Painful Questions: What Happens When Doctors Uncover Adverse Childhood Experiences?

As California launches widespread screening for adverse childhood experiences, critics question the science, and the consequences.

While few doubt that severe stress in childhood can lead to ailments later in life, tools used during doctors’ appointments are described in prominent scientific journals as inappropriate and unethical, oversimplifying human experience and straining doctor-patient trust.

Pandemic Pushes Parents Of Kids With Special Needs To Breaking Point

Thousands of parents across California are caring for children with physical, behavioral and developmental conditions. They typically rely on a small army of teachers, therapists, nurses and other caregivers to get through the week. But that has been stripped away due to the COVID-19 pandemic.

Parents are feeling isolated, stressed and overwhelmed at a time when families need more support than ever to deal with a loss of routine, heightened anxiety and other challenges.

Opinion: Methane Leaks in the Central Valley May Be Worsening COVID-19 Cases

COVID-19 is now on track to become one of the top 10 causes of death in the United States in 2020. And people with underlying conditions like respiratory diseases are at increased risk for severe illness and death.

This is bad news by any standard, but terrible news if you happen to live in an area such as California’s San Joaquin Valley where the pre-COVID death rate due to chronic lower respiratory disease is 12 times higher than that of the rest of the state.

Amid Pandemic, Young Kids With Special Needs Missing Out On Services

As COVID-19 disrupts the transition from early intervention to school, children are going without occupational, physical and speech therapies and other services they’re entitled to.

The danger, advocates for children with special needs said, is that these kids are missing out on interventions at a critical moment in their lives. Since mid-March, California’s complex special needs care system has struggled to move children from one program to another, parents and advocates said.

A mother grocery shops with her child in San Francisco, pre-pandemic. Photo by Kirkikis/iStock.

Opinion: One Thing We All Agree On

If there is one issue most Americans would agree on right now, it’s that we should protect our youngest children from hunger during the Covid-19 crisis. And yet the closure of child care facilities in California and across the country means hundreds of thousands of infants and young children may not be getting the free meals they regularly depend on.

As the pandemic continues, the government needs to take stronger action to ensure that our youngest children aren’t going hungry.

How Colleges Are Supporting Students Leaving Abusive Relationships

Relationship violence threatens not only students’ physical safety and emotional well-being, but also their academic prospects. Some campuses are finding solutions to help keep survivors in school.

Federal law requires schools and universities that receive government funding to prevent gender-based violence and harassment, and address the needs of survivors so they can continue their education. Survivors have the right to special accommodations such as extra time to complete their school work.

Opinion: Cannabis Tax Revenues Are Going to Police Budgets, Not Communities

As cries to “defund the police” reverberate across the country, cities are looking at ways to shift funds from policing into communities. In California, tax revenues from marijuana should be a clear point of entry.

When voters legalized cannabis in 2016, they expected the taxes would be invested in communities that were adversely impacted by the war on drugs. Instead, a new report finds that these revenues are actually funding the police.

A mother hugging her child.

For Survivors of Violence and Their Kids, a Push to Prioritize Housing

Domestic violence, the leading cause of homelessness among women and children, is increasing during the pandemic, but a way for survivors to get “housing first” is a bright light.

While people from all socioeconomic backgrounds experience domestic violence, low-income survivors and immigrant women are especially at risk of becoming homeless due to lack of resources.

Stressed And Overworked Female Doctor Wearing Scrubs Sitting On Floor In Hospital Corridor

Opinion: COVID-19 is Affecting Doctors’ Relationships

In normal times, medical training is challenging and stressful. The amount of time away from loved ones can bring giants to their knees. Add in the fears and uncertainties of a pandemic, I’m amazed that anyone, and any relationships, are surviving.

My heart goes out to the families, such as many of my patients at Harbor-UCLA, who are struggling to make ends meet, while also navigating all of their responsibilities and relationships, during the pandemic.

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