The document summarizes research related to screening for trauma symptoms among young men of color. It describes conducting focus groups and structured interviews with this population to understand their experiences with trauma and healthcare systems. It also details developing and piloting the Screening Tool for Awareness and Relief of Trauma (START), which includes 6 questions to screen for trauma symptoms and 7 brief interventions. Testing showed most participants experienced multiple trauma symptoms and over 90% found the interventions helpful. The goal is to create a practical tool to address the daily impacts of trauma outside of a clinical diagnosis of PTSD.
The festival season has began. For some people the season has triggered painful memories of loss and grief. It becomes very important to understand PTSD and. Our awareness can help them in their healing process.
SHARE Presentation: Sexuality and Intimacy after Cancer with Dr. Mindy Schiffmanbkling
The diagnosis and treatment of breast or ovarian cancer can profoundly affect body image, intimacy, and sexuality, leading to concerns about feeling and being desirable, as well as fears of negative reactions from partners. Dr. Mindy R. Schiffman, Clinical Psychologist and Sex Therapist, NYU Langone Fertility Center, will discuss ways to counter the emotional and sexual fallout of a cancer diagnosis and treatment.
Beth Burgess on how to overcome severe anxiety and major addictions in favor of a happy, healthy life.
http://rachelrofe.com/beth-burgess-on-how-to-overcome-severe-anxiety-and-major-addictions-in-favor-of-a-happy-healthy-life
The festival season has began. For some people the season has triggered painful memories of loss and grief. It becomes very important to understand PTSD and. Our awareness can help them in their healing process.
SHARE Presentation: Sexuality and Intimacy after Cancer with Dr. Mindy Schiffmanbkling
The diagnosis and treatment of breast or ovarian cancer can profoundly affect body image, intimacy, and sexuality, leading to concerns about feeling and being desirable, as well as fears of negative reactions from partners. Dr. Mindy R. Schiffman, Clinical Psychologist and Sex Therapist, NYU Langone Fertility Center, will discuss ways to counter the emotional and sexual fallout of a cancer diagnosis and treatment.
Beth Burgess on how to overcome severe anxiety and major addictions in favor of a happy, healthy life.
http://rachelrofe.com/beth-burgess-on-how-to-overcome-severe-anxiety-and-major-addictions-in-favor-of-a-happy-healthy-life
HOW TO COPE WITH THE PSYCHOLOGICAL IMPACT OF COVID 19 AND SOCIAL DISTANCINGis...Louis Cady, MD
In this presentation, Dr. Cady will review:
- What did Sparky learn about not being an emotional support animal?
- "Do it to yourself psychotherapy." Learn the following:
- What are the wrong - and the RIGHT ways of any sort of "behavioral therapy"?
- How to use a journal to think RATIONALLY and “get out of your head.”
- How to get out of your HEAD and into your LIFE.
- We'll cover all 10 of David Burns’ cognitive distortions, customized and gift-wrapped for dealing with COVID 19.
- We will cover actionable examples of how to reprogram yourself.
We will review What are the 3 P's of Positive Psychology and Learned Optimism?
The Cady 5 "5P’s” and “How to shrink yourself."
Can we find the GOOD in COVID?
This presentation is meant to be provocative and to challenge you mentally, intellectually, and emotionally. Some of the great thinkers and exemplars of human performance and possibility are featured.
Post-traumatic stress disorder (PTSD) is a
real illness. You can get PTSD after living through or seeing a traumatic
event, such as war, a hurricane, rape, physical abuse or
a bad accident. PTSD makes you feel stressed and afraid after the danger is
over. It affects your life and the people around you.
PTSD can cause problems like:
-- Flashbacks, or feeling like the event is
happening again
-- Trouble sleeping or nightmares
-- Feeling alone
-- Angry outbursts
-- Feeling worried, guilty or sad
PTSD starts at different times for
different people. Signs of PTSD may start soon after a frightening event and
then continue. Other people develop new or more severe signs months or even
years later. PTSD can happen to anyone, even children.
