Authors
Forkey, HeatherUMass Chan Affiliations
Child Protection Program, UMass Memorial Children's Medical CenterFoster Children Evaluation Services
Department of Pediatrics, Division of Child Protection
Document Type
Journal ArticlePublication Date
2019-07-01Keywords
Mental and Social HealthPediatrics
Psychiatry and Psychology
Psychological Phenomena and Processes
Trauma
Metadata
Show full item recordAbstract
Trauma in childhood is now understood to cause long-term effects on the brain and body. The pediatric provider, using a "trauma lens," which constitutes observing a child's attachment, resilience, and stress response, is well poised to identify and support children and families at risk. Fortunately, resilience is a dynamic process that can be learned, enhanced, and supported. Familiarity with the most common symptoms of traumatic stress will help the medical provider quickly recognize which children are impacted or FRAYED (Fits, Frets, and Fear; Regulation disorders; Attachment problems; Yawning and Yelling; Educational and developmental delays; Defeat and Dissociation). Once symptoms are identified, the caregiver can "focus" on attachment and resilience skills, the THREADS (Thinking and learning brain, with opportunity for continued growth; cognitive development; Hope, optimism, faith, belief in a future for one's self; Regulation [self-regulation, self-control]; Efficacy, or knowing one can impact their environment and situation; Attachment, secure; Development, or mastery of age-salient developmental tasks; Social context or the larger network of relationships in which one lives and learns) that can be woven together to promote resilience. Guiding families with empathy and positive regard, the medical provider can help the child and family rebuild resilience skills. Organizing practical guidance around the "3 R's"-Reassuring, Restoring routines, and Regulating-is a roadmap to recovery.Source
Pediatr Ann. 2019 Jul 1;48(7):e269-e273. doi: 10.3928/19382359-20190618-01. Link to article on publisher's site
DOI
10.3928/19382359-20190618-01Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43700PubMed ID
31305944Related Resources
ae974a485f413a2113503eed53cd6c53
10.3928/19382359-20190618-01