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Why did you immigrate?

In the everyday relationships of life, an OM worker finds God working to make His name known.




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Missing key leads to opportunity

A short-termer engages people in spiritual conversation while on tour of Israel.




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Mission trip taught her dependence on God

Marcela (Argentina) experienced the power of God working through her while on a mission trip in Israel.




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What do you see in the mirror?

On 20 February, the OM Guatemala team offered a programme on life values and shared the Gospel with nearly 600 children attending a school in Quiché, an indigenous village that was heavily affected by the guerrilla.




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The blessings of sports ministry in Central America

OM SportsLink in Latin America takes part in a training for workers in sports ministry in Honduras and an outreach in Guatemala.




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Joy to a family in need

Workers deliver shoes to schools, bring food to the poor and help construct a kitchen for a family in the indigenous community of Chimaltenango.




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A small Christmas miracle

God answers the prayers of OM Guatemala and a partnering church with a Christmas celebration for children and families with OM’s Project Rescue.




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Finding the ‘Common Good’ in a Pandemic

The Harvard political philosopher Michael Sandel offers his take.




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Post-Pandemic, Here’s How America Rises Again

Congress needs to invest with an eye on the nation’s future.




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AudioBible ministry expands

One OM Malawi worker’s journey of faith has led to increasing AudioBible influence.




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Planting churches with a missions mindset

OMer MacDonald shares how a church in rural Malawi started and has started reaching out.




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When discipleship and ministry collide

During the OM's Ride 2 Transform 2017 cycle tour, 17 cyclists biked 550 kilometres around southern Malawi, distributing AudioBibles and praying.




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Combining personal passion with ministry

Ride2Transform allows teams on two wheels to pedal far and wide, praying and sharing the love of Christ in least reached areas in Europe and Africa.




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OM USA Celebrates 50 Years of Ministry

God gets all the glory for the great things He has done through OM the past 50 years. Everyone is looking forward to the next 50 in great anticipation.




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A US Pastor's Life Transformed Through Short Term Missions!

Read about how a short term missions trip to a Muslim country changed a US pastor's life! Click to read more!




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Mission Trips for the Whole Family

Getting the whole family involved in a short term missions trip is an unforgettable experience!




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Climbing for the freedom of millions

Forty-seven women from all over the world are climbing Mt. Kilimanjaro in Kenya this week to raise awareness of global injustices against women and children.




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Freedom Climbers reach Kilimanjaro summit

After five days of strenuous hiking and altitude sickness, the Freedom Climbers rejoice at the summit of Mt. Kilimanjaro, fittingly called Uhuru (freedom) Peak.




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Bishops ask parishes to help domestic abuse victims amid lockdown

CNA Staff, Apr 30, 2020 / 05:00 am (CNA).- The bishops of England and Wales have urged parishes to help domestic abuse victims after a surge in requests for aid during the coronavirus crisis. 

Since the lockdown began in the U.K. March 23 there has been a 49% increase in calls and online pleas for assistance related to domestic abuse, the bishops said in a statement April 29. 

Bishop John Sherrington, chairman of the bishops’ domestic abuse group, said: “Catholic parishes can play an important role in fighting the scourge of domestic abuse, especially during the COVID-19 pandemic where we are seeing some shocking statistics from leading domestic abuse organisations.”

Guidance provided by the bishops’ domestic abuse group encourages pastors to raise the issue of domestic violence during livestreamed Masses and in homilies published on parish websites. 

The group also asks parishes to establish local domestic abuse support groups. Teams of volunteers should keep in regular contact with vulnerable parishioners, and collect and deliver donations to those living in refuges and other safe locations, the group advises.

It adds that team leaders ought to be “in a non-vulnerable COVID-19 category, and not living with any vulnerable people.” They should also have been checked by the Disclosure and Barring Service, which informs employers about applicants’ criminal records.

“Every local situation will differ and so our new guidance is designed to be used as an introduction to start a local project,” Bishop Sherrington said. “I hope that Catholics and parishes will be inspired to take this up in their local area.”

“Violence of this kind should never be tolerated or justified. It is an offence against the dignity of the human person.”
 




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Archbishops acknowledge pain of Catholics who cannot receive sacraments amid lockdown

London, England, May 1, 2020 / 05:00 am (CNA).- The metropolitan archbishops of England and Wales acknowledged the pain of Catholics who cannot receive the sacraments because of the coronavirus lockdown in a message issued Friday. 

In the message, entitled “A People who Hope in Christ”, published May 1, the archbishops said that while livestreamed Masses nourished faith, they were no substitute for public liturgies.

“None of us would want to be in the situation in which we find ourselves,” they wrote. “While the livestreaming of the Mass and other devotions is playing an important part in maintaining the life of faith, there is no substitute for Catholics being able to physically attend and participate in the celebration of the Mass and the other sacraments.”

Writing on behalf of the Catholic bishops of England and Wales, the five archbishops continued: “Our faith is expressed powerfully and beautifully though ‘seeing, touching, and tasting.’ We know that every bishop and every priest recognizes the pain of Catholics who, at present, cannot pray in church or receive the sacraments. This weighs heavily on our hearts.” 

“We are deeply moved by the Eucharistic yearning expressed by so many members of the faithful. We thank you sincerely for your love for the Lord Jesus, present in the sacraments and supremely so in the Holy Sacrifice of the Mass.” 

“The bishops and priests of every diocese are remembering you and your loved ones at Mass each day in our churches as we pray ‘in hope of health and well-being.’ We thank our priests for this faithfulness to their calling.”

Nevertheless, the archbishops said, the Catholic community had to play its part in preserving life and seeking the common good amid the pandemic. Restrictions on public liturgies would therefore have to remain in place until they are lifted by the government.

The U.K. is among the countries worst affected by the pandemic. With a population of 67 million, the U.K has had more than 172,000 documented coronavirus cases and 26,700 deaths as of May 1, according to Johns Hopkins University Coronavirus Resource Center.

The archbishops emphasized that Church officials were in talks with public health agencies and the government about the reopening of churches, which were closed March 24

“As the government’s restrictions are relaxed step by step, we look forward to opening our churches and resuming our liturgical, spiritual, catechetical and pastoral life step by step,” they said. 

“This will also be of service to those beyond the Catholic Church who depend on our charitable activity and outreach through which much goodness is shared by so many volunteers from our communities...”

“Together with Catholics across England and Wales, we desire the opening of our churches and access to the sacraments. Until then, we are continuing to pray and prepare.”

The message was signed by Cardinal Vincent Nichols of Westminster, Archbishop Malcolm McMahon of Liverpool, Archbishop Bernard Longley of Birmingham, Archbishop George Stack of Cardiff and Archbishop John Wilson of Southwark.

The archbishops concluded: “May the peace of the risen Lord reign in our hearts and homes as we look forward to the day we can enter church again and gather around the altar to offer together the Sacrifice of Praise.”