Medicines can help you feel less afraid and
tense. It might take a few weeks for them to work. Talking to a specially
trained doctor or counselor also helps many people with PTSD. This is called
talk therapy.
HOW TO COPE WITH THE PSYCHOLOGICAL IMPACT OF COVID 19 AND SOCIAL DISTANCINGis...Louis Cady, MD
In this presentation, Dr. Cady will review:
- What did Sparky learn about not being an emotional support animal?
- "Do it to yourself psychotherapy." Learn the following:
- What are the wrong - and the RIGHT ways of any sort of "behavioral therapy"?
- How to use a journal to think RATIONALLY and “get out of your head.”
- How to get out of your HEAD and into your LIFE.
- We'll cover all 10 of David Burns’ cognitive distortions, customized and gift-wrapped for dealing with COVID 19.
- We will cover actionable examples of how to reprogram yourself.
We will review What are the 3 P's of Positive Psychology and Learned Optimism?
The Cady 5 "5P’s” and “How to shrink yourself."
Can we find the GOOD in COVID?
This presentation is meant to be provocative and to challenge you mentally, intellectually, and emotionally. Some of the great thinkers and exemplars of human performance and possibility are featured.
Post-traumatic stress disorder (PTSD) is a
real illness. You can get PTSD after living through or seeing a traumatic
event, such as war, a hurricane, rape, physical abuse or
a bad accident. PTSD makes you feel stressed and afraid after the danger is
over. It affects your life and the people around you.
PTSD can cause problems like:
-- Flashbacks, or feeling like the event is
happening again
-- Trouble sleeping or nightmares
-- Feeling alone
-- Angry outbursts
-- Feeling worried, guilty or sad
PTSD starts at different times for
different people. Signs of PTSD may start soon after a frightening event and
then continue. Other people develop new or more severe signs months or even
years later. PTSD can happen to anyone, even children.
Medicines can help you feel less afraid and
tense. It might take a few weeks for them to work. Talking to a specially
trained doctor or counselor also helps many people with PTSD. This is called
talk therapy.
Ipsos MORI Scotland: Satisfaction with Party LeadersIpsos UK
As the debate on the independence referendum intensifies, our latest poll reveals a fall in satisfaction with the First Minister although the SNP lead over Labour continues to grow.
HISTORIC FOUNTAIN RESTORATION NEBRASKA
MASONRY REPAIR RESTORATION & PRESERVATION NEBRASKA
The Masons Co and Dionysian Artificers Nebraska is a Historic Masonry and Fountain Restoration Company Nebraska specializes in all types of masonry repair, fountain installation, water features designs. Whether being a simple problem when tuckpointing can complete the repair to complicated masonry rebuilds. The Masons Co and Dionysian Artificers/ Masonry Restoration Company Nebraska / Water Features Designs Nebraska has the knowledge and expertise to complete any level of rebuild.
Im Land des Ahornblattes - Unterwegs im Westen Kanadas erlebe-fernreisen
Entdecken Sie mit uns Kanada! Wir laden Sie am 24. September zu einem virtuellen Infoabend ein!
Wir nehmen Sie mit auf eine Reise durch den abwechslungsreichen Westen Kanadas - von der pulsierenden Stadt Vancouver, zu den Orca vor Vancouver Island und durch die imposanten Rockies bis nach Calgary. Kommen Sie mit uns auf die Suche nach „Bären, Seen und Wäldern“!
Unsere Reispezialistinnen Yvonne Sievers, Christiane Cürvers und Muriel Küppers werden Sie durch den Abend führen und Ihnen Rede und Antwort stehen.
Eine Auftzeichnung des Infoabends können Sie hier sehen: https://attendee.gotowebinar.com/recording/1821437038373082881
The main aim of this report is to identify the different sustainable sources and systems of
energy and their technological principle which are under substantial development
replacing the conventional or traditional sources of energy. It is also the objective of this
study to indentify the advantages and disadvantages of each system of energy in their
current application now and in the future. In addition, the report discusses the different
Energy Systems and Efficient Energy Management systems, which are currently in use.
