Pediatricians in Idaho are exploring a novel approach to mental health - by asking parents about their past traumas and positive experiences.

Dr. R.J. Gillespie - a pediatrician at the Children's Clinic in Portland, Oregon - is working with providers in Idaho on the effects of adverse childhood experiences, or ACEs, which can have long term impacts on people's health.

He said screening parents for ACEs puts another prevention tool in the pocket of pediatricians.

"We're having providers talk to parents about their own individual histories, both in terms of adverse childhood experiences and in terms of positive childhood experiences," said Gillespie, "to see how we can both prevent the negative and promote and ensure that the positive experiences happen for the kids in their generation."

Gillespie said when children experience too many ACEs, it can lead to long-term mental health challenges - such as depression - and can also affect the body.

Research has found ACEs can increase the risk of strokes and heart attacks at an early age.

Gillespie said asking parents about their experiences can feel unnatural to pediatricians. So part of the work he's doing is helping providers understand that ACEs and positive experiences impact children's health.

"Our training really taught us that the kids are our patients," said Gillespie, "and I think that when it comes to things like understanding trauma, it sounds like something that should be done by a mental health provider. So there's definitely interest but I think there's some skill development that we're trying to help promote."

Gillespie noted that more research is delving into the impact of positive childhood experiences, adding recent findings show that a lot of positive experiences could outweigh negative ones.

"How do we figure out how to make families more resilient and give them good coping strategies and good self-care strategies and try to promote those positive experiences as well," said Gillespie, "knowing that they're going to be extremely powerful in terms of predicting healthy outcomes for patients and for families?"

A new report focuses on "girl power" in Indiana - with an analysis of how young girls are faring in the state, and recommendations for improving their lives.

Using Kids Count data, the Girl Coalition of Indiana found girls under 18 are experiencing trauma and mental-health concerns at rates higher than boys - from bullying and depression, to dating violence and a lack of emotional support.

In one survey, eight in 10 girls said neighbors "don't notice" or encourage them when they do a good job. Mackenzie Pickerrell, executive director of the coalition, described the purpose of sharing these findings.

"Being deeply embedded into communities to understand from their perspective," said Pickerrell, "what girls need to thrive, and what are the barriers for their girls to live their best lives."

The coalition plans to create programming in partnership with the six Indiana Girl Scout councils to make headway on some of the areas of concern.

This first-ever "Indiana Girl Report" was compiled in collaboration with the Indiana Youth Institute. It's available online at 'girlcoalitionindiana.org.'

Other findings in the report: In 2022, Indiana's middle and high school girls reported feeling a sense of hopelessness or depression for two weeks or longer. One in four "seriously considered" suicide.

Girls are twice as likely to be victims of traditional bullying, and three times as likely to face cyberbullying, compared to boys. Pickerrell noted what could be one reason behind these statistics.

"Girls experience mental and emotional pressures at a much higher rate," said Pickerrell, "and a very different reality than boys do."

She added that the report produced some positive data as well. Girls in Indiana are achieving academically at a stronger pace than boys, including higher high school graduation rates.

They're more likely to obtain advanced degrees. And nine out of ten girls say they have at least one caring adult or mentor in their lives, other than their parents.




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A recent ruling from the Washington state Supreme Court lowers the barriers for bringing some childhood sexual abuse cases to court.

Justices unanimously ruled that the three-year statute of limitation for these cases applies from the date of discovery of each element of the case. Seattle-based attorney Nate Roberts of the Connelly Law Offices said that, for instance, if someone in their mid-twenties suffers psychologically because of childhood abuse, they have three years to file a claim against their alleged abuser. He added that there are more situations where the Wolf decision applies.

"If they find out in their thirties, for example, that they were a ward of the state at the time of the abuse and the state knew they were being abused and didn't intervene," he said, "then they would have three years from the date they acquire that knowledge in which to file a lawsuit against the state."

Roberts said this makes more sense than applying the three-year statute of limitation to the date of the abuse.

Washington state lawmakers are considering eliminating the statute of limitations for childhood sexual abuse cases completely. Roberts said other states have already done this.

"The insidious thing about sexual abuse and physical abuse of children is that the kids don't necessarily understand the scope or degree of harm sometimes ever, but often until much later in life," he said, "and I think a simpler, more equitable rule would be to say that if you're the victim of childhood abuse, you can bring the lawsuit whenever you're ready to do so."

House Bill 1618 was introduced in the Legislature this year and passed in the House but died in the Senate. It will be up for consideration again in 2024.

The Keystone State has some work to do to provide more access to quality pre-Kindergarten programs for the youngest Pennsylvanians.

Only 43% of eligible 3- and-4-year-olds are in high-quality, publicly funded pre-K, leaving more than 87,000 without access, according to the new "State of Early Care and Education in Pennsylvania" report.

Maggie Livelsberger, policy director for Pennsylvania Partnerships For Children, said young children need access to programs preparing them to start Kindergarten. But she points out that inadequate funding for child care has led to issues of supply and demand, affecting a family's ability to find care they can afford.

"It also impacts child care providers, and their ability to be compensated fairly, to pay their teachers and maintain their business expenses," Livelsberger outlined. "We are living in a world where there is a very historic workforce shortage within the child care system, and a lot of that is due to unlivable wages."

Livelsberger added in the Keystone State, child care center workers earn on average less than $12.50 an hour, or less than $26,000 a year. The report recommended the state increase funding for the child care sector, and develop a pay system to put pre-K teachers on par with K-12 teachers with similar education levels.

Livelsberger acknowledged child care providers have benefited from supplemental stimulus funding the state received, and there is some new money in the state budget for child care. But she insists more is needed.

"Child care has historically been underfunded," Livelsberger emphasized. "Even though there are new funds for child care in this budget, it's not nearly enough to be able to combat this workforce shortage that the sector is facing. And that's really closing classrooms and not allowing families to access that care."

The report recommends the state's Office of Child Development and Early Learning produce a report every three years to give what it calls a "clear picture" of the early-childhood workforce and recommend ways to expand and improve it.