Grand Rounds: Overcoming Chronic Pain

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Case Study: Achieving Breakthroughs in Chronic Pain through Interprofessional Collaboration. 

Listen to 3 health practitioners from diverse disciplines share how they support their client to achieve significant breakthroughs in chronic pain through Interprofessional Collaborative care. 

In Addition: 

Learn how to collaborate with local health practitioners on common cases, or how to hand-off a client to a trusted referral once you've helped them achieve their health goal. 

Network and build genuine relationships with local professionals from complementary disciplines. 

Learn how to refer, and receive referrals from trusted colleagues. 

Interprofessional Grand Rounds will host interesting case presentations from local health practitioners who are working to support a common client. Learn alongside local professionals from diverse disciplines including mental health, fitness and rehab, as well as medicine and nutrition. 

SPACES ARE LIMITED. This event is designed to facilitate greater discussion and collaboration. 

To become a member visit: www.theinterprofessional.com

Thriving Kids Event Follow Up: Understanding POTENTIAL

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Guest Post by Mary Donnelly-Crocker

One of my most favorite words in our whole lexicon is-POTENTIAL! I love the whole idea of…what …might be. When I see a new baby, smelling of that newness, all wrinkly and completely dependent-I think-POTENTIAL. What will this new little life become? Whose life might they touch? What new ways of thinking might emerge from that still-developing newborn brain? Will they be funny? Will they have a penchant for music or science or even lady bugs? What will captivate them?

When I see a toddler wield the most powerful word in the universe…..NO-my heart smiles because I know they are on their way to being in charge of their lives.

When I see kindergarteners lining up on the first day of school, with brand new butterfly backpacks, nervous giggles, little feet in brand new shoes and  parents in the wings, maybe looking more distraught than the five year olds--- I think POTENTIAL! Potential to have the world opened to them in big and small ways. I see potential for parents to learn to hold on and let go at the same time.

When I see seventeen year old, in the full throes of the angst involved in writing a college essay, I think to myself----you, just have no idea WHAT POTENTIAL you have!

Potential, Potential, Potential.

 My heart gets broken regularly when I witness potential being crushed. When a crying baby is endlessly ignored or a toddler is punished for trying out their independence a little abrasion forms on my soul. That little abrasion is expanded when adults ignore or worse yet, punish curiosity. My soul feels bruised when I witness the effects of child abuse and neglect. It hurts to the core of my being to see potential limited.

Luckily---tenacity, optimism and a sense of humor were bred into me ! (Thank You Dad)

So what, it’s a little hard to change things….so what, I can’t magically make all child abuse stop….so what!      So What……..

There are things we CAN DO---and it inspires me every day to see adults decide in very conscious ways to DO things –little things-big things- that will help children thrive. THRIVE, in my dictionary is a verb and collectively we can all contribute to children who thrive and to a community that thrives. Young & Healthy is embarking on a new small project….you know, just CHANGE THE WORLD…or at least our little corner of it. I really do believe—that collectively-we can do this. Our “collective” is anyone who cares about the well-being of children…so that includes you—right? 

Young & Healthy is working toward building relationships everywhere we go, so that we can learn together to be a community that builds resilience and minimizes the effects of trauma in our children. We are using a public health model to achieve this-KAP, Knowledge, Attitude and Practice. We are first building knowledge about brain development, how it is negatively affected by exposure to toxic stress, the behaviors that often come with it---and most importantly, what we can all do to mitigate the effects of that trauma in children and adults. We want to change attitudes, shifting from “What’s wrong with that kid”to “I wonder what happened to them”. That small change---shifts everything. It allows us to have a broader understanding of behavior as communication and deepens our compassion. Finally, we want day to day practices to change. 

This is the most exciting…inspiring part----it is working! We are seeing changes!

School principals are learning to be curious about behaviors instead of leaping quickly to punishment. Classroom teachers are learning that a few minutes of a mindfulness practice can increase kindness and calm in their classrooms. Parents are learning ways to communicate in ways that can provide emotional safety andset boundaries. Hospital staffs are more and more tuned into the emotional lives of their patients---showing deep caring. Even swim instructors have adapted some of their teaching to be more accepting and nurturing with children who “come from hard places”. Professionals from psychiatrists to case managers to police officers are hungry for more and more education on trauma and resilience.