Moreover, the report addresses the environmental, social and economic aspects
sustainable energy in the context of buildings and small villages.
In a world where distractions were long thought the enemy, one man befriends that foe and finds freedom and a shining object in her rock. Since then he has embraced the distraction and searches to know better in the epic battle against the norm. And now distracted with Mark Patey.
SCOOTEROER33c Sickle Cell in Schools MethodologyVivien Rolfe
Lecture series on research into the educational experiences of young people with sickle cell disease. A narrated version is available on the SCOOTER project website. http://www.sicklecellanaemia.org/OER/resources/scooter30-35/scooter33.html
Don’t miss our upcoming webinars: Subscribe today!
In this webinar:
Oncologist Rob Rutledge provides practical advice and healing skills for people who are anxious about their cancer recurring. Rob draws on 25 years of clinical practice, over 50 skills for healing retreats, and the neuroscience of mind-body medicine to explain that anxiety is normal and expected, and what to do when it becomes overwhelming.
The webinar was followed by a question & answer session.
View the video:
https://youtu.be/f6vJdKM3qLk
To learn more about CCSN, visit us at survivornet.ca
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How to Reinvent Yourself with Tami GreenTami Green
Six steps on how to reinvent yourself, no matter what!
After a bitter and protracted custody battle, declining mental health and three subsequent suicide attempts, I was diagnosed with a serious mental illness.
Though fearful of the consequences of exposing myself, I decided I would turn my life around and help others who had suffered as I had.
The next few years were spent testifying to members of Congress, speaking at local support groups and at thought leader conferences to offer my support, hope and encouragement that recovery was possible.
My YouTube Channel grew to 700,000 views, I published six short books, one of which was translated into Japanese, and developed a certification training program for others who wanted to peer coach.
During this time, I was estranged from most of my five children. The pain of the separation pushed me even further to learn how to stay healthy. My goal was to be the very best mother I could be should they ever return to my care.
After many years, I was reconciled with all my children and got married. I gave birth to my son, Hunter, at the age of 48, and had my twin girls at the age of 50.
My story is a story of redemption and second chances and this workshop is about the nuts and bolts of what one can DO give themselves a fresh start and live a new, intentional life.
Thanks for stopping by!
With love, Tami
In my last article, “Watch who you share your pain with,” I described several kinds of people who only make your pain worse by saying the wrong things. I call them, collectively, Dementors, familiar to Harry Potter fans as creatures who suck all hope out of you. They may magnify your tiny symptom into sure death, or seemingly provide incontrovertible evidence that your dreams can never succeed.
Exploring the transition to secondary progressive MS (SPMS): patient, carer a...MS Trust
This presentation by Professor Adrian Edwards and Dr Freya Davies from the Institute of Primary Care and Public Health at Cardiff University looks at the experiences of patients, carers and clinicians at the stage of transition to SPMS.
It was presented at the MS Trust Annual Conference in November 2014.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
1. Linnea Ashley
National Training and Advocacy Manager, Youth ALIVE!
Nicky MacCallum
Clinical Director, Youth ALIVE!
Anne Marks
Executive Director, Youth ALIVE!
Vincent Chong, MD
Surgery Resident, Highland Hospital/UCSF-East Bay
John Rich, MD
Director, Center for Nonviolence and Social Justice
Ted Corbin, MD
Medical Director, Healing Hurt People
3. Purpose of our trauma
research project
Research design
Focus group results
Piloting & Survey
results
What START looks like
Next steps
Q&A
4. Purpose of our trauma
research project
Research design
Focus group results
Piloting & Survey
results
What START looks like
Next steps
Q&A
5. Some people have symptoms from trauma
Those symptoms are often undiagnosed
Symptoms make people vulnerable to violent
trauma
Young men of color are disproportionately
exposed to violence and trauma
6. People See: What it is:
Hostility
Callousness/
coldness
Anger
Hyperarousal
Numbing
Reliving
7. Understand BMoC experiences with systems
◦ How and where do they seek care?
