Medical Management and Trauma-Informed Care for Children in Foster Care
Department of Pediatrics, Division of Child Protection
Health Services Administration | Pediatrics | Psychiatry and Psychology
Children enter foster care with a myriad of exposures and experiences, which can threaten their physical and mental health and development. Expanding evidence and evolving guidelines have helped to shape the care of these children over the past two decades. These guidelines address initial health screening, comprehensive medical evaluations, and follow-up care. Information exchange, attention to exposures, and consideration of how the adversities, which lead to foster placement, can impact health is crucial. These children should be examined with a trauma lens, so that the child, caregiver, and community supports can be assisted to view their physical and behavioral health from the perspective of what we now understand about the impact of toxic stress. Health care providers can impact the health of foster children by screening for the negative health consequences of trauma, advocating for trauma-informed services, and providing trauma-informed anticipatory guidance to foster parents. By taking an organized and comprehensive approach, the health care provider can best attend to the needs of this vulnerable population.
DOI of Published Version
Curr Probl Pediatr Adolesc Health Care. 2015 Oct;45(10):298-305. doi: 10.1016/j.cppeds.2015.08.004. Epub 2015 Sep 14. Link to article on publisher's site
Current problems in pediatric and adolescent health care
Schilling S, Fortin K, Forkey H. (2015). Medical Management and Trauma-Informed Care for Children in Foster Care. Pediatric Publications and Presentations. https://doi.org/10.1016/j.cppeds.2015.08.004. Retrieved from https://escholarship.umassmed.edu/peds_pp/63