A study from 1998
Nearly all children in the foster care system or those adopted through private agencies or internationally will have a high score on this screen.
What is ACEs?
This is the number one most important buffer for ACEs.
What is having one secure attachment/ adult who is always there.. etc? Many ways to phrase this.
This is the primary goal of the child welfare system.
What is permanency?
This is a legal document detailing a child's learning needs and the school district's responsibility in providing services to maximize student success.
What is an IEP?
These experiences, common in foster and adoptive children, have been shown to impact the genetic predisposition of the emerging brain architecture and can alter lifelong health outcomes.
What are ACEs?
Saying to a child, "I love it when you..." is a form of what type of discipline?
What is positive reinforcement?
This kind of care (adoptive or foster) is relatively cost effective and may keep children more connected with their families and communities.
What is kinship care?
This is a plan for a child who needs classroom support services including educational or speech but does not meet the criteria for more global intervention.
What is a 504 Plan?
Children in adoptive or foster situations may present with this, which may be attributable to inadequate nutrition as well as a result of chronic adversity.
What is low height for age/ growth stunting?
Oftentimes corporal punishment occurs within 30 sec after misbehavior, suggesting that parents are acting impulsively and emotionally rather than this preferred type of response.
What is intentional/ instrumental?
This legislation ensures that infants can be safely placed anonymously in designated locations where they can be protected and given medical care until a permanent home can be found. Age limits vary state to state.
What is the Safe Haven Law?
Nearly all children adopted or fostered have concerns in these three areas.
What are physical, developmental, and mental?
In the 1998 ACEs study, this was considered an independent risk factor, similar in nature to other ACEs.
What is spanking/ corporal punishment?
As pediatricians, we need to encourage the use of this form of discipline to teach acceptable behavior.
What is positive reinforcement?
A good resource within the AAP for physicians providing care for children who are being adopted is this council.
What is the Council on adoption, foster care, and kinship care.
Children adopted internationally have two areas of concern in addition to physical and mental conditions.
What are infectious disease and development problems?
Remember that ACEs affect the body by downregulating the immune and endocrine systems and cause structural changes to the brain. A history of corporal punishment plus verbal abuse has been associated with this change in a child.
What are structural changes in the brain?
Along with positive reinforcement, the AAP recommends these 2 strategies of discipline plus setting of future expectations.
What is setting limits and redirecting?
These are the 4 places that children may be adopted through.
What is: the public welfare system, private agencies, existing relationships (kinship care), and internationally?
It is important to assess for this syndrome in all kids who are adopted or fostered.
What is fetal alcohol syndrome?