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Irish commission: Catholic school discriminated against atheist student

CNA Staff, May 4, 2020 / 05:01 pm (CNA).- The Republic of Ireland’s Workplace Relations Commission has decided that an atheist child was discriminated against by his Catholic school when students were rewarded for attending a religious ceremony.

The commission, an independent, quasi-judicial forum, ruled that the Yellow Furze National School in County Meath had discriminated against an atheist student.

Early in the 2019 school year, the students had been promised a homework pass if they took part in the choir during a First Communion ceremony

The boy’s mother complained, but the school defended its policy.

"Any student, regardless of his/her religion in our school who opted not to participate in this extracurricular event was not 'rewarded,'" the school said, according to the Irish Post last year.

The school added that children of any religion were able to participate in the choir, and that the claim of discrimination was thus “wholly unfounded.”

The commission said the school “does not appreciate this action had an adverse effect on students who are not of a Catholic faith,” the Irish Times reported.

His mother said that "on that day my son was the only child in the class who was not participating. He was also the only non-Catholic child in the class." She added that “he came out of school crying.”

“We are atheist and this is not a choice that is open to him,” she said.

The Irish Post reported in 2019 that the boy was one of two pupils in his class of 33 to receive homework instead of attending the choir ceremony.

According to the commission the boy’s parents were “deeply hurt and upset” by the school.

“We felt that the school had disregarded the fact that we have a different set of beliefs,” the mother told RTE News. “We felt that our child had been singled out and punished for not being a Catholic,” and she added that she hoped the ruling would “change things for children here who are not Catholic".

The mother has since enrolled her son in a different school.

The commission ordered the school to pay €5,000 and demanded the school review its policies so it complies with the Equal Status Acts. The school will also have to post a memo of its compliance in a noticeable location within the school.

The mother told RTE News she will return the €5,000 to the school, “because it will be our friends and our neighbours who will be funding it, through school fundraising. We have been vindicated, but we feel that it would be wrong to accept this money.”

Catholic schools in Ireland make up 90% of all primary schools in the country, the Irish Times reported. The ruling is likely to affect how other schools promote and organize religious events.




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Pandemic brings ‘a very different kind of Church’ to London’s homeless

London, England, May 5, 2020 / 09:00 am (CNA).- A parish in London’s West End is offering the homeless adoration, access to sacraments, and the rosary -- along with food provided by a five-star restaurant. 

St. Patrick’s Church in Soho, an area known for its nightlife and red-light district, is offering a remarkable ministry to the homeless as the capital struggles to cope with the coronavirus pandemic. 

Pastor Fr. Alexander Sherbrooke said he had “a strong sense that the Holy Spirit is literally building a church on the streets” in response to the crisis. 

When the city began to shut down in mid-March, Westminster City Council turned to Sherbrooke, who has overseen daily outreach to the homeless since he arrived in the parish in 2001.

He told CNA that the council had asked St. Patrick’s to increase its provision of food to the homeless significantly while it tried to house those living on the streets. 

The parish, founded in 1792, had previously fed the homeless in its parish center. But after Catholic churches across the country were ordered to close because of the virus, St. Patrick’s was forced to improvise. It began serving the homeless food on its doorstep twice a day, Monday through Sunday.

“On most days we are providing up to 320 meals,” Sherbrooke explained. “On average, we probably see 220 people a day, some of whom come for both breakfast and dinner.”

Hot food is supplied by the Connaught Hotel, a five-star restaurant in London’s affluent Mayfair district, as well as by Wiltons Restaurant in Jermyn Street. The Pret a Manger chain provides sandwiches. 

“It’s a very sophisticated operation and we fully intend to be diligent in preserving social distancing, personal hygiene, food hygiene, etc,” the priest said. “We have a good number of volunteers. We also continue to provide a shower and lavatory facility.” 

Sherbrooke explained that the homeless in the West End live off the footfall generated by local businesses, restaurants and theaters. 

“There is none of that now,” he said. “It’s amazingly empty and can be quite intimidating, particularly at nighttime.”

”The West End has many who are alcohol and drug dependent and without their normal source of income, this can create a volatile situation. Police are very present, but the West End is very inhospitable, at times threatening and not very pleasant.”

“I’ve been in the parish for some 17 years, throughout which  much of my time has been spent in pastoral care for those who are needy. But nothing has really prepared me for where we are at the moment.”

Volunteers at St. Patrick’s are determined to relieve spiritual as well as physical deprivation. As food is distributed, they pray before the Blessed Sacrament in a nearby adoration tent, while observing social distancing. Sherbrooke is available for visitors seeking a sacramental encounter, sitting at a safe distance and behind a white sheet. There is also a tent offering lectio divina. 

“This enhanced feeding facility has come very much as a response to the request of the local authority,” Sherbrooke said. “We have a long tradition of feeding people happily and well. But in a very strange sort of way, the Church, from being a physical reality behind four walls, is now a reality in the street.”

Sherbrooke, who cites St Damien of Molokai and Mother Teresa as inspirations, continued: “It’s imparting a spiritual, pastoral care, where I have a strong sense that the Holy Spirit is literally building a church on the streets. There’s lectio divina. There’s adoration -- in other words, a prolongation of the Holy Mass -- confession, rosary, etc.”

“We are ministering to the people. We are going to them, speaking to them, giving rosaries and sharing the Gospel. So there is a real work of evangelization going on.”

Volunteers also distribute a sheet each week with reflections, Scripture readings, and advice on how to pray.

“So there’s a kind of catechesis of the poor which is going on,” Sherbrooke said.

“There is a very real sense that in this terrible virus situation that God is creating a very different kind of Church, much more evangelical, and perhaps simpler. All this has happened not through management but I believe through God's providence.”

He noted that despite the present dangers volunteers felt a strong sense of supernatural protection. 

“Personally, I would say that the way that I haven’t caught [the virus] -- given the reality of the situation here -- is that every day I pray that the Precious Blood of Jesus will come into my heart, my veins, my lungs, and protect me from the virus so that I can do this work,” he said. 

In 2011, St. Patrick’s reopened after a £4 million restoration project, which included the excavation of the basement and the creation of the parish center, located beneath the church. Food for the homeless is now prepared there every day.

“It’s almost as though God has crafted this parish for this work at this time,” Sherbrooke said.  




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U.S. Ambassador to the Holy See hails faith-based relief efforts amid pandemic

Rome, Italy, May 8, 2020 / 10:00 am (CNA).- The U.S. Ambassador to the Holy See has called attention to the role of faith-based organizations in delivering U.S government relief funds to assist people who are suffering due to the coronavirus in Italy.

“The United States is funding NGOs and faith-based organizations that can effectively deliver critical assistance,” U.S. Ambassador Callista Gingrich told EWTN News May 6. 

“It’s important that American money be put to good use. Faith-based organizations are effective and trustworthy partners. They’re inspired by a sense of purpose and dedication to help those most in need,” the ambassador said.

