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Children Exposed to Maltreatment: Assessment and the Role of Psychotropic Medication.
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- Author(s): Keeshin, Brooks; Forkey, Heather C.; Fouras, George; MacMillan, Harriet L.
- Source:
Pediatrics. Feb2020, Vol. 145 Issue 2, p1-15. 15p. - Source:
- Additional Information
- Subject Terms: POST-traumatic stress disorder; CHILD abuse; CHILD development; CHILD psychiatry; CHILD welfare; CHILD behavior; MENTAL health; PEDIATRICS; PSYCHIATRIC drugs; PSYCHOLOGICAL resilience; SLEEP disorders; UNITED States. Food & Drug Administration; EVIDENCE-based medicine; FAMILY relations; HEALTH & social status; DISEASE risk factors
- 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. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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