Browsing by Author "American Academy of Pediatrics"
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Item Addressing adverse childhood experiences and other types of trauma in the primary care setting(American Academy of Pediatrics, 2014) American Academy of PediatricsFor many pediatricians, addressing exposure to traumatic events that could cause toxic stress in their patients is seen as difficult for a number of reasons, including lack of time, complexity of the topics, limited referral resources, and discomfort. At the same time, the study conducted by the Centers for Disease Control and Prevention and Kaiser Permanente on adverse childhood experiences (ACEs)1 emphasized the effect of trauma on the developing brain and health across the life span—a natural concern for all pediatricians. Importantly, ACEs described in the study are present in every socioeconomic level and can be devastating to a child’s physical, mental, and emotional health and well-being into adulthood. This document provides initial suggestions for pediatricians to consider when addressing ACEs in their practices.Item Adverse childhood experiences and the lifelong consequences of trauma(American Academy of Pediatrics, 2014) American Academy of PediatricsMany people can identify a person in their lives who struggles with a chronic illness like heart disease, diabetes, or hypertension. Most people also know someone who struggles with mental illness, substance abuse, or relationships in general. Traditionally, the health care system would point to high-risk behaviors such as poor diet, drug use, or a sedentary lifestyle as the primary causal factors. Questions for patients have focused on “What’s wrong with you?” rather than “What happened to you?” A 1998 study from the Centers for Disease Control and Prevention (CDC) and Kaiser Permanente is leading to a paradigm shift in the medical community’s approach to disease. This study of more than 17,000 middle-class Americans documented quite clearly that adverse childhood experiences (ACEs) can contribute significantly to negative adult physical and mental health outcomes and affect more than 60% of adults.1,2 This continues to be reaffirmed with more recent studies.Item Helping Foster and Adoptive Families Cope with Trauma(2013) American Academy of PediatricsItem The medical home approach to identifying and responding to exposure to trauma(American Academy of Pediatrics, 2014) American Academy of PediatricsPediatricians have a role to play in the identification of trauma and providing an appropriate response to help children and families heal. Trauma can be acute or a series of past events that culminate in symptoms in the present. The following information will provide an introduction to specific things pediatricians can do to recognize evidence that a traumatic event has occurred and how to respond. This document assumes the pediatrician is aware of state laws regulating the report of child abuse and neglect and the first priority if exposure to trauma is identified is ensuring the child is currently safe.Item Parenting after Trauma: Understanding Your Child's Needs-A Guide for Foster and Adoptive Parents(2013) American Academy of PediatricsItem The Role of Home-Visitation Programs in Improving Health Outcomes for Children and Families(American Academy of Pediatrics-Council on Child and Adolescent Health, 1998-03-03) American Academy of Pediatrics