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Trauma Guide [AAP.org]

 

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This 6-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events. This project was funded through a grant (UC4MC21534) from the Health Resources and Services Administration, Maternal and Child Health Bureau.

 

1. Adverse Childhood Experiences and the Lifelong Consequences of Trauma

This document explains ACEs and how they contribute to adult physical and mental health outcomes.

  • What Is the Role of Stress?
  • The Biology of Trauma
  • Effect of Trauma on Parenting Ability
  • Resilience and Other Reasons for Optimism

 

2. Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting

This document provides initial suggestions for pediatricians to consider when addressing ACEs in their practices.

  • The Medical Home: Ideal for Addressing Trauma
  • The Process
  • Assessing Readiness to Change
  • Identifying ACEs and Other Sources of Trauma Is Quality Improvement
  • Preparing Physicians and Staff for the Process

 

3. The Medical Home Approach to Identifying and Responding to Exposure to Trauma

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.

  • Somatic Complaints and Physical Examinations: Recognizing When Something Is Trauma Related
  • After Exposure to Trauma Is Identified: The Initial Response
  • After Exposure to Trauma Is Identified: Responding to the Symptomatic Child

 

4. Bring Out the Best in Your Children

Pediatricians can provide this handout to parents to help when their children’s behavior can be challenging.

  • Key Concepts
  • Modeling Behavior
  • The Attention Meter
  • What About Time-Out?
  • Motivating Your Child

5. When Things Aren’t Perfect: Caring for Yourself and Your Children

Pediatricians can offer this handout to parents to explain ACEs and the number of different factors that play a role in how children will respond to stress.

  • Stress and the Body
  • Parents Were Kids Once Too!
  • Helping Kids: Strong and Healthy Parents

 

 

6. Protecting Physician Wellness: Working With Children Affected by Traumatic Events

Pediatricians need to take care of themselves. The stress from working with children who have experienced traumatic events like ACEs can be particularly hard on pediatricians and their teams.   

  • The Practice Environment
  • An Individual Response

 

 

[See more at http://www.aap.org/en-us/advoc...es/Trauma-Guide.aspx]

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