth can have.
By Agnes Chen, PACEs Connection member
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At the HOPE National Resource Center, we create resources all year round. Many of our resources are created in collaboration with HOPE Facilitators, HOPE Champions, and others who are implementing the HOPE framework in their organization or community.
By Laura Gallant, PACEs Connection member
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The Atlantic
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USA TODAY
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Forbes
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healthshots
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Psychology Today
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Ed. note: Dr. Harise Stein at Stanford University edits a website — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on PACEs science. Every month, she posts summaries of the abstracts and links to research articles that address only PACEs. Here are 6 of the 35 that she found for this week. You can read them all here.
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Gordon JB, Felitti VJ.
The Importance of Screening for Adverse Childhood Experiences (ACE) in all Medical Encounters. AJPM Focus. 2023;2(4):100131. PMID: 37790951
In this editorial, authors advocate for ACE screening in clinical interactions, and counter recent arguments against doing so.
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Networks of Adversity in Childhood and Adolescence and Their Relationship to Adult Mental Health. Res Child Adolesc Psychopathol. 2023 Dec;51(12):1769-1784. PMID: 36331717
Using network analysis to reveal adversity clusters from the Avon Longitudinal Study of Parents and Children, “Emotional and physical abuse were central to the network of adversities. Emotional abuse was especially connected to mental health issues in early adulthood, highlighting that preventing this type of adversity may be relevant in addressing depression as a public health issue. During adolescence, adversities can be divided into direct abuse, family, and social/educational factors. Adolescent adversities such as housing issues and abuse by a romantic partner were central in the network of adversities. Educational issues were strongly connected to mental health issues later in life. Different adversities may need to be considered to support adolescents compared to children. Future research should deepen this understanding and work towards a comprehensive approach to tackle adversity across the lifespan.”
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Gastineau KAB, McKay S.
Firearm Injury Prevention. Pediatr Clin North Am. 2023 Dec;70(6):1125-1142. PMID: 37865435
“Firearms are the leading cause of death for US youth, overtaking motor vehicle collisions in 2020. Approximately 65% are due to homicide, 30% to suicide, 3.5% to unintentional injuries, 2% are undetermined intent, and 0.5% are from legal interventions. In homes with firearms, the likelihood of unintentional death, suicide, and homicide is three to four times higher than those without firearms. Secure storage of firearms, having them locked, unloaded, and separate from ammunition can prevent unintentional firearm injuries.”
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Tolliver DG, He Y, Kistin CJ.
Child Maltreatment. Pediatr Clin North Am. 2023;70(6):1143-52. PMID: 37865436
“Child maltreatment is associated with significant morbidity, and prevention is a public health priority. Given evidence of interpersonal and structural racism in child protective service assessment and response, equity must be prioritized for both acute interventions and preventive initiatives aimed at supporting children and their families. Clinicians who care for children are well-positioned to support families, and the patient-centered medical home, in collaboration with community-based services, has unique potential as a locus for maltreatment prevention services.”
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Choi KR, Wisk LE, Zima BT.
Availability of LGBTQ Mental Health Services for US Youth, 2014 to 2020. JAMA Pediatr. 2023 Aug 1;177(8):865-867. PMID: 37273225
“Approximately 1 in 10 children and youth in the US identifies as being in a sexual or gender minority group (lesbian, gay, bisexual, transgender, queer [LGBTQ]). Compared with heterosexual or cisgender youth, LGBTQ youth have 3 times higher prevalence of depression and anxiety, and 42% have considered suicide. Fifty-four percent of LGBTQ youth reported wanting mental health care but not receiving any, partly due to adverse experiences with clinicians and perceptions that clinicians do not understand sexual or gender identity–related mental health needs.” From a data review of service availability by state, “Twenty-eight percent of youth-serving US mental health facilities offered LGBTQ-specific mental health services in 2020. Although some states had relatively high levels of LGBTQ service availability as a percentage of facilities, many of these states had few facilities available to children per capita. Public mental health facilities were less likely to offer LGBTQ-specific mental health services, a concern given that the cost of care is a barrier to services.”
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Metzger IW, Moreland A, Garrett RJ, et al.
Black Moms Matter: A Qualitative Approach to Understanding Barriers to Service Utilization at a Children's Advocacy Center Following Childhood Abuse. Child Maltreat. 2023;28(4):648-60. PMID: 37042334
“Black maternal caregivers reported barriers to accessing services at CACs [children’s advocacy centers] including a lack of assistance and information in the referral and onboarding process, transportation issues, childcare, employment hours, system mistrust, stigma associated with the service system, and outside stressors such as stressors related to parenting. Maternal caregivers also shared suggestions for improving services at CACs including increasing the length, breadth, and clarity of investigations conducted by child protection services and law enforcement (LE) agencies, providing case management services, and having more diverse staff and discussing racial stressors.”
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