Topic: Depression

National Center for Trauma-Informed Care and Alternatives to Seclusion and Restraint

The NCTIC is a technical assistance center dedicated to promoting alternatives to seclusion and restraint, and building the knowledge base on the implementation of trauma-informed approaches in programs, services, and systems. Provides training and technical assistance to community-based behavioral health agencies, criminal and juvenile justice settings, homeless and HIV service providers, domestic violence organizations, and state and federal agencies.

Alcohol/Drug Services Depression Intimate Partner Violence Risk Assessment

Strong Start for Mothers and Newborns Initiative, Centers for Medicare & Medicaid Services

This initiative aims to reduce preterm births and improve outcomes for newborns and pregnant women through an awareness campaign to reduce the rate of early elective deliveries and providing funding to test enhanced prenatal care approaches to reduce the frequency of premature births among pregnant Medicaid or CHIP beneficiaries at high risk.

Chronic Disease Depression Early Elective Delivery Home Visiting Nutrition Risk Assessment

Ask the Expert: The Happiest Baby: Can We Reduce Infant Crying, Boost Sleep, and Reduce Abuse, SUID, and PPD…for the Cost of Breakfast?

Crying and sleeplessness are two of the greatest challenges for new parents. Persistent crying and parental exhaustion are key triggers of infant neglect (associated with postpartum anxiety and depression) and other serious medical conditions, including SIDS/suffocation, over-diagnosis of GERD, breastfeeding failure, marital stress, parental smoking, car accidents, and possibly infant obesity.

In a paradigm shift, presenter Harvey Karp, MD, FAAP, Assistant Professor of Pediatrics at USC School of Medicine, will discuss why newborns still need a protected environment (a 4th trimester) of holding and rhythmic stimulation to improve their state control and regulation.

Dr. Karp will present a novel theory that babies are born with a calming reflex (a relative off-switch for crying and on-switch for sleep) activated by imitating five specific aspects of the baby’s in-utero experience (swaddling, side/stomach, shushing, swinging, and sucking). The correct method for each step will be demonstrated and examples of fussy babies being calmed in this manner will be shown.

There will be a brief discussion of the thousands of Happiest Baby educators teaching this work in hospitals, home visiting programs, WWIC centers, military bases, etc. across the US. Recent studies will be presented, including an ongoing University of Amsterdam study of colicky babies demonstrating dramatic reduction in crying and increase in sleep and surveys showing significantly improved confidence in pregnant couples taught these techniques.

By the end of the webinar, participants will be able to:

  • List 10 serious consequences triggered by infant crying and/or parental sleep deprivation.
  • Explain what is meant by the term “the missing 4th trimester”
  • Explain what is meant by the “calming reflex.”
  • List 5 techniques (the “5 S’s”) that activate the “calming reflex.”

Webinar Materials:

Depression Parenting Education Safe Sleep

Ask the Expert: Stress, Depression, and Resilience

This webinar will present information on the impact and measurement of stress, depression, and resilience on pregnancy outcomes, especially for the populations served by Healthy Start sites. In this regard, the presentation will detail the context of contextual (toxic) stress and depression and elaborate on resilience as it mediates the toxic exposures for women before, during, and after pregnancy.

Participants will gain:

  • An understanding of the psychosocial and physiological aspects of stress and depression;
  • An understanding of how stress of all kinds impact the emotional and physical health of women during pregnancy; and
  • More awareness of the resilience practices that women employ to mediate the ill-effects of stress.

Webinar materials:

Case Management/Care Coordination Depression Health Equity Prenatal Care and Education

Ask the Expert: The Value of Integrating Trauma Informed Care for the Healthy Start Community

Exposure to traumatic events is an extremely common occurrence in the U.S. In fact, most individuals, particularly women and girls, will experience multiple traumatic events as children and throughout their lives. These experiences have the potential to dramatically impact behavioral health which subsequently often translates into challenges with physical, mental and social well-being. In this brief introduction to these issues, we will present an overview of the prevalence of traumatic exposure and the relationship of trauma to health. In addition, we will provide basic introductory information and principles on the concept and implementation of Trauma-Informed Care (TIC). Understanding trauma and incorporating TIC principles into Healthy Start programs has the potential to prevent retraumatization and better engage participants in care and services. Please join the EPIC Center and Michelle Hoersch, Region V Coordinator for the Office on Women’s Health for a 60 minute Ask the Expert webinar which will cover the importance of integrating trauma-informed care specific to the Healthy Start community. Ms. Hoersch will also share valuable resources for learning more about the approach. During the webinar, you will have ample opportunity to ask Ms. Hoersch questions.

Following this webinar, participants will be able to:

  • Understand the terms “trauma exposure” and “adverse childhood experiences”
  • Be knowledgeable about the prevalence of various common traumatic events in the U.S.
  • Increase awareness of the relationship among exposure to traumatic events and behavioral, physical and mental health, and well-being
  • Be aware of the concept of Trauma-Informed Care (TIC) and basic principles of TIC and how to make simple adjustments to programming and service delivery to dramatically reduce risk of retraumatization and increase likelihood of improved engagement in care
  • Access trauma-informed care resources and training opportunities

Webinar Materials:

Case Management/Care Coordination Cultural Competence Depression EBP Implementation Participant Recruitment and Retention

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