The U.S. Agency for International Development (USAID) has committed $50 million to aid Italy as it responds to the outbreak, which includes $30 million in funding split between faith-based organizations, nongovernmental organizations, and public international organizations, an official from the embassy told CNA. 

This is part of the $900 million the U.S. government is contributing globally in response to the COVID-19 pandemic. On May 6, U.S. Secretary of State Mike Pompeo announced that $100 million will be used to support virus detection and control, and $28 million to support refugees and migrants.

While the U.S. government is still in the process of vetting which NGOs and faith-based organizations will be receiving funds in Italy, Ambassador Gingrich said that the assistance package includes funding for “some of our Vatican-affiliated partners here, in Italy.”

A USAID document published in April describes the work of Catholic Relief Services and Caritas in Bangladesh, Nepal, Lebanon, Liberia, Kenya, Guatemala, and Mexico in supporting health care among vulnerable populations. It also showcases the contributions of Islamic Relief USA, the Jewish Distribution Committee, World Vision, and Malteser International, the aid agency of the Order of Malta.

In Italy, Malteser International set up a hospital and donated 260 ventilators, and distributed food and medicine to elderly in isolation.

A symposium at the Vatican on government partnerships with faith-based organizations co-hosted by the U.S. Embassy to the Holy See in October also highlighted the work of Caritas Internationalis, the Community of Sant’Egidio, and Aid to the Church in Need in providing humanitarian assistance.

The U.S. government has previously partnered with faith-based groups to provide emergency relief, defend religious freedom, and combat human trafficking, stating that faith-based organizations provide “unparalleled access to local populations and a fierce dedication to human dignity.”

In April, the embassy publicized the work of the evangelical Christian organization Samaritan’s Purse in creating and staffing an emergency field hospital in Cremona, Italy, in an online video. 

“As the world continues to battle the COVID-19 pandemic, faith-based organizations are playing a vital role,” Gingrich said in the video. 

Nearly 30,000 people have died in Italy’s coronavirus outbreak, according to the Italian Ministry of Health’s statistics on May 7. At least 89,000 people remain infected with COVID-19 in Italy after a total of more than 215,000 cases were documented, mostly in the north of the country.

Due to Italy’s nationwide lockdown, the U.S. Embassy to the Holy See has had to cancel several events it had scheduled for the spring, including a symposium, “Confronting the global rise of anti-Semitism,” scheduled to coincide with the opening of the Vatican’s archives on Pope Pius XII. 

However, the ambassador said that she has continued to speak with members of the diplomatic community via weekly video conferences.

“This pandemic will greatly affect our priorities and activities going forward. However, through meetings, symposiums, and cultural diplomacy, the U.S. Embassy to the Holy See will continue our important work with the Vatican to advance peace, freedom, and human dignity around the world,” Gingrich said.




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Companion Ministry brings Christ's mercy

OM attempts to bring Christ’s love to the darkest corners of Sham Shui Po, and to walk with those neglected by society.




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Lessons learned during past pandemics - from a Catholic perspective

By Dr. Grazie Pozo Christie

Coronavirus is only the latest iteration of an age-old human affliction. Even now, with the benefit of advanced medical science, our reaction – our confusion, our fear – is not so different from how our ancestors experienced recurrent and terrifying onslaughts of plague, cholera, and yellow fever across the ages. We can learn from the courage and ingenuity of those who travelled this road before us.
 
Consider the work of Dr. Carlos Finlay in Cuba. In 1880 he hypothesized, and then worked to prove his hypothesis, that yellow fever, a disease that regularly decimated coastal populations up and down the Americas, was spread by infected mosquitos. Those mosquitos came to our shores in the 17th century on African slave ships and attacked portal communities in the tropics as well as cities like New Orleans and Philadelphia. The resulting epidemics occurred with oppressive regularity in the summer months, to the people’s great dread, with mortality rates as high as 50 percent. The impact was tremendous – not only in the milllions of lives lost and the wretchedness this caused, but in economic gains and opportunities wiped out or delayed (the Panama Canal).
 
Connecting the transmission of the deadly virus to its source or vector was a decisive step forward in the long struggle against yellow fever. It preceded the development of a vaccine by more than 60 years. Here's how it happened: A young doctor, Carlos Finlay, returned to his home in Havana one night, exhausted, after caring for a Carmelite priest dying of yellow fever. Realizing he had forgotten to say his daily rosary, he sat in his armchair, sweating in the oppressive heat, fingering his beads and swatting at a bothersome mosquito. Suddenly, inspiration pierced his depression and weariness: Could the mosquito, like the one annoying him that moment, be transmitting the infection from person to person? If so, this was marvelous. One could not fight the brutal steamy summer air – the miasma – but one could fight mosquitos.
 
Inspiration, however, was not enough to proceed. Courage and even heroism would be needed to prove Finlay’s hypothesis. These were at hand, thanks to 57 young Jesuit priests and brothers who volunteered as experimental subjects. As each arrived from Spain to staff the Colegio de Belen, newly founded by Queen Isabel II of Spain, he was met by Finlay, carrying a test tube filled with mosquitos that had just fed on a patient sick with yellow fever. Taking their lives in their hands, these Jesuits allowed themselves to be bitten for the sake of their fellow human beings. Three died of the bite, but all 57 were willing to do the same.
 
Subsequent experiments supported Finlay’s hypothesis. Although a vaccine to definitively eradicate the disease would not come for decades, Finlay’s insight helped man to co-exist safely with yellow fever until that time. The incidence of yellow fever in Cuba dropped precipitously through mosquito control. Standing water, a breeding ground for the noxious pests, was eliminated where possible or treated aggressively with insecticides where not. Panama, where tens of thousands of workers had already died of the disease while building the canal followed Cuba’s lead. The last Panama Canal worker to die of yellow fever came in 1906.
 
There are important lessons for us here -- first and foremost, lessons in resourcefulness and valor. 
 
Already, thousands of human minds are, today, tenaciously working to find a solution to Covid-19. They’re persisting without respite, persisting through depression and fatigue, to find a way forward. Just as Dr. Finlay did.
 
And, you can depend on it, inspiration is sure to strike again.
 
You can also see today the same kind of valor that animated the Jesuit volunteers who let the infected mosquitos bite them. You see it in the countless men and women who keep showing up for work at nursing homes or crowded food production lines. Their examples help us all to keep up and increase our courage so we can join them as we ease back into our normal daily lives.
 
As we face the moment when we too realize that we have no choice but to go back out into the world of work and personal interactions, we can take hope from contemplating our predecessors’ success in confronting yellow fever. Like us, they dreamed of a vaccine. But they didn’t lock themselves away until it was developed. They found a way to steel themselves and then to steal the deadly efficiency away from the virus that plagued them. A century later, we can do the same.



