Children Exposed to Maltreatment: Assessment and the Role of Psychotropic Medication
Author:
Keeshin Brooks1, Forkey Heather C.2, Fouras George3, MacMillan Harriet L.4, Flaherty Emalee G., Sirotnak Andrew P., Budzak Ann E., Gavril Amy R., Haney Suzanne B., Idzerda Sheila M., Laskey Antoinette, Legano Lori A., Messner Stephen A., Moles Rebecca L., Palusci Vincent J., Springer Sarah H., Vaden Greiner Mary Booth, Harmon David A., Jones Veronnie Faye, Lee Paul J, Nalven Lisa M., Sagor Linda Davidson, MPH MD, Szilagyi Moira Ann, Thackeray Jonathan David, Waite Douglas, Zetley Lisa Weber, Cohen Judith A., Scheid Jeanette M., Miriyala Kalpana, Corwin David Lewis, Bryant Beverly, Amaya-Jackson Lisa, De Bellis Michael D., LePlatte-Ogini Dayna, Chettiar Ram, Pawlowski Sara, Hicks-Black Mikal, DeCabo Harry, Lee Terry Git, Morgan Wynne S., Aneja Alka, Basrai Imtiaz, Damerla Hanu, Durette Lisa, Galang-Feather Nerissa, Lohr William, Naylor Michael W., Baker Megan, Murphy Veronica L., Wakefield Sarah, Chhabra Divya, Valles Fernando,
Affiliation:
1. Department of Pediatrics, University of Utah, Salt Lake City, Utah; 2. Department of Pediatrics, University of Massachusetts Medical School, UMass Memorial Children’s Medical Center, Worcester, Massachusetts; 3. Los Angeles County Department of Mental Health, Child Welfare Bureau, Continuum of Care Reform Division, Los Angeles, California; and 4. Departments of Psychiatry and Behavioural Neurosciences and Pediatrics, Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
Abstract
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.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology, and Child Health
Reference67 articles.
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