Screening for trauma in pediatric primary care

Asked the top three things a pediatric primary care provider (PCP) needs to know about child trauma, Brooks Keeshin, MD, said, “Trauma happens. That’s numbers 1, 2, and 3.”

In fact, up to 80% of children experience trauma by the time they are 18. A large body of evidence indicates that childhood trauma affects physical and mental health, both short term and long term.

Dr. Keeshin, a child abuse pediatrician and child psychiatrist, is developing a new REACH Institute course to teach PCPs to assess and treat child trauma.

“Trauma reactions can look like other mental health conditions,” said Dr. Keeshin. “Traumatic stress can present with symptoms of ADHD, depression, or anxiety. If the pediatrician knows a child has been exposed to trauma, that changes what they do. But first they need to know.”

Read More

Emily Hall, DO

Emily Hall, DO, has long served pediatric patients on or near tribal lands in rural areas of Montana and elsewhere. She plans to use her REACH training not only to serve her own patients but also to be a resource for other pediatricians and to advocate for mental health training for providers statewide.

Read More