  • CNA Columns: Guest Columnist

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U.S. Ambassador to the Holy See hails faith-based relief efforts amid pandemic

Rome, Italy, May 8, 2020 / 10:00 am (CNA).- The U.S. Ambassador to the Holy See has called attention to the role of faith-based organizations in delivering U.S government relief funds to assist people who are suffering due to the coronavirus in Italy.

“The United States is funding NGOs and faith-based organizations that can effectively deliver critical assistance,” U.S. Ambassador Callista Gingrich told EWTN News May 6. 

“It’s important that American money be put to good use. Faith-based organizations are effective and trustworthy partners. They’re inspired by a sense of purpose and dedication to help those most in need,” the ambassador said.

The U.S. Agency for International Development (USAID) has committed $50 million to aid Italy as it responds to the outbreak, which includes $30 million in funding split between faith-based organizations, nongovernmental organizations, and public international organizations, an official from the embassy told CNA. 

This is part of the $900 million the U.S. government is contributing globally in response to the COVID-19 pandemic. On May 6, U.S. Secretary of State Mike Pompeo announced that $100 million will be used to support virus detection and control, and $28 million to support refugees and migrants.

While the U.S. government is still in the process of vetting which NGOs and faith-based organizations will be receiving funds in Italy, Ambassador Gingrich said that the assistance package includes funding for “some of our Vatican-affiliated partners here, in Italy.”

A USAID document published in April describes the work of Catholic Relief Services and Caritas in Bangladesh, Nepal, Lebanon, Liberia, Kenya, Guatemala, and Mexico in supporting health care among vulnerable populations. It also showcases the contributions of Islamic Relief USA, the Jewish Distribution Committee, World Vision, and Malteser International, the aid agency of the Order of Malta.

In Italy, Malteser International set up a hospital and donated 260 ventilators, and distributed food and medicine to elderly in isolation.

A symposium at the Vatican on government partnerships with faith-based organizations co-hosted by the U.S. Embassy to the Holy See in October also highlighted the work of Caritas Internationalis, the Community of Sant’Egidio, and Aid to the Church in Need in providing humanitarian assistance.

The U.S. government has previously partnered with faith-based groups to provide emergency relief, defend religious freedom, and combat human trafficking, stating that faith-based organizations provide “unparalleled access to local populations and a fierce dedication to human dignity.”

In April, the embassy publicized the work of the evangelical Christian organization Samaritan’s Purse in creating and staffing an emergency field hospital in Cremona, Italy, in an online video. 

“As the world continues to battle the COVID-19 pandemic, faith-based organizations are playing a vital role,” Gingrich said in the video. 

Nearly 30,000 people have died in Italy’s coronavirus outbreak, according to the Italian Ministry of Health’s statistics on May 7. At least 89,000 people remain infected with COVID-19 in Italy after a total of more than 215,000 cases were documented, mostly in the north of the country.

Due to Italy’s nationwide lockdown, the U.S. Embassy to the Holy See has had to cancel several events it had scheduled for the spring, including a symposium, “Confronting the global rise of anti-Semitism,” scheduled to coincide with the opening of the Vatican’s archives on Pope Pius XII. 

However, the ambassador said that she has continued to speak with members of the diplomatic community via weekly video conferences.

“This pandemic will greatly affect our priorities and activities going forward. However, through meetings, symposiums, and cultural diplomacy, the U.S. Embassy to the Holy See will continue our important work with the Vatican to advance peace, freedom, and human dignity around the world,” Gingrich said.




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This ministry is hosting a virtual retreat for infertile people on Mother’s Day

Denver Newsroom, May 8, 2020 / 05:29 pm (CNA).- Mother’s Day is going to look different for most families this year, due to the coronavirus pandemic.

For Catholics, some churches are in the process of slowly re-opening public Masses, but the dispensation from the Sunday obligation continues to stand, as the virus has not gone away and a cure or vaccine has yet to be found.

While most Catholics are eager to return to Mass, a small group of Catholics are relieved that they will not be sitting in a public pew this Mother’s Day.

“We actually heard from one woman who said, ‘I kind of feel badly about saying this, but I'm sort of glad that we won't be in the pews this year for Mother's Day,’” Ann Koshute, founder of Springs in the Desert Catholic ministry, told CNA.


“That's something that we hear and that everybody I think on the team has experienced at one point in this journey,” she said - the desire to avoid Mass on Mother’s Day. That’s because Koshute, along with other members of her ministry, have had painful experiences with infertility, and the customary Mother’s Day blessing given to mothers at many parishes that day can bring their grief and sense of loss poignantly to the fore.


“I think that so often people in our own families, our friends, and even our pastors don't really understand the full extent of the pain and the grief or even the full extent of the issue of infertility, of how many couples are really dealing with it,” she said.


The pain of infertility, and the lack of resources available to Catholics on the subject, was why Koshute and her friend, Kimberly Henkel, founded Springs in the Desert, a Catholic ministry to spiritually and emotionally support women and couples experiencing infertility and infant loss. Originally, Henkel and Koshute, who have both experienced infertility, thought they might write a book. But they decided to start with a ministry website and a blog that could bring people together and allow for other women and couples to share their experiences. The group is relatively new, and held its first retreat in Philadelphia in December. They were set to hold a second one this weekend - Mother’s Day weekend - in the Diocese of Fort Wayne-South Bend, when, well, the pandemic hit.

Now, they’ve moved the retreat online and opened it up to Catholics across the country - and they’ve been overwhelmed by the response.

“We thought that we would be really excited if maybe a couple dozen people found out about it and came. We are over 100 participants now. And it's free and it's going to be available all weekend,” Koshute said. The retreat is trying to address the emotional and spiritual experience of infertility and loss for a broad range of people, Henkel said - from mothers who have miscarried, to women who are past child-bearing years and still grieving the loss of infertility, to women “who feel like their biological clocks are ticking and just haven’t met the right guy.” But now that it's a virtual, pre-recorded, watch-at-your-leisure retreat, it also has the potential to reach a population that is often more reluctant to gather in groups and talk about their experiences of infertility: men. “It's mostly women who are emailing us (about the retreat), although we know that many of their husbands will watch with them. But we've also had a few men email us,” Koshute said.


“One in particular, it just really touched my heart. And he said that he was searching the web for help for his wife on Mother's Day. And I was just so filled with praise and thanksgiving to God for that, for a husband to see that hurt in his wife and to want to find a way to help her,” she added. Men and women typically experience the grief of infertility quite differently, Koshute noted. “For us women, it's so visceral because life is conceived within us and we carry that life. But for a man, it's so different,” she said.

