Objective-The objective of this study was to determine the relationships between adverse childhood experiences (ACEs) and mental health, chronic medical conditions and social development among young children in the child welfare system.Methods-This was a cross-sectional study, using a nationally representative sample of children investigated by child welfare (National Survey of Child and Adolescent Well-Being II) from 2008-2009. Our analysis included caregiver interviews and caseworker reports about children age 18-71 months who were not in out-of-home care (N=912). We examined the associations between Address correspondece to:

Pediatricians endorse a wide range of barriers with respect to the diagnosis and treatment of children's mental health problems and maternal depression. The specificity of factors relating to various barrier areas suggests that overcoming barriers to the identification and treatment of child mental health problems and maternal depression in primary care pediatrics is likely to require a multifaceted approach that spans organizational, physician, and patient issues. In addition, comprehensive interventions will likely require social marketing approaches designed to engage diverse audiences of clinicians and their patients to participate.

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