Scholarly Sessions

Mental Health

Developmental and Behavioral Pediatrics

Community Pediatrics

Health Equity/Social Determinants of Health

General Pediatrics

Cross-Disciplinary Pathway

Advocacy Pathway

A Multipronged Approach to Addressing Childhood Adversity and Promoting Resilience

Chair(s)

• 

  Binny Chokshi, MD

  Pediatrician
  General Pediatrics
  Childrens National Health System
  Washington, District of Columbia, United States

The effect of adverse childhood experiences (ACEs) on health outcomes across the lifespan is well recognized among pediatric practitioners. Increasing the ability of healthcare providers to recognize and respond to ACEs can buffer the long-term negative physical and mental health impacts of adversity and also increase patient-centered care.

For pediatric practitioners, there are multiple ways to address ACEs. This symposium will review approaches at the patient, systems (clinic/hospital), community, and education level. It will also highlight the importance of interdisciplinary collaborations in moving this work forward.

At the patient level, the symposia will review the experience of Atrium Health Levine’s Children’s Hospital, as a pilot site for the National Pediatric Practice Community of the Center for Youth Wellness. Dr. Shivani Mehta will discuss the facilitators and barriers to ACE screening implementation in both the academic and community primary care pediatric settings and review the use of resource referrals as a key intervention in promoting wellbeing and resilience.

At the clinic and hospital level, the Substance Abuse and Mental Health Services Administration delineates a framework to guide the creation of trauma-informed systems. Dr. Anita Shah, will review the experience of Cincinnati Children’s Hospital Medical Center in developing a trauma-informed strategic plan with multidisciplinary partners.

Community partnerships can be critical in securing resources to build resilience and preventing childhood adversity. Dr. Nia Bodrick will highlight two exemplary community partnerships, the Early Childhood Innovation Network and the Building Communities Resilience National Coalition.

Lastly, education on ACEs and trauma-informed care is essential in assuring the sustainability and integration of approaches to confront adversity. Dr. Heather Forkey, will describe the Pediatric Approach to Trauma, Treatment, and Resilience (PATTeR) program, supported by the American Academy of Pediatrics. The PATTeR program has trained over 400 pediatricians and clinic team members about childhood adversity and trauma-informed care.

The session will begin with a 10-minute introduction on the sciences of adversity and trauma-informed care delivered by Dr. Chokshi. Each of the four speakers will then give a 10-minute talk, followed by 5 minutes of moderated question and answer. This will leave 20 minutes for a interactive group discussion.

Presentations:

• 4:30 PM - 4:40 PM US CT

  The Science of Adverse Childhood Experiences and Critical Need for Pediatricians to Respond
  

  Presenter: Binny Chokshi, MD – Childrens National Health System
• 4:40 PM - 5:00 PM US CT

  Lessons Learned Implementing ACEs Screening in Academic and Community Pediatric Primary Care Settings
  

  Presenter: Shivani Mehta, MD, MPH – Atrium Health Levine Children's
• 5:00 PM - 5:20 PM US CT

  Creating Trauma-Informed Systems to Address Adverse Childhood Experiences
  

  Presenter: Anita Shah, DO, MPH – Cincinnati Children's Hospital Medical Center
• 5:20 PM - 5:40 PM US CT

  The Central Role of Community Partnerships in Preventing Childhood Adversity
  

  Presenter: Nia I. Bodrick, MD MPH FAAP – Children's National Hospital
• 5:40 PM - 6:00 PM US CT

  The Pediatric Approach to Trauma, Treatment, and Resilience (PATTeR) Program
  

  Presenter: Heather Forkey, MD – University of Massachusetts Medical School
• 6:00 PM - 6:30 PM US CT

  Break
  

  Presenter: Belinda Thomas
• 6:30 PM - 7:00 PM US CT

  Click for Live Q&A: A Multipronged Approach to Addressing Childhood Adversity and Promoting Resilience
  

  Presenter: Belinda Thomas