TY - JOUR
T1 - Children exposed to maltreatment
T2 - Assessment and the role of psychotropic medication
AU - AAP COUNCIL ON CHILD ABUSE AND NEGLECT
AU - AAP COUNCIL ON FOSTER CARE, ADOPTION, AND KINSHIP CARE EXECUTIVE COMMITTEE
AU - AACAP COMMITTEE ON CHILD MALTREATMENT AND VIOLENCE
AU - AACAP COMMITTEE ON ADOPTION AND FOSTER CARE
AU - Keeshin, Brooks
AU - Forkey, Heather C.
AU - Fouras, George
AU - MacMillan, Harriet L.
AU - Flaherty, Emalee G.
AU - Sirotnak, Andrew P.
AU - Budzak, Ann E.
AU - Gavril, Amy R.
AU - Haney, Suzanne B.
AU - Idzerda, Sheila M.
AU - Laskey, Antoinette
AU - Legano, Lori A.
AU - Messner, Stephen A.
AU - Moles, Rebecca L.
AU - Palusci, Vincent J.
AU - Springer, Sarah H.
AU - Forkey, Heather C.
AU - Greiner, Mary Booth Vaden
AU - Harmon, David A.
AU - Jones, Veronnie Faye
AU - Lee, Paul J.
AU - Nalven, Lisa M.
AU - Sagor, Linda Davidson
AU - Szilagyi, Moira Ann
AU - Thackeray, Jonathan David
AU - Waite, Douglas
AU - Zetley, Lisa Weber
AU - Cohen, Judith A.
AU - Scheid, Jeanette M.
AU - Miriyala, Kalpana
AU - Corwin, David Lewis
AU - Bryant, Beverly
AU - Amaya-Jackson, Lisa
AU - de Bellis, Michael D.
AU - MacMillan, Harriet
AU - LePlatte-Ogini, Dayna
AU - Chettiar, Ram
AU - Pawlowski, Sara
AU - Hicks-Black, Mikal
AU - DeCabo, Harry
AU - Fouras, George
AU - Lee, Terry Git
AU - Morgan, Wynne S.
AU - Aneja, Alka
AU - Basrai, Imtiaz
AU - Damerla, Hanu
AU - Durette, Lisa
AU - Galang-Feather, Nerissa
AU - Lohr, William
AU - Naylor, Michael W.
N1 - Publisher Copyright:
© 2020 by the American Academy of Pediatrics
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Pediatricians regularly care for children who have experienced child maltreatment. Child maltreatment is a risk factor for a broad range of mental health problems. Issues specific to child maltreatment make addressing emotional and behavioral challenges among maltreated children difficult. This clinical report focuses on 2 key issues necessary for the care of maltreated children and adolescents in pediatric settings: trauma-informed assessments and the role of pharmacotherapy in maltreated children and adolescents. Specific to assessment, current or past involvement of the child in the child welfare system can hinder obtaining necessary information or access to appropriate treatments. Furthermore, trauma-informed assessments can help identify the need for specific interventions. Finally, it is important to take both child welfare system and trauma-informed assessment approaches into account when considering the use of psychotropic agents because there are critical diagnostic and systemic issues that affect the prescribing and discontinuing of psychiatric medications among children with a history of child maltreatment.
AB - Pediatricians regularly care for children who have experienced child maltreatment. Child maltreatment is a risk factor for a broad range of mental health problems. Issues specific to child maltreatment make addressing emotional and behavioral challenges among maltreated children difficult. This clinical report focuses on 2 key issues necessary for the care of maltreated children and adolescents in pediatric settings: trauma-informed assessments and the role of pharmacotherapy in maltreated children and adolescents. Specific to assessment, current or past involvement of the child in the child welfare system can hinder obtaining necessary information or access to appropriate treatments. Furthermore, trauma-informed assessments can help identify the need for specific interventions. Finally, it is important to take both child welfare system and trauma-informed assessment approaches into account when considering the use of psychotropic agents because there are critical diagnostic and systemic issues that affect the prescribing and discontinuing of psychiatric medications among children with a history of child maltreatment.
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U2 - 10.1542/peds.2019-3751
DO - 10.1542/peds.2019-3751
M3 - Article
C2 - 31964760
AN - SCOPUS:85079018450
SN - 0031-4005
VL - 145
JO - Pediatrics
JF - Pediatrics
IS - 2
ER -
