Practice Parameter for the Assessment and Management of Youth Involved With the Child Welfare System

Lee, Terry; Fouras, George A.; Brown, Rachel D.

doi:10.1016/j.jaac.2015.03.005

Cited by 31 publications

(8 citation statements)

References 55 publications

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“…Upon endorsement of any type of CM, staff with a reasonable suspicion that the alleged maltreatment occurred and has not been reported to Child Protective Services are required by law and University policy to make such a report. This process has been aided by the drafting of an Institutional Review Board (IRB)-approved document informed by best practice standards for youth involved in child welfare (Lee, Fouras, & Brown, 2015) and containing step-by-step procedures for making a report of CM that is compliant with State mandatory reporting laws and University policy. This document includes information on how to ask questions that elicit additional information about the incident without biasing responses; assessing the current risk for maltreatment; guidelines on how to approach caregivers and participants about the need to make a report; and the phone numbers and email addresses needed for meeting the requirements of making a report to State and University officials.…”

Section: The Child Health Studymentioning

confidence: 99%

Assembling a cohort for in-depth, longitudinal assessments of the biological embedding of child maltreatment: Methods, complexities, and lessons learned

et al. 2021

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As championed by the work of Ed Zigler, investing in nurturing environments for all children is a chief tenet of primary prevention that will have far-reaching benefits to the health and welfare of all members of society. Children who endure child maltreatment (CM) are among society's most vulnerable. Prospective longitudinal research aimed at a comprehensive understanding of the mechanisms linking CM to subsequent adverse health consequences is needed to improve outcomes and to strengthen causal inference. This paper outlines the methods of the Child Health Study (CHS), a large, state-wide longitudinal cohort of recently maltreated and nonmaltreated youth aged 8–13 who will be assessed every 2 years. The CHS is designed to include in-depth assessments of multiple environmental, behavioral, neural, physiological, and molecular mechanisms through which CM may impact a broad spectrum of youth development, including behavioral and physical health outcomes. In addition to describing the conceptual framework and methods underlying the CHS, we provide information on valuable “lessons learned” in the hopes of supporting future research efforts facing similar challenges. The ultimate goal of this research is demonstrating how policies regarding CM impact the well-being, resilience and recovery of survivors and that they are worthy of large public investment.

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Section: The Child Health Studymentioning

confidence: 99%

Assembling a cohort for in-depth, longitudinal assessments of the biological embedding of child maltreatment: Methods, complexities, and lessons learned

et al. 2021

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“…When a complete clinical picture is not available, pediatricians may be hesitant to reduce even substantial medication regimens because of a concern about escalation in symptoms. 67 However, it is Reevaluation after treatment for traumatic stress and reduction of trauma symptoms for possible ADHD may be needed to make diagnosis a Suicidal ideation is a well-recognized symptom of major depressive disorder. However, suicidal ideation and nonsuicidal self-injurious behavior can be observed in a number of conditions in addition to depression that disproportionally affect maltreated children, including, but not limited to, PTSD, anxiety, substance use disorder, and personality, mood, and psychotic disorders.…”

Section: Discontinuing Medicationmentioning

confidence: 99%

Children Exposed to Maltreatment: Assessment and the Role of Psychotropic Medication

et al. 2020

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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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“…The American Academy of Child and Adolescent Psychiatry recommends specific evidence-based psychosocial interventions (e.g. trauma-focused psychotherapy) as first-line treatment for nearly every childhood mental health disorder (Lee et al ., 2015). These recommendations reflect robust research on psychosocial interventions for specific mental health disorders.…”

Section: Treatments For Disorders Common In Traumatised Childrenmentioning

confidence: 99%

High-risk psychotropic medications for US children with trauma sequelae

Barnett

Zayas²

2018

Epidemiol Psychiatr Sci

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Children exposed to trauma are predisposed to develop a number of mental health syndromes. They are prone to under-treatment with effective psychosocial interventions and over-treatment with high-risk psychotropic medications, especially polypharmacy and the use of antipsychotics for unapproved conditions. We review the evidence for psychosocial and pharmacological treatments for mental health problems associated with high exposure to childhood trauma – identifying those in foster care as an index group – and the frequency of high-risk pharmacological practices. We describe current efforts to reduce over-treatment of children with high-risk psychotropic medications and propose further recommendations to protect and provide effective care for these vulnerable children.

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Practice Parameter for the Assessment and Management of Youth Involved With the Child Welfare System

Cited by 31 publications

References 55 publications

Assembling a cohort for in-depth, longitudinal assessments of the biological embedding of child maltreatment: Methods, complexities, and lessons learned

Assembling a cohort for in-depth, longitudinal assessments of the biological embedding of child maltreatment: Methods, complexities, and lessons learned

Children Exposed to Maltreatment: Assessment and the Role of Psychotropic Medication

High-risk psychotropic medications for US children with trauma sequelae

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