“(Men are) kind of distant from that experience until the child is actually born. And so I think many times men, the grief and the burden that they carry is their wife's. They really carry her sadness and I think feel at a loss because they want to make everything right. They want to fix this, and they want to make her whole. And the mystery of infertility is that it's not that simple. And that's one of the things that makes it so difficult,” she said. Henkel said she experienced her own difficulties in trying to discuss infertility with her husband. Now that they’ve experienced the joy of growing their family through adoption, she said, he is much more open to inviting other men to share their experiences. Henkel said she is hoping that an additional benefit of this retreat being online is that it will facilitate discussions between couples watching the videos together. Both Henkel and Koshute said that while the experience of infertility and loss is painful, and they want to help couples acknowledge and accept that pain, they also want Springs in the Desert to be a positive and supportive experience for couples and women, where they can find hope and redemption even in their suffering. One of the topics they focus on is how all women are called to motherhood in their lives, whether it is spiritual or biological.

“My experience has shown me that my motherhood is really engaged in so many ways that I never considered before,” Koshute said.

“Not just with my godson or with other children in my family, but with women who are older than I who are friends and who might come to me with a difficulty or problem and I can help them,” or by helping family members in need or through charitable works, she added. “That's one of the messages that we try to get across to women and to couples as well, that those kinds of things, what we would maybe refer to as spiritual motherhood, is not illegitimate,” she said.

“It's not second-place. It's a real way of engaging and living out our motherhood. It's also not a replacement for a baby. So it's not as if you go out and volunteer in your community and now you won't have this longing for a child anymore. But we've really found through our own experience and through talking with other women that the more we kind of put ourselves out there and give ourselves to others, the more that we can begin to see that motherhood enacted in us.”

Henkel said she also likes to encourage couples to look at the ways God is calling them to be fruitful in their marriages outside of biological children.

“We really encourage these couples that they are not forgotten, they're not being punished. That God loves them so much and that he has something amazing for them. He's using this to draw them near to him and to allow them to cry out to him and ask for him to guide them, to lead them, to give them his love and show them what fruitfulness he has for them, what place in ministry and mission he has for them.” Henkel and her husband in particular like to share with couples their experience of foster care as one example of where God might be calling them to be fruitful. After a frustrating and expensive experience with some adoption agencies, Henkel and her husband decided to look into giving a home to children through foster care.

“Here is a situation where these children really need families,” she said. “It's hard because there's no guarantee you're going to get to keep this child, so there's a sense of this new greater level of having to learn how to trust God.” “I think that with a couple discerning that fruitfulness, it's also discerning - where is God really calling you? There's so much need in this world. And he wants to use us.”

Couples interested in the Springs in the Desert Mother’s Day weekend retreat can sign up for free online at the Springs in the Desert website. Content will be uploaded and available for anyone who registers, Henkel said, even if they register late. The retreat team will also be hosting a live talk on Sunday, May 10 at 2 p.m. Eastern on the ministry’s Facebook page.

“There's a place for you in Springs of the Desert,” Henkel added. “There's so many women who have reached out to us in Philly. We added several more women to our group, to our team, our official team, women who came to the retreat. One woman had come there and she said she had had a miscarriage, and neither one of us has experienced that. So we said, please join us. We want your voice.”

“We're trying to really bring the voices of many different women to our team so that people will feel there is somebody that is talking they can really relate to. Because there are all of these different situations, but they've got obviously a very similar undercurrent.”




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Pakistan minorities commission excludes Ahmadi religious group

CNA Staff, May 9, 2020 / 06:01 am (CNA).- Pakistan’s government has declined to include the Ahmadi religious group in its National Commission for Minorities, drawing attention to the group whose Muslim self-identification is rejected by many Muslims.

In a note seen by Reuters, Pakistan’s Ministry of Religious Affairs said Ahmadis should not be included in the commission “given the religious and historical sensitivity of the issue.” Pakistan’s constitution does not recognize the Ahmadis as Muslim.

However, Ahmadis consider themselves part of Islam. The movement was founded in 1889 in British-ruled India. They consider their founder Mirza Ghulam Ahmad a “subordinate prophet.” Other Muslims see this as a violation of the tenet that Muhammad was the last prophet.

There are about 500,000 Ahmadis in Pakistan and up to 20 million adherents worldwide. Some observers estimate the Ahmadi population in Pakistan is higher, but persecution encourages Ahmadis to hide their identity.

Pakistan’s religious freedom record has been a matter of international concern.

The 2020 report of the U.S. Commission on International Religious Freedom has said Ahmadis continue to face “severe persecution from authorities as well as societal harassment due to their beliefs.”

Both government authorities and mobs target their places of worship. In October 2019, the report said, police in Punjab partially demolished a 70-year-old Ahmadiyya mosque.

Pakistan’s National Commission for Minorities gives some status, voice, and protections to minorities in a country where over 90% of people identify as Muslim.

A Hindu has been nominated to chair the minorities commission, whose members include representatives of Christian, Kalash, Sikh, and Zoroastrian communities. Government officials and the head of Pakistan’s Council of Islamic Ideology also have commission seats.

State Minister for Parliamentary Affairs Ali Muhammad Khan, a vocal opponent of including the Ahmadis on the commission, has referred to them as agents of chaos.

“If they want to avail constitutional rights they must accept the constitution first,” he told Reuters. “The Pakistani constitution considers them non-Muslims.”

Usman Ahmad, an Ahmadi representative, told Reuters it is a “complete myth” that they did not accept the constitution. He added that many people disagree with parts of the constitution but still have rights under it.   

He said his community is used to exclusion and has never accepted classification as non-Muslim.

“We’ve never joined such commissions that require us to accept our non-Muslim status,” he said.

Minister of Information Shibli Faraz has said the rights of all people were fully respected in the handling of the commission.

“Every country has the sovereign right to make judgments according to its ground realities,” he told Reuters.

Khan, the Minister for Parliamentary Affairs, had posted to Twitter, then deleted, a comment “There is only one punishment for insulting the Prophet - chopping off the head.” He said he believed in “legal procedures and court proceedings” for those accused of blasphemy. Twitter told him to delete the post, Reuters reports.

Pakistan’s blasphemy laws impose strict punishment on those who desecrate the Quran or who defame or insult Muhammad. Although the government has never executed a person under the blasphemy laws, accusations alone have inspired mob and vigilante violence.

The laws, introduced in the 1980s, are reportedly used to settle scores or to persecute religious minorities. While non-Muslims constitute only 3 percent of the Pakistani population, 14 percent of blasphemy cases have been levied against them.

Many of those accused of blasphemy are murdered, and advocates of changing the law are also targeted by violence.

The Governor of Punjab Salman Taseer was one such critic of the law who was assassinated in January 2011.

Just months later, in March 2011, Shahbaz Bhatti, the first Federal Minister For Minorities Affairs and the only Christian in Pakistan’s cabinet, was assassinated by extremists who characterized him as a blasphemer. Bhatti had criticized the law and defended Asia Bibi, a Catholic woman sentenced to death by hanging in 2010 for blasphemy.

Bibi spent nine years on death row, but left Pakistan for Canada in 2019 at the age of 53 after her death sentence was overturned in October 2018.

The verdict and her subsequent release from prison sparked protests from Islamic hardliners who support strong blasphemy laws.