◦ What helped them heal from trauma?
Learn appropriate language to use/avoid
Create a trauma symptoms tool
Provide short but effective interventions
8. Goal: a practical
application of Trauma-
Informed Care
Even if you don’t have
PTSD, trauma symptoms
disrupt your life.
Create “aspirin” for the
daily aches and pains of
trauma
9. Purpose of our trauma
research project
Research design
Focus group results
Piloting & Survey
results
What START looks like
Next steps
Q&A
10. Assembled/convened the
research team and
Advisory Board
Prepared a literature
review
Conducted 4 focus groups
with GSW survivors
69 structured survey and
intervention pilot
interviews with local young
men of color
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
11. Youth ALIVE!
Alameda Health System /
Highland Hospital
Center for Nonviolence and
Social Justice
Consultants & volunteers
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
12. Advisors represented:
Study population
Public hospital system
Private hospital system
Children’s hospital
Public health department
Courts
Probation
School district
Service provider
Policy advocate
Subject matter experts
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
13. Purpose: To summarize research
related to the health challenges
facing BMoC, where they seek
care, and how they can better be
served, specifically as it relates to
their trauma symptoms.
Topics:
Portals of Care
PTSD
Screening Tools and
Interventions
SBIRT
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
14. 4 Focus Groups with:
18-25 year olds
Current/former clients (GSW
survivors)
African-American and/or Latino
Topics:
Where they seek care
Who they trust to provide care
What support they would want after
trauma
How they experience and talk
about trauma symptoms
What interventions work for them
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
15. 69 interviews with:
18-30 year olds
African-American and/or Latino
Snowball sample
Survey:
2 versions each of screening
questions for 6 trauma symptoms
Where and with whom they would
answer screening questions
Pilot:
How they experience and talk
about trauma symptoms
What interventions work for them
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
17. 7 brief interventions:
Common symptoms of trauma
Psychoeducation handout on
Every day ways trauma is
impactful
Belly breathing
Calming/Grounding exercise
Domino
Grounding exercise
Progressive relaxation
Relaxation/Grounding exercise
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
Continued..
18. Hand massage
Relaxation/Grounding exercise
B.E.T.T.E.R. Sleep
Psychoeducation handout on
healthy sleep hygiene practices
Safety or “S.O.S.” plan
Booklet of self-care activities
utilized to develop an
individualized plan for
symptom management.
Advisory
Board
Literature
review
Focus
Groups
Structured
Interviews
21. Purpose of our trauma
research project
Research design
Focus group results
Piloting & Survey
results
What START looks like
Next steps
Q&A
22. Larger Themes
◦ Provider-patient
misalignment of
expectations
◦ Different provider
characteristics
i.e. “Children’s treats
you…”
i.e. “Highland treats
you…”
◦ Nontraditional
providers
i.e. Cannabis Clubs
◦ Issues of trust
◦ Manifestations of
Trauma and Stress
What patients need
to seek for help
Coping mechanisms
How young people
talk about stress
23. Re-
experiencing
◦ Replay
◦ Surviving
◦ Scars
◦ Déjà vu
Avoidance
◦ Staying under
(the radar)
◦ Laying low
Hyperarousal
◦ Mental pain
◦ Insomnia
◦ Being on Ps
and Qs
24. Self medication (Smoking weed)
Disrupted sleeping patterns
Discomfort waiting in the same spot
25. “And I don’t gang-bang or anything like or have
any enemies. That’s why I still living…I still live
in the location where I got shot and it’s a
trauma just passing by like every time. It’s
crazy. I don’t even want to talk about it.”
26. “Sometime you do need
a prescription and just
by how you acting, how
you look, the doctor
would be like, ‘No, you
need it because you
wanna get high.’ I’m
gonna get high if I need
it. You haven't been
knowin’ what I went
through.”
27. “Let me holler at you, let me see your
paperwork. How you feelin’? Good. Alright,
bam. Throw it back out. Do whatever you
gotta do.
