In a hot themed symposium session during the virtual meeting of the Pediatric Academic Societies (PAS) 2021, a multi-layered approach to overcoming adversity in childhood and promoting resilience will be discussed – at the clinical, systemic, community and educational level.

The impact of adverse childhood experiences (ACEs) on life-span health outcomes is well known by pediatric physicians. Improving health care providers’ ability to identify and respond to ACEs can mitigate the long-term negative effects of adversity on physical and mental health and improve patient-centered care.

“In the era of COVID-19, the application of a trauma-informed nursing approach is even more important as the reverberation of the overactivity of the biological stress response during this time will affect the population in both the near and distant future,” said Binny Chokshi, MD. “Understanding the biological effects of childhood stress and adversity and identifying ways to mitigate those effects and build resilience is key. Our panel will serve that role.”

There are several ways that pediatricians can address ACEs. This symposium will examine approaches at the patient, system (clinic / hospital), community and educational level. It will also highlight the importance of interdisciplinary collaboration for the further development of this work.

At the patient level, the session will review the experience of Atrium Health Levine’s Children’s Hospital as a pilot site for the Center for Youth Wellness National Pediatric Practice Community. Shivani Mehta, MD, MPH, will discuss the relievers and barriers to implementation of ACE screening in both academic and community primary care and will review the use of resource remittances as a key measure in promoting wellbeing and resilience.

At the clinic and hospital level, the Drug Abuse and Mental Health Administration sets a framework that guides the creation of traumatized systems. Anita Shah, DO, MMS, MPH, will review the Cincinnati Children’s Hospital Medical Center’s experience in developing a trauma-related strategic plan with multidisciplinary partners.

Community partnerships can be critical in securing resources, building resilience and preventing adversity in childhood. Nia I. Bodrick, MD, MPH, FAAP, will highlight two exemplary community partnerships, the Early Childhood Innovation Network and the Building Communities Resilience National Coalition.

Finally, education about ACEs and trauma-informed care is essential to ensure the sustainability and integration of approaches to dealing with adversity. Heather Forkey, MD, will describe the American Academy of Pediatrics-sponsored PATTeR (Pediatric Approach to Trauma, Treatment and Resilience) program. The PATTeR program has trained over 400 paediatricians and members of the clinic team on childhood adversity and trauma-related care.

E-modules increase knowledge, attitude, and confidence regarding childhood adversity and trauma-related care from the American Pediatric Society

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