Health Pilots continues with our next feature from the Resilient Beginnings Network! We welcome pediatrician Dr. Sheshashree "Shesh" Seshadri and pediatric care coordinator Melissa Pereda from Bay Area Community Health (BACH), discussing their comprehensive approach to pediatric care,  specifically in administering screenings to identify adverse childhood experiences (ACEs). Beyond sharing insights into workflows and processes, they discuss navigating the complexities that arise post-identification of ACEs and underscore the significance of establishing trust and rapport between providers and families.

Tune in to hear about BACH's collaborative efforts to compile a network of community-based organizations and their innovative use of technology to swiftly connect families with essential social and economic resources, ranging from housing needs to early intervention programs.

Learn more about the people, places, and ideas in this episode: 

• "What are adverse childhood experiences (ACEs)?"
• Pediatric ACEs and Related Life Events Screener (PEARLS)
  • Example of PEARLS tool (for screening children)
• "What are social determinants of health (SDOH)?"
• Visit Bay Area Community Health (BACH), formed during the middle of the COVID-19 pandemic, BACH brings more than 70 years of combined service to the area that stretched from Union City to Gilroy, across Alameda and Santa Clara Counties. BACH serves more than 100,000 people who rely on high-quality healthcare services, regardless of their immigration status, ethnicity, disabilities, or ability to pay.
• More on Resilient Beginnings Network (RBN), a Center for Care Innovations learning program dedicated to advancing pediatric care delivery models that are trauma- and resilience-informed so that 100,000 young children and their caregivers have the support they need to be well and thrive.
• Pediatric Care Coordinators: Closing the Loop to Help Children at Risk Thrive - article featuring BACH (April 2023)
• ACEs Aware, is a first-in-the nation effort and initiative to screen patients for adverse childhood experiences (ACEs) to help improve and save lives. ACEs Aware is bringing communities together in ways never before imagined to prevent, screen for, treat, and heal trauma-induced toxic stress. Together, we are getting to the root cause of some of the most harmful, persistent, and expensive health challenges facing our state and nation.
• HOPE Framework, or Healthy Outcomes from Positive Experiences can ease toxic stress and help children and youth grow into more resilient, healthier adults. HOPE identifies ways that our communities and systems of care can better ensure that all children have more positive experiences and that all families have support to nurture and celebrate their strengths. The Four Building Blocks of HOPE are composed of key positive childhood experiences (PCEs). The sources of those experiences and opportunities are the foundation for healthy childhood development.

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