Come back. “Oh, you still here” “Yeah, you
haven't seen me.” “Ok. Let me see you.’
Bam, bam, bam. “Okay you cool. Come
back in two- three weeks.”
Say what the fuck? (cont.)
28. They just write stuff on the paper. This what was
wrong with you last time. This what’s wrong with you
this time. This is getting better.
Okay. Bam. Two week check-up, see how you’re
doing’. Come back and that’s it.
Ain’t nobody gonna come back because you didn’t do
nothin’ while I was there.”
29. M4: We can talk to him,
everyone, like in the slang
or in our accents like how
we is --
M3: Straightforward --
M4: And then he can still
talk to us cool. Not like
everybody else. Not like
these guys came from
somebody else.
After listenin' to him,
getting advice or stuff.
I'm gonna help you out.
They never call you back
or nothin'. You call at
four shit and forget about
you. All that.
He don't. He just be,
"Alright, I'm gonna try to
do this.”
And if not then he'll just
give you a call back.
"Oh, I can't do it today.
Just give me two, three
more days or somethin’
and I'll get back at ya'.”
30. Male3: 'Cause he cool.
You ain't gotta be nobody
different, man. You just be
yourself. No matter if you
bad, good, sick, green,
purple, ugly, man.
If you know how to talk,
he understandin'. He gonna
talk to you.
If not, he's just gonna be
like,"I can't help you."
Or he gonna tell you why he
can't help you because this
person is being a cat or this,
this, this.
He ain’t speakin' down to you
he just said, "Well we can't do it
because of this reason."
If you can be the bigger person
like okay, that's it, then when
the next time maybe it be
better for you.
31. Moderator: When you
went back, what would
you expect or would you
want out of the doctors
or the nurses who were
helping you?
M5: Shit, just to check
me. Check me. Check
my injury. Check it right
M4: Do it faster, huh.
M5: Not faster,
but take care of it.
M4: Not to check it faster
but take care of business
faster.
M5: Yeah.
32. Sometimes you do need a prescription
and just by how you actin', how you look, the doctor
would be like, "No,
you need it because you wanna get high."
I'm gonna get high if I need it.
You haven’t been knowin what I went through.
You seen it or I gotta get to know you. What do
you gotta get to know me for? You already seen my
record
that’s all you need to know about me.
33. Shit, just tell them man,
we was born to live.
One day we gotta die.
So today's your day,
shit, you gotta die.
There's nothin' you can do
about it.
If it's your day,
it's your day.
M1: For real.
M3: For real.
If it is,
it's gonna come
how it's gonna come --
M4: That's how your destiny
is
M3: 'cause you kickin' it with
us
you gonna make your bed
and lay in it
in the same time.
So if this what you doin' wrong,
this is what's gonna come
wrong.
34. P1: Because I’ll be up
all night. Yeah.
P2: If you sleep during
the day.
P1: If I take a nap
during the day, I’ll be
up. I ain’t going to
sleep ‘til late.
P2: What’s strange is
babies sleep all day
and night, but as you
grow older, you sleep,
like you said, during
the day. Nighttime is
when you’re not
gonna sleep.
35. P1: The effects.
Effects.
P2: It’s probably like
when it just flashes in and out
like every now and then.
P1: Yeah.
When you just have flashbacks
and stuff…
P2: Dreams.
37. Purpose of our trauma
research project
Research design
Focus group results
Piloting & Survey
results
What START looks like
Next steps
Q&A
38. No Symptoms,
3% 1 symptom, 6%
2 symptoms,
20%
3 symptoms,
17%4 symptoms,
25%
5 symptoms, 9%
6 symptoms,
20%
Number of moderate to severe trauma symptoms
in study population
97% had at least
one moderate
trauma symptom
42. Yes, no
matter
what
55%
Yes, if
they're
trying
to help
36%
No
9%
mentor
Yes, no
matter
what
29%
Yes, if
they're
trying
to help
49%
No
22%
social worker
Yes, no
matter
what
33%
Yes, if
they're
trying
to help
56%
No
11%
psychiatrist
Yes, no
matter
what
40%
Yes, if
they're
trying
to help
41%
No
19%
counselor
Yes, no
matter
what
47%
Yes, if
they're
trying
to help
47%
No
6%
therapist
Would you
answer these
questions if
this person
asked you?
