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PACEs in Pediatrics

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Child Sexual Abuse: Talking Points in the Office [AAPPublications.org]

Pediatricians are experts at prevention dialogue in practice settings: from fevers, car seats and safety gates, to locking up medications, toxins and guns — and everything in between — keeping kids safe and promoting healthy development is core to our commitment to families. Surveys have shown, however, that dialogues about preventing child sexual abuse often are a challenge, with the most common barriers to providing guidance being lack of time, training and uncertainty about how to...

Evidence-based therapies can ameliorate behavior problems in maltreated children [AAPPublications.org]

A father brings his 10-year-old to your office because the boy is having a hard time paying attention at school, gets in fights with classmates and is oppositional with his teacher. As you take the psychosocial history, it’s important to ask whether the child has been exposed to any abuse, neglect, abandonment or other traumas, according to the updated AAP clinical report Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment. [For more of this story, written...

American Acad of Pediatrics Policy Statement - Immigration policies need to be trauma-informed [www.medpagetoday.com]

The American Academy of Pediatricians has made a bold statement about the proposed DHS policy to separate children from their parents and the use of detention - clearly linking these policies to their potential to traumatize children. To that end, children should never be separated from a parent unless it is for the child's safety, and the Department of Homeland Security should discontinue the use of family detention and use community-based alternatives to detention to treat immigrant...

Disabled Kids at Higher Risk of Abuse, Study Finds [Consumer.HealthDay.com]

Children with certain mental or behavioral disorders are at increased risk of abuse or neglect, a new study suggests. The findings add to evidence that children with disabilities face higher abuse risks. But they also suggest those risks vary depending on the type of disorder a child has. "We've known for years that children with disabilities have an increased risk of abuse," said Dr. Vincent Palusci, a pediatrician at NYU Langone Medical Center, in New York City. But the new study "took a...

Toxic Childhoods [politico.com]

Often times, a pediatrician or medical professional well-versed in the effects of ACEs or toxic stress can be the initial bridge to services, support, and building resilience for children, youth and families served by child welfare. It's exciting and encouraging to read about more and more pediatricians grounding their medical practice within ACEs framework. A toddler came into my examination room recently at Bayview Child Health Center in Bayview Hunters Point, an underserved, largely...

Docs: Kids to Suffer Under Trump's Tough Immigration Policies [Consumer.Healthday.com]

U.S. pediatricians are taking President Donald Trump to task after he issued executive orders Wednesday that -- the doctors said -- will make the country a much less welcoming place for immigrant children. Not only will refugee children be harmed by the new policies, but children of immigrants already living in the United States will become frightened for their family's safety, according to the American Academy of Pediatrics (AAP). "Children do not immigrate, they flee," AAP President Dr.

Pediatricians can help children through separation and divorce [ChronicleNewspaper.com]

Pediatricians can support children whose parents are going through a divorce or separation by identifying the need for intervention and maintaining positive, neutral relationships with both parents, according to a new clinical report released by the American Academy of Pediatrics. More than 1 million American children annually are affected by their parents’ break-up and may suffer emotional trauma that requires extra support, according to the report, “Helping Children and Families Deal With...

ACEs and Health Policy Brief

The Illinois ACEs Response Collaborative is pleased to share three policy briefs on the impact of ACEs in the health, justice, and education systems including promising practices and recommended actions for change. These briefs were developed by members of the Illinois ACEs Response Collaborative—system leaders in Illinois who are working from an ACEs-informed lens to improve systems to prevent and mitigate trauma across generations. Rooted in social justice, these briefs are a call to...

Book: Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation

Edited by Dr. Rahil Briggs, Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation , the book focuses the primary care environment as an ideal venue in which to promote preventive, two-generation, behavioral health efforts. The book, with a foreword from Dr. Jack Shonkoff and published by Springer in 2016, Outlines the implementation of integrated early childhood behavioral health programming into pediatric primary care, Explores the process of...

Alternative IHEBA with ACEs for California (and Other) Pediatricians

If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...

Developing Healthy Minds: It’s Never Too Early to Start! [Blog.SAMHSA.gov]

The human mind is one of the most complex structures in the universe. Even in early infancy, it is capable of taking in a wide variety of inputs. Still, in our early years, we’ve only unlocked a small portion of its potential. Our brains actually continue to develop into our twenties . Accordingly, the U.S. Government embraces a definition of youth that continues until we turn 25. Nurturing the development of young minds to stay healthy through adulthood is a primary goal of SAMHSA’s Project...

Alternative IHEBA with ACEs for California (and Other) Pediatricians

If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...

Commentary: Pediatricians called to address racism, intolerance to achieve health equity [AAPPublications.org]

As pediatricians, we champion the need to address social determinants of health, such as poverty and food insecurity, in an effort to achieve health equity. We emphasize screening for toxic stress. In our conversations about equity, we include data about racial and ethnic disparities. Because of our commitment to work for the health and well-being of all children, pediatricians are uniquely positioned to consider and address the needs and concerns of the at-risk communities for whom we care.

A Pediatrician's View Of Paid Parental Leave [NPR.org]

Paternity leave can make a big difference in a dad's long-term engagement with the child, doctors find. Paid family leave also fosters breastfeeding and reduces the incidence of maternal depression. As part of All Things Considered's series Stretched: Working Parents' Juggling Act , NPR talked with Dr. Benard Dreyer , a developmental and behavioral pediatrician at the New York University School of Medicine and president of the American Academy of Pediatrics, to get a better sense of what the...

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