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Healing Steps


One of the counseling practices used at Fletcher Counseling is Cognitive Behavioral Therapy (CBT), an intervention specifically tailored to meet the needs of children, adolescents and adults experiencing the kinds of emotional and psychological difficulties resulting from Adverse Childhood Experiences (ACEs) and other trauma. This treatment can be short-term and generally lasts no more than five months, as more than 80% of traumatized clients see improvement in this time. The clients, and when appropriate their significant other and parents, become able to better process emotions and thoughts relating to their traumatic experiences through CBT. CBT can help people who have experienced trauma learn how to manage difficult emotions in a healthier way using a variety of cognitive, learning and meditative skills and resources.  A secure and stable environment is provided in order to enable clients to disclose details of their trauma. Making the decision to go to therapy can be difficult, but please remember: There is no shame in finding counsel, therapy or support. In fact, it’s the bravest thing you can do, it’s the ultimate form of self-care and you are worthy of healing from past traumas.

To learn more about Cognitive Behavioral Therapy and ACEs and the full range of counseling services available at Fletcher Counseling contact Sharri Fletcher, M.S., LIMHP, at (402) 350-8533 or SFletcherCounseling@gmail.com or go to the Fletcher Counseling website at http://www.sfletchercounseling.com/
506 Walker St., Suite A | Woodbine, IA




  • Harrison County Home and Public Health’s Quality Home Care Services nursing staff has begun work on an educational program based on Mindfulness-Based Stress Reduction (MBSR) and other leading mindfulness and meditation techniques that address stress, anxiety, pain, depression, sleep and other clinical disorders. We are looking forward to making those services available to our home health clients in the coming months.

    To learn more about the educational program and when to expect the services to be available contact Denise Dobbs, RN, Home Health Nursing Supervisor, at
    712-644-3738 or ddobbs@harrisoncountyhealth.org.
  • Harrison County Home and Public Health is undertaking a staff development effort to enable all our staff to be conversant in ACEs, biology of stress, resilience and ACEs related learning opportunities and information in and around Harrison County. We also will be looking carefully how we can apply ACEs protective factors and healing steps to each of our jobs and to our organization as a whole.

    To learn more about HCHPH’s ACEs staff development effort contact Pat Hart,  PhD, Administrator, Harrison County Home and Public Health at 712-644-2220, jhart@harrisoncountyhealth.org or Mandy Pitt, Administrative Information   Specialist, Harrison County Home and Public Health at 712-644-2220, mpitt@harrisoncountyhealth.org


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For more information and inspiration on the use of ACEs research and tools by individuals, organizations, communities and statehouses click on the following links to the
ACES Too High News website.


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The following links from ACES Too High News introduce examples that highlight healing steps we can do on our own, as part of a workplace sensitive to the impact of ACEs on productivity, morale or safety, or that we might encounter in a healthcare setting. Links are provided also to an example of what communities can do and the kinds of things state legislatures are doing to be supportive of ACEs initiatives. They are offered as background on things that we in Harrison County can work together on over time to become a community truly conversant in ACEs.


I’m not cured, but I am healing

One person’s search and discovery of learning about how ACEs played into finding “a new ability to cope” with the challenging physical realities of her chronic illness with mindfulness and other practices that dismantled psychological distress and anxiety and helped turn down the “Pain Channel” and get back on the “Life Channel.”




Business leaders in the ACEs science and resilience movement: A different kind of bottom line

Examples of businesses and chambers of commerce that have tuned into ACEs and resilience and looked to find workplace practices that convert into ROI – return on impact of those practices.



Pediatricians screen parents for ACEs to improve health of babies

The article describes the pilot project done in the Children’s Clinic in Portland, Oregon with six of the clinic’s partners using an ACEs assessment and resilience questionnaire and strength-based approach to supporting parents that led to the clinic’s 27 pediatricians embracing it and the Metropolitan Pediatrics clinic’s 30 doctors putting it to use to provide parenting guidance and resources they otherwise wouldn’t have had.



Heavy childhood trauma ups risk of child/teen suicide 51x; so how does a community prevent it?

We learn that “Early adverse childhood experiences [ACEs] dramatically increase the risk of suicidal behaviors.  ACEs have a strong, graded relationship to suicide attempts during childhood/adolescent and adulthood” and that “One of the ways that communities can begin to prevent suicide is to understand adverse childhood experiences — what they are and how to prevent them…”



States produce a bumper crop of ACEs bills in 2017—nearly 40 bills in 18 states

A scan done in March by the National Conference of State Legislatures (NCSL), through StateNet, of bills introduced in 2017 that specifically include adverse childhood experiences (ACEs) in the text produced close to 40 in 18 states compared to a scan done a year ago that produced less than a handful. The trends included creating task forces or study or review committees: appropriating funds for ACEs prevention; requiring or encouraging providers to use an ACE questionnaire or screening tool; and support for development of pilot projects or initiatives for ACEs prevention



For Up-To-Date Information on All HCHPH ACEs Related Activities and Information



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