45. a lot
64%
some
-
what
32%
not
at all
4%
SOS Plan
a lot
56%
some
-
what
38%
not
at all
6%
Sleep
a lot
60%
some
-
what
31%
not
at all
9%
Breathing
a lot
62%
some
-
what
31%
not at
all
7%
Common Symptoms
a lot
37%
some
-
what
45%
not
at all
18%
Hand Massage
a lot
30%
some
-what
54%
not at
all
16%
Domino
a lot
29%
some-
what
46%
not at
all
25%
Prog. RelaxationWas this
relaxing/
useful/
helpful?
49. Universally applied:
Six-question screening questionnaire (2-3 minutes)
Brief psycho-education and a handout on common
trauma symptoms (3-4 minutes)
Potentially applied, based on screening score:
Structured discussion of sleep hygiene tips and
patient selection of next steps (3-5 minutes)
Short breathing/relaxation or hand
massage/grounding exercise (2-4 minutes each)
Patient creation of a personalized stress reduction
(S.O.S.) plan (10-18 minutes)
Referral to mental health assessment for PTSD
50.
51. Each of the START
interventions can be
done discreetly at home
START kit materials
provided free to patient
We are working with
partners to create a
START smartphone app
52. Purpose of our trauma
research project
Research design
Focus group results
Piloting & Survey
results
What START looks like
Next steps
Q&A
53. Disseminate completed research
Prepare START Kits – training and
implementation materials
◦ Conduct trainings for others to use START
◦ Create smartphone app
Pilot START at multiple locations
◦ Health clinics
◦ Schools
◦ Juvenile justice
◦ HVIPs
54. If you are interested in participating in the
expanded pilot please contact:
Editor's Notes
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Anne
Anne
Anne
Board met quarterly, reviewed study design and data, discussed policy recommendations, made tool useful to their settings
Anne
This literature review attempts to capture the available research related to the challenges facing boys and men of color relating not only to their health, but also where they seek care, and how they can better be served, specifically as it relates to assessment and intervention for their trauma-related symptoms.
Anne
Drawn from CiC
Facilitated, recorded, transcribed
Anne
Drawn from CiC
Facilitated, recorded, transcribed
Nicky
Each symptom
Sleep – connection to overall health, pervasive & common, self-medication
Focus – connected to ability sleep, work, school, success
Re-experiencing – even if it’s rare (%), that’s a lot, and many had commonly
Hyperarousal – connection to conflicts, violence, safety
Dissociation – this is common, and underdiagnosed because not as visible as hyperarousal
Physical – we asked b/c young males may be disconnected from emotions but are more connected to, or at least willing to talk about, what is happening to their bodies
Nicky
Nicky
Anne
Anne
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
In other words, spend time with me, but make it efficient. Get me in quicker, but then “Check it right.”
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea
Linnea/Vince
Linnea/Vince
Linnea/Vince
Linnea/Vince
Tried different versions of questions
Simplest is best
Version had more dispersal in scores
Linnea/Vince
Who do people trust?
Big negatives with social workers, positives with …?
“If I thought they were trying to help me” – explain this came from focus groups and why.
Private, face-to-face meeting
Qualitative data on how young men can tell you care
Don’t look down at paperwork
Answer questions
Explain why you are doing what you are doing before you do it
Self-disclosure – example of safety plan
Linnea
Tried different versions of questions
Simplest is best
Version had more dispersal in scores
Linnea/Nicky
Safety plan – agency of youth in making it their own is key. Trauma is not having control, so being in control is important. Also, name change as result of interviews. Also photos added.
Changes to interventions made because of feedback. Also focus group of interviewers to talk through these changes.
