Trauma-informed, integrated primary care: A medical home model for children with prenatal drug exposure who enter foster care

Loria, Hilda; McLeigh, Jill D.; Craker, Kelsey; Bird, Susanna

doi:10.1016/j.childyouth.2021.106089

Cited by 2 publications

(7 citation statements)

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“…A 2021 study showed that 75% of children in foster care younger than age 36 months had a failing Ages and Stages Questionnaire (ASQ) score 5. In addition to physical problems, children in foster care also experience high rates of mental health problems and educational challenges 4. Experiencing adverse childhood experiences (ACEs) such as abuse, neglect, and family dysfunction has been associated with poor outcomes for children.…”

Section: The Health Effects Of Foster Carementioning

confidence: 99%

“…PCPs should be aware of the increased risk of attachment issues and disorders in young foster children related to family instability. Foster parents are trained in the effects of trauma and insecure attachment in children, but PCPs who understand insecure attachment and the effects of trauma on children will be in a better position to help parents and patients interpret and respond to the behaviors and needs of the foster children in their care 4. The AAP offers a resource called the Trauma Toolbox for Primary Care to help PCPs learn about trauma-informed care and develop skills in treating children who have experienced trauma 15,16.…”

Section: The Well-child Visitmentioning

confidence: 99%

“…Up to 80% of children entering out-of-home care have at least one physical health problem 4. A 2021 study showed that 75% of children in foster care younger than age 36 months had a failing Ages and Stages Questionnaire (ASQ) score 5.…”

Section: The Health Effects Of Foster Carementioning

confidence: 99%

“…3 Up to 80% of children entering out-of-home care have at least one physical health problem. 4 A 2021 study showed that 75% of children in foster care younger than age 36 months had a failing Ages and Stages Questionnaire (ASQ) score. 5 In addition to physical problems, children in foster care also experience high rates of mental health problems and educational challenges.…”

mentioning

confidence: 99%

“…5 In addition to physical problems, children in foster care also experience high rates of mental health problems and educational challenges. 4 Experiencing adverse childhood experiences (ACEs) such as abuse, neglect, and family dysfunction has been associated with poor outcomes for children. Analyzing data from the 2016 National Survey of Children's Health, Webster observed that the incidence of special health needs (developmental delay, increased need for services or therapy, regular medication use) increased proportionally to the number of ACEs the child had experienced.…”

mentioning

confidence: 99%

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The role of primary care in improving health outcomes in young foster children

Sitzman,

Quincy

2024

Jaapa

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Children removed from their biological families because of abuse, neglect, and/or violence have increased healthcare needs and are susceptible to poor health outcomes compared with children who are not in the child welfare system. Developmental delays occur in about 75% of children in foster care. Up to 80% of children entering out-of-home care have at least one physical health problem and more than 40% experience educational challenges. In most US states, newly removed children are required to have a medical evaluation shortly after placement in a foster or kinship family. The initial evaluation is important for identifying urgent concerns and developing a rapport with children who may not have had regular medical care. In addition, the child's complete social, trauma, and medical history may be unknown because of system barriers such as inconsistent medical care by biological parents, privacy laws protecting records, and unavailability of birth histories and biological parents' medical and psychosocial histories. As a result, a series of visits is required to fully evaluate the child's development and healthcare needs. This article provides guidance for physician associates/assistants who provide care to children in foster care.

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Section: The Health Effects Of Foster Carementioning

confidence: 99%

Section: The Well-child Visitmentioning

confidence: 99%