FSU MED Magazine Fall 2017, Vol. 13 | Page 14

BOUNTIFUL FIELDS, STRESSFUL LIVES Harvesting data in Immokalee to protect children from toxic stress I BY DOUG CARLSON MMOKALEE, Fla. – On a · sweltering afternoon, the young daughter of migrant farmworkers · waits for her well-child checkup at Have you ever been away from a cancer and eating disorders – the physical parent for a long time? illnesses – all of that goes way up over time if Does someone at home push your you’re exposed to toxic stress.” mother or stepmother a lot? What the research has not yet demonstrated, Has anyone in your family ever been and what Reyes and her team are trying to Collier Read Medical Campus. In put in jail or prison or taken away by measure, is how interventions and coping skills the 15 minutes before her name police? might mitigate the effects of toxic stress on the College of Medicine’s Isabel is called, she completes a survey · “We know from the research that by age 18, if children. Nor is there sufficient research on consisting of 10 blunt, simple, yes-or-no items, you’ve had four or more of these experiences, implementation: How do you add a survey (and including: · · then your probability of having an illness as an potentially a behavioral health intervention) to A grown-up who lives with me says adult is much higher,” said Elena Reyes, director an already busy clinical practice? bad words to me a lot. of the College of Medicine’s Center for Child A grown-up who lives with me “If you’ve been through an abuse situation, a $3 million, five-year grant from the federal Somebody older than me has touched for example, you may have depression or PTSD Substance Abuse and Mental Health Services my private parts. or anxiety. Things like COPD, diabetes, obesity, Administration to address some of these pushes me a lot. · Stress and Health in Immokalee. Reyes and Center for Child Stress and Health Clinical Director Javier Rosado have received questions. 12