Pasadena is on its way to becoming a Trauma Informed and Resilient Community….It will take a million little shifts in attitude and millions of small actions to make it so. But I have to tell you---every single time a see an old method of being questioned or new kinder version emerge, I do a little happy dance. I seem to dancing quite a lot lately.

Mary Donnelly-Crocker received both her B.A. and M.A. in Child Development at CSULA. Working in children’s health care for over 39 years, she was a Child Life Specialist at Huntington Memorial Hospital for ten years. She has taught at California State University of Los Angeles and the University of La Verne in the areas of child development, hospitalized children and nonprofit management. 

Mary is the Executive Director of Young & Healthy, a nationally recognized program that connects low-income uninsured children with volunterr doctors who will provide them care at NO CAST. She has been a local leader in the implementation of the Affordable Care Act - helping our community partners enroll over 15,000 people into health insurance in the last two years. Recently, Young & Healthy has recevied numerous awards and recognitions, both nationally and locally. In 2015, Young & Healthy was named Pasadena's BEST NONPROFIT. Young & Healthy is currently embarking on a program, bringing new research and best practices around the concepts of Trauna Informed Care. While awards are wonderful, it is the need of one child at a time that drives Mary’s passion for the work. 

Mary is most proud to be the parent to one great nephew, three adult children...and if that wasn’t happy enough--Mary is grandma to the cutest toddler in the world! 

Interprofessional Collaboration: Consilience, Complexity and Integration

Guest Post by Tina Payne Bryson, PhD

Biologist E.O. Wilson, in his book Consilience(1998), defines consilience as "Literally a 'jumping together' of knowledge by the linking of facts and fact-based theory across disciplines to create a common groundwork of explanation." (p7). 

Building a consilient community, driven by curiosity and collaboration, allows us to share a diverse approaches and areas of expertise so that each of us can see beyond our own lenses, and synthesize knowledge from many ways of knowing and healing.

Complexity theory provides an interesting way to think about consilience and the purpose of an interprofessional community.  The word complexity combines the Latin roots com,meaning “together”, and plex,meaning “woven”; complexity means “woven together”. In order to thrive, a complex system must become integrated. As Dr. Dan Siegel explains, integration requires both specialized differentiation, and functional linkage, or in other words, it honors differences and promotes connection. As a system moves toward complexity, or as it becomes woven together, where both differentiation and linkage are present, it becomes more integrated, which allows it to be more flexible, adaptive, coherent, energized, and stable.  

Complexity and integration allow a system to emerge into something greater than the sum of its parts.  As we learn from each other, build connections and collaborate, we become professionals who see more, know more, and become better at helping our clients and patients whose individual systems become more flexible, adaptive, coherent, energized and stable.  

We look forward to learning from you and with you as we weave together knowledge to help create health in our clients and in our community.

Dr. Tina Payne Bryson is the co-author (with Dan Siegel) of THE YES BRAIN (Random House Bantam January 2018) and the upcoming The Power of Showing Up, as well as two New York Times bestsellers: THE WHOLE-BRAIN CHILD (Random House Delacorte 2011) and NO-DRAMA DISCIPLINE (Random House Bantam 2014), each of which has been translated into over thirty languages. She is the Founder and Executive Director of The Center for Connection, a  multidisciplinary  clinical practice, and of The Play Strong Institute, a center  devoted to the study, research, and practice of play therapy through a neurodevelopmental lens. She keynotes conferences and conducts workshops for parents, educators, and clinicians all over the world.  The most important part of her bio, she says, is that she is a mom to her three boys. You can learn more about Dr. Bryson at TinaBryson.com, where you can subscribe to her blog and read her articles about children and parenting.

Thriving Kids Follow Up: Beginning Before Birth

July’s event on thriving kids was illuminating and emphasized the value of a child’s emotional health. Our Chinese medicine pediatric practice often begins during pregnancy. We emphasize creating the proper emotional and physical environments for the children even before they are born. Some of this involves parent education, but it also involves changing some factors in the mother’s body. Emotional stress of course is perception and not truly the external stressor. While it is unclear whether the mother’s thoughts and emotions directly affect a fetus, it is very clear that these thoughts or emotions create physiological and energetic changes that do influence the baby.