In Punjab last year, a mob attacked a Christian community after a mosque broadcast over loudspeaker a claim that the Christians had insulted Islam. In another incident in Karachi, false blasphemy accusations against four Christian women prompted mob violence that forced nearly 200 Christian families to flee their homes, the U.S. Commission on International Religious Freedom said.

The situation in Pakistan has attention from some prominent Catholics.

In a Jan. 21, 2020 letter written on behalf of Philadelphia’s Pakistani Catholic community, then-Archbishop of Philadelphia Charles J. Chaput encouraged Pakistan’s Prime Minister Imran Khan to shape a culture of religious freedom

The U.S. Commission on International Religious Freedom’s latest annual report said religious freedom conditions in Pakistan continued to deteriorate last year, citing “The systematic enforcement of blasphemy and anti-Ahmadiyya laws, and authorities’ failure to address forced conversions of religious minorities—including Hindus, Christians, and Sikhs—to Islam.”

The bipartisan federal commission advises the U.S. government on policy. Its report recommended that the U.S. government name Pakistan a country of particular concern for “systematic, ongoing, and egregious violations of religious freedom.”

In December 2018, for the first time, the U.S. State Department designated Pakistan a “Country of Particular Concern.” The designation, which can trigger sanctions under U.S. law, had been recommended by the U.S. Commission for International Religious Freedom in 2017 and 2018.

The latest commission report recommended that Pakistan be re-designated a “Country of Particular Concern,” given “systematic, ongoing, and egregious violations of religious freedom.”



  • Asia - Pacific

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A six-year-old in missions class

When Carmen Cervantes started attending OM Mexico’s workshops on missions, she never thought her six-year-old son would be interested too.




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Ministering among 'misfit toys'

OM worker discovers unlikely friendships among a group of 'misfit toys' in North Africa.




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God wrote missions on their hearts

A couple adopts a small, struggling church in North Africa and prays for faithfulness and perseverance: “It’s one step forward, 100 steps back.”




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Grace and peace amidst chaos

OM workers in North Africa explain they have peace even during times of political unrest.




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God provides miracle visas

OM workers share how God answered prayers for visas to stay in North Africa.




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Movies and ministry

A worker bonds with a North African friend over movies and finds opportunity for deeper discussions about faith.




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A day at an islamic university

An OM worker visits an islamic university while trying to build a deeper relationship with a religious friend.




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Logos II ministry extended

Logos II




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Mauritius to missions

From an island of 1.3 million, Lisette Williams was called to go abroad on OM’s ships and share the love of Jesus with the world.




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Family at sea

The story of a Dutch/Finnish family aboard Logos Hope




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Reluctant missionary

Madeleine Coetzer, who has served on Logos Hope for two years, tells how the Lord has changed her life.




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Powering up for millions more

OM Ships is in final preparations for the Power Up Logos Hope technical project as the four millionth visitor comes aboard in Kaohsiung, Taiwan.




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The family business

Nassau, Bahamas :: The Esposito family from Argentina enjoys serving God together on board Logos Hope, bringing professional skills and supporting each other.




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Updated: Cardinal Sarah says he did not sign letter claiming coronavirus exploited for one-world government

CNA Staff, May 7, 2020 / 03:45 pm (CNA).- Hours after the publication of a controversial open letter regarding the coronavirus pandemic, the prefect of the Church’s dicastery for liturgy and sacraments, listed among the signers of the letter, said he did not sign it.

The letter, titled “Appeal for the Church and the World,” says the coronavirus pandemic has been exaggerated to foster widespread social panic and undercut freedom, as a preparation for the establishment of a one-world government.

Cardinal Robert Sarah, prefect of the Vatican's Congregation for Divine Worship and Sacraments, tweeted: “I share on a personal basis some of the questions or concerns raised with regard to restrictions on fundamental freedoms, but I have not signed this petition.”

“A cardinal prefect of the Roman Curia must observe a certain reserve in political matters, Sarah wrote in another tweet, “so I explicitly asked this morning the authors of the petition titled ‘for the Church and for the world’ not to mention me.”

Sarah was listed as a signatory of the letter when it was published May 7 by the National Catholic Register, LifeSiteNews, and other websites. Sarah's denial raises questions about the legitimacy of other reported signatories to the letter.

Jeanette DeMelo, editor of the National Catholic Register, told CNA that the principal author of the letter is Archbishop Carlo Vigano, a former papal emissary to the United States.

Vigano made headlines for an August 2018 letter that alleged Vatican officials had ignored warnings about the sexual abuse of disgraced former cardinal Theodore McCarrick. Since that time, Vigano has released numerous letters expressing his viewpoints on matters in the Church, which include criticisms of Pope Francis and other curial officials.

DeMelo said that Vigano had vouched for the authenticity of Sarah's signature.

“The Register contacted Archbishop Vigano, the principal author, and asked him specifically about the authenticity of the signature of Cardinal Sarah and he said ‘I can confirm 100% that Cardinal Sarah signed it.,” DeMelo told CNA.

The letter laments the social distancing and stay-at-home orders issued to slow the spread of the coronavirus pandemic, suggesting they are contrived mechanisms of social control, with a nefarious purpose.

“We have reason to believe, on the basis of official data on the incidence of the epidemic as related to the number of deaths, that there are powers interested in creating panic among the world’s population with the sole aim of permanently imposing unacceptable forms of restriction on freedoms, of controlling people and of tracking their movements,” the letter said.

“The imposition of these illiberal measures is a disturbing prelude to the realization of a world government beyond all control,” it added. (bold original)

Among the letter’s reported signatories are four cardinals: Sarah, who has now indicated he is not a signatory; Cardinal Gerhard Muller, former prefect of the Congregation for the Doctrine of the Faith, Cardinal Joseph Zen, emeritus bishop of Hong Kong, and Cardinal Janis Pujats, emeritus archbishop of Riga, Latvia.

Two U.S. bishops are also alleged signatories: Bishop Rene Gracida, emeritus bishop of Corpus Christi, and Bishop Joseph Strickland, the Bishop of Tyler, Texas. 

Strickland told CNA by email May 7 that he “did sign off on this letter.”

Along with several other bishops, the well-known auxiliary bishop of Astana, Kazakhstan, Bishop Athanasius Schneider, is listed as a signer of the letter.

Another reported signatory is Fr. Curzio Nitoglia, a priest of the Society of St. Pius X, a traditionalist group in “irregular communion” with the Church. Nitoglia is the author of “The Magisterium of Vatican II,” a 1994 article that claims that “the church of Vatican II is therefore not the Apostolic and Roman Catholic Church instituted by our Lord Jesus Christ.”

The May 7 letter argued that the coronavirus pandemic has been sensationalized and exploited, to impede civil rights and exact government control over individuals and families.

The letter said that “the facts have shown that, under the pretext of the Covid-19 epidemic, the inalienable rights of citizens have in many cases been violated and their fundamental freedoms, including the exercise of freedom of worship, expression and movement, have been disproportionately and unjustifiably restricted.”

