The Trauma-Informed Pediatric Practice

R.J. Gillespie, MD, MHPE, FAAP, is a pediatrician in private practice in Portland, Oregon. He has a particular interest in exploring the impacts of parent and caregiver trauma on health and wellness in early childhood, with the intention of supporting all families to be the best versions of themselves. Dr. Gillespie does consultation on practice-based quality improvement, particularly in the areas of screening and assessments that support early relational health, and has participated in multiple national and statewide screening initiatives through the American Academy of Pediatrics, the Oregon Pediatric Society, and the Children’s Health Alliance, amongst others. He provides guidance for state and regional initiatives on trauma-informed care and strives to make the science of toxic stress, childhood adversity, and resilience accessible and meaningful to practicing clinicians as well as all the families under his care. Amy King, PhD, is a licensed psychologist who provides training, consultation, and education to professionals and organizations. She specializes in trauma-informed work and resilience building. Dr. King advises organizations around wellness, staff vitality, and creating trauma-responsive spaces. Her specialties include working with professionals to help create resilient children, patients, and thriving families, guiding them to heal their stress and trauma through connected relationships. Dr. King has served as a statewide trainer for the Oregon Department of Human Services, Child Welfare, and as a subject matter expert to promote child wellness in pediatric settings on behalf of Children’s Health Alliance. Her current work is promoting resilience by training professionals who work with children and families, through partnership and collaboration. Dr. Amy & her team serve folks who aim to be champions in connected spaces. When she’s not working to promote resilience, you can find her with her family on their small hobby farm in Newberg, Oregon.

Preface
Introduction
Part 1. Background Concepts: Building a Foundation for Trauma Responsiveness in Primary Care
Chapter 1. The ACE Debate and Ethical Considerations
Chapter 2. Addressing Barriers
Chapter 3. Getting Your Organization Ready: Creating Compassionate Pediatric Practices
Chapter 4. Building the Case for Resilience
Chapter 5. Guiding Principles of Resilience Education
Part 2. Assessing Risks: Navigating Barriers to Safe, Stable, Nurturing Relationships
Chapter 6. Understanding Early Relational Health
Chapter 7. Supporting Caregivers to Strengthen Safe, Stable, Nurturing Relationships
Part 3. Building Caregiver–Child Relationships: Finding 100 Little Conversations to Build Connection
Chapter 8. Revamping Anticipatory Guidance
Chapter 9. Designing and Using Efficacious Interventions to Support Early Relational Health and Heal Trauma
Chapter 10. Supporting Families That Have Experienced Trauma
Chapter 11. Pulling It All Together
Part 4. Building Clinical Skills: Incorporating “The Most Important Medicine” Into Practice
Chapter 12. The Art of Listening
Chapter 13. Self-Care and Sharing Our Humanity
Chapter 14. Addressing Physician Overwhelm
Chapter 15. Implementation Nuts and Bolts
Chapter 16. Sustaining Trauma-Responsive Practices
Conclusion
Appendix