Pair of Reports Guide Trauma-Informed Care in Child Health Systems


From the American Academy of Pediatrics: “The COVID-19 pandemic and our nation’s racial reckoning have given new visibility to trauma and its impact on children.

Even before the pandemic, it was understood that the most fundamental threats to health have their roots in adversities experienced by children without sufficient buffering of a caregiver. Behavior, development, relationships and physical health can be affected for a lifetime due to the impacts of adverse experiences on brain development and neurophysiology, immune function and gene expression.

. . . While the science underlying toxic stress has been evolving for decades, guidance for policy and practical clinical application in pediatrics has lagged.

A new AAP policy statement and clinical report on trauma-informed care provide guidance for pediatricians, community partners and other child-serving clinicians to move this science out of the lab and into lives.

. . . Both documents emphasize the power of safe, secure, nurturing relationships — referred to as relational health — to mitigate the effects of potentially traumatic experiences and promote resilience . . . Pediatricians already address the effects of trauma that present as disturbances of developmental, behavioral or physical health. Recovery from post-traumatic stress is facilitated when these concerns are diagnosed appropriately and addressed with evidence-based treatment and within the context of a caregiving relationship.

‘Every health encounter in pediatrics is an opportunity to promote parent-child attunement, identify and ameliorate trauma, and promote child resilience,’ said AAP President-elect Moira A. Szilagyi, M.D., Ph.D., FAAP, a co-author of the policy and clinical report. ‘This is trauma-informed care — or what might better be termed resilience- and relationship-informed care. It provides a framework that begins in infancy, or even prenatally with families, and nurtures the parent-child relationship through the ages and stages of development to optimize child health, resilience and well-being.'”

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  1. Given the fact that the psychological profession has been denying and covering up child abuse for a very long time.

    And given the fact that “the prevalence of childhood trauma exposure within borderline personality disorder patients has been evidenced to be as high as 92% (Yen et al., 2002). Within individuals diagnosed with psychotic or affective disorders, it reaches 82% (Larsson et al., 2012).”

    Which means that psychologists and psychiatrists have been misdiagnosing child abuse survivors, with the other DSM disorders, on a massive societal scale.

    Given this staggering betrayal of child abuse survivors – by both the psychological and psychiatric industries. I feel our society should find people – who are NOT psychologists or psychiatrists or other DSM “bible” believers – to help the child abuse survivors.

    Especially since the DSM “bible” billers can’t bill to help child abuse survivors, unless they first misdiagnosed them with one of the billable DSM disorders.

    And, of course, these misdiagnoses distract from the real issue at hand. Especially if the person is prescribed the psychiatric neurotoxins.

    In the words of my oral surgeon, “antipsychotics do not cure concerns of child abuse.” Absolutely they do not.

    But both the antidepressants and antipsychotics can create “psychosis,” via anticholinergic toxidrome. And the antipsychotics can also create the negative symptoms of “schizophrenia,” via neuroleptic induced deficit syndrome.

    And all this misdiagnosis of child abuse survivors, and their legitimately concerned parents, does also function to aid, abet, and empower the pedophiles and human traffickers. So we’re now all living in a “pedophile empire,” with child sex trafficking running amok.

    I’m quite certain we’d have a much better world if psychologists, psychiatrists, CPS, et al got out of the child abuse denying and covering up business, and we started actually arresting the pedophiles and human traffickers.

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