“Many authoritative voices in the world of science and medicine confirm that the media’s alarmism about Covid-19 appears to be absolutely unjustified.”

Nearly 4 million people worldwide have tested positive for the coronavirus, and at least 270,000 have died. In some countries, death rates in the months of the coronavirus pandemic have far exceeded death rates over the same months in previous years, suggesting to some demographers and epidemiologists that coronavirus deaths have been dramatically undercounted.

The pandemic, and the social distancing and stay-at-home orders issued to slow its spread, have become a source of considerable controversy in recent weeks. In the U.S., protests in several state capitals have gathered demonstrators in close proximity to one another, a move public health experts say could lead to new outbreaks of the disease.

The letter said that the economic crisis occasioned by the global pandemic “encourages interference by foreign powers and has serious social and political repercussions. Those with governmental responsibility must stop these forms of social engineering, by taking measures to protect their citizens whom they represent, and in whose interests they have a serious obligation to act.”

“The criminalization of personal and social relationships must likewise be judged as an unacceptable part of the plan of those who advocate isolating individuals in order to better manipulate and control them,” the authors added.

No cure or therapeutic treatment has yet been identified for the virus. In early weeks of the pandemic, President Donald Trump hypothesized that hydroxychloroquine, an inexpensive anti-malarial medication, could help treat the disease. U.S. researchers have largely moved away from the medication, especially after a study by the Veterans’ Administration found that administering the drug leads to higher death rates among patients receiving it.

Some, including television hosts Laura Ingraham and Sean Hannity have alleged that the study is inaccurate. Some protestors have suggested the VA study was intended to discredit Trump or profit vaccine manufacturers.

In an apparent reference to the hydroxychloroquine controversy, the letter said that: “Every effort must be made to ensure that shady business interests do not influence the choices made by government leaders and international bodies. It is unreasonable to penalize those remedies that have proved to be effective, and are often inexpensive, just because one wishes to give priority to treatments or vaccines that are not as good, but which guarantee pharmaceutical companies far greater profits, and exacerbate public health expenditures.” 

“Let us also remember, as Pastors, that for Catholics it is morally unacceptable to develop or use vaccines derived from material from aborted fetuses,” the letter added.

The U.S. bishops conference has also said vaccine development should avoid unethical links to abortion.

The letter argues that governments do not have the right to ban or restrict public worship or other kinds of ministry, and asks that any such restrictions be rescinded.

On the sacraments, which have been subject both to voluntary restrictions and public health orders in some states, the letter noted that “the Church firmly asserts her autonomy to govern, worship, and teach.”

“The State has no right to interfere, for any reason whatsoever, in the sovereignty of the Church. Ecclesiastical authorities have never refused to collaborate with the State, but such collaboration does not authorize civil authorities to impose any sort of ban or restriction on public worship or the exercise of priestly ministry. The rights of God and of the faithful are the supreme law of the Church, which she neither intends to, nor can, abdicate. We ask that restrictions on the celebration of public ceremonies be removed.”

While restrictions on public worship have been met with public criticism in many places, the objections have been most pronounced in Italy.

After Italy’s prime minister announced in late April new health measures that would continue prohibiting religious gatherings, the Italian bishops released a statement denouncing the decision, which the bishops criticized as “arbitrary.” Two days later, Pope Francis seemed to signal his own view, praying while celebrating Mass that Christians would respond to the lifting of lockdown restrictions with “prudence and obedience.”

Along with cardinals, bishops, and priests, the letter’s signatories also included some academics, journalists, and scientists. Included among them are Vatican journalists Marco Tosatti and Robert Moynihan, Lifesitenews editor John-Henry Westen, Stephen Mosher, president of the Virginia-based Population Research Institute, and the leaders of pro-life groups in Texas and Ohio.

The letter’s signatories encouraged Catholics, and “all men and women of good will” to “assess the current situation in a way consistent with the teaching of the Gospel. This means taking a stand: either with Christ or against Christ.” (bold original)
 
“Let us not allow centuries of Christian civilization to be erased under the pretext of a virus, and an odious technological tyranny to be established, in which nameless and faceless people can decide the fate of the world by confining us to a virtual reality. If this is the plan to which the powers of this earth intend to make us yield, know that Jesus Christ, King and Lord of History, has promised that ‘the gates of Hell shall not prevail’ (Mt 16:18).”

The Holy See has not yet commented on the letter.
 

This story has been updated since its original publication. It is developing and will continue to be updated.




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Agitation in Patients With Autism Spectrum Disorder Admitted to Inpatient Pediatric Medical Units

OBJECTIVES:

Our goals for this study were to characterize the frequency of agitation in patients with autism spectrum disorder (ASD) admitted to an inpatient pediatric medical unit and to identify risk factors associated with agitation.

METHODS:

Through a retrospective chart review, we identified every patient between 8 and 19 years of age with a documented ASD diagnosis admitted to a pediatric medical unit over a 5-year period. We performed a detailed review of each admission, with a focus on factors hypothesized to be correlated with risk of agitation.

RESULTS:

One or more episode of agitation occurred during 37 (12.4%) of the 299 admissions and for 31 (18.5%) of the 168 patients who met inclusion criteria. History of agitation (risk ratio 21.9 [95% confidence interval 5.4–88.3] for history of severe agitation; P < .001) and documented sensory sensitivities (risk ratio 2.3 [95% confidence interval 1.3–3.8]; P < .001) were associated with a significantly increased risk of agitation during admission. History of past psychiatric admissions was associated with increased risk before, but not after, controlling for history of agitation and sensory sensitivities. Psychiatric comorbidity, intellectual disability, acute pain on admission, number of preadmission psychotropic medications, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition ASD diagnosis, age, and sex were not significantly associated with increased risk.

CONCLUSIONS:

Hospitalization can be challenging for patients with ASD. A subset of these patients experience episodes of agitation during admission, posing a safety risk to patients and staff. Characterizing risk factors associated with these behaviors may allow for identification of at-risk patients and guide targeted intervention to prevent negative behavioral outcomes.




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Patient- and Family-Centered Care in the Emergency Department for Children With Autism

BACKGROUND:

Emergency department (ED) care processes and environments impose unique challenges for children with autism spectrum disorder (ASD). The implementation of patient- and family-centered care (PFCC) emerges as a priority for optimizing ED care. In this article, as part of a larger study, we explore PFCC in the context of ASD. Our aims were to examine how elements of PFCC were experienced and applied relative to ED care for children with ASD.

METHODS:

Qualitative interviews were conducted with parents and ED service providers, drawing on a grounded theory approach. Interviews were audio recorded, transcribed verbatim, and analyzed by using established constant comparison methods. Data were reviewed to appraise the reported presence or absence of PFCC components.

