TY - JOUR
PY - 2020//
TI - Children exposed to maltreatment: assessment and the role of psychotropic medication
JO - Pediatrics
A1 - Keeshin, Brooks
A1 - Forkey, Heather C.
A1 - Fouras, George
A1 - MacMillan, Harriet L.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - 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.
Copyright © 2020 by the American Academy of Pediatrics.
Language: en
LA - en SN - 0031-4005 UR - http://dx.doi.org/10.1542/peds.2019-3751 ID - ref1 ER -