RESULTS:

Fifty-three stakeholders (31 parents of children with ASD and 22 ED service providers) participated in interviews. Results revealed the value of PFCC in autism-based ED care. Helpful attributes of care were a person-centered approach, staff knowledge about ASD, consultation with parents, and a child-focused environment. Conversely, a lack of staff knowledge and/or experience in ASD, inattention to parent expertise, insufficient communication, insufficient family orientation to the ED, an inaccessible environment, insufficient support, a lack of resources, and system rigidities were identified to impede the experience of care.

CONCLUSIONS:

Findings amplify PFCC as integral to effectively serving children with ASD and their families in the ED. Resources that specifically nurture PFCC emerge as practice and program priorities.




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Mindfulness-Based Stress Reduction for Parents Implementing Early Intervention for Autism: An RCT

BACKGROUND AND OBJECTIVES:

Systems of care emphasize parent-delivered intervention for children with autism spectrum disorder (ASD). Meanwhile, multiple studies document psychological distress within these parents. This pilot longitudinal randomized controlled trial compared the parent-implemented Early Start Denver Model (P-ESDM) to P-ESDM plus mindfulness-based stress reduction (MBSR) for parents. We evaluated changes in parent functioning during active treatment and at follow-up.

METHODS:

Participants included children (<36 months old) with autism spectrum disorder and caregivers. Participants were randomly assigned to P-ESDM only (n = 31) or P-ESDM plus MBSR (n = 30). Data were collected at baseline, midtreatment, the end of treatment, and 1, 3, and 6 months posttreatment. Multilevel models with discontinuous slopes were used to test for group differences in outcome changes over time.

RESULTS:

Both groups improved during active treatment in all subdomains of parent stress (β = –1.42, –1.25, –0.92; P < 0.001), depressive symptoms, and anxiety symptoms (β = –0.62 and –0.78, respectively; P < 0.05). Parents who received MBSR had greater improvements than those receiving P-ESDM only in parental distress and parent-child dysfunctional interactions (β = –1.91 and –1.38, respectively; P < 0.01). Groups differed in change in mindfulness during treatment (β = 3.15; P < .05), with P-ESDM plus MBSR increasing and P-ESDM declining. Treatment group did not significantly predict change in depressive symptoms, anxiety symptoms, or life satisfaction. Differences emerged on the basis of parent sex, child age, and child behavior problems.

CONCLUSIONS:

Results suggest that manualized, low-intensity stress-reduction strategies may have long-term impacts on parent stress. Limitations and future directions are described.




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Families Experiences With Family Navigation Services in the Autism Treatment Network

BACKGROUND AND OBJECTIVES:

Families of children with autism spectrum disorder (ASD) often experience challenges navigating multiple systems to access services. Family navigation (FN) is a model to provide information and support to access appropriate services. Few studies have been used to examine FN’s effectiveness for families of children with ASD. This study used mixed methods to (1) characterize FN services received by a sample of families in the Autism Treatment Network; (2) examine change in parent-reported activation, family functioning, and caregiver strain; and (3) explore families’ experiences with FN services.

METHODS:

Family characteristics and parent outcomes including parent activation, family functioning, and caregiver strain were collected from 260 parents in the Autism Treatment Network. Descriptive statistics and linear mixed models were used for aims 1 and 2. A subsample of 27 families were interviewed about their experiences with FN services to address aim 3.

RESULTS:

Quantitative results for aims 1 and 2 revealed variability in FN services and improvement in parent activation and caregiver strain. Qualitative results revealed variability in family experiences on the basis of FN implementation differences (ie, how families were introduced to FN, service type, intensity, and timing) and whether they perceived improved skills and access to resources.

CONCLUSIONS:

Findings suggest FN adaptations occur across different health care delivery systems and may result in highly variable initial outcomes and family experiences. Timing of FN services and case management receipt may contribute to this variability for families of children with ASD.




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Family Engagement in the Autism Treatment and Learning Health Networks

Family involvement in the Autism Intervention Research Network on Physical Health, the Autism Treatment Network, and the Autism Learning Health Network, jointly the Autism Networks, has evolved and grown into a meaningful and robust collaboration between families, providers, and researchers. Family involvement at the center of the networks includes both local and national network-wide coproduction and contribution. Family involvement includes actively co-authoring research proposals for large grants, equal membership of network committees and workgroups, and formulating quality improvement pathways for local recruitment efforts and other network initiatives. Although families are involved in every aspect of network activity, families have been the driving force of specifically challenging the networks to concentrate research, education, and dissemination efforts around 3 pillar initiatives of addressing comorbidities of anxiety, attention-deficit/hyperactivity disorder, and irritability in autism during the networks’ upcoming funding cycle. The expansion of the networks’ Extension for Community Healthcare Outcomes program is an exciting network initiative that brings best practices in autism care to community providers. As equal hub members of each Extension for Community Healthcare Outcomes team, families ensure that participants are intimately cognizant of family perspectives and goals. Self-advocacy involvement in the networks is emerging, with plans for each site to have self-advocacy representation by the spring of 2020 and ultimately forming their own coproduction committee. The Autism Treatment Network, the Autism Intervention Research Network on Physical Health, and the Autism Learning Health Network continue to be trailblazing organizations in how families are involved in the growth of their networks, production of meaningful research, and dissemination of information to providers and families regarding emerging work in autism spectrum disorders.




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Perspectives on Informed Consent Practices for Minimal-Risk Research Involving Foster Youth




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Weakness, Anemia, and Neutropenia in a 9-Year-Old Girl With Influenza

A previously healthy 9-year-old immigrant girl from Mexico was evaluated in the emergency department (ED) with one week of fatigue, fevers, rhinorrhea, and cough. She initially presented to her primary pediatrician, where a complete blood count revealed neutropenia, prompting referral to the ED. In the ED, she was found to be influenza A–positive. Because of dehydration, she received intravenous fluids and was admitted to the pediatric hospital medicine service. After 2 days, influenza symptoms improved, and oral intake increased. However, she was noted to have decreased bilateral lower-extremity strength, absent Achilles reflexes, decreased lower-extremity sensation and proprioception, a positive result on the Romberg sign, and abnormal heel-to-shin testing results. These findings prompted an urgent neurology consultation. After extensive imaging, laboratory evaluation, and further consultations, a diagnosis was established.




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Can a Parent Refuse the Brain Death Examination?

The American Academy of Neurology believes that doctors have the right to do tests to evaluate whether a patient is brain dead even if the family does not consent. They argue that physicians have "both the moral authority and professional responsibility" to do such evaluations, just as they have the authority and responsibility to declare someone dead by circulatory criteria. Not everyone agrees. Truog and Tasker argue that apnea testing to confirm brain death has risks and that, for some families, those risks may outweigh the benefits. So, what should doctors do when caring for a patient whom they believe to be brain dead but whose parents refuse to allow testing to confirm that the patient meets neurologic criteria for death? In this article, we analyze the issues that arise when parents refuse such testing.