2018 Awareness Day Final Report AD2018_FinalReport_FINAL | Page 11

“The first few people a child talks to about their experience of trauma are going to have a lasting impact on that child’s ability to recover from what has happened to them.” TEXAS STATEWIDE: Children enjoy Awareness Day activities. — AMBER SINGH, Young Adult Leader Creating Trauma-Informed Primary Care Services and Systems Sometimes the first person to recognize that a child has been affected by trauma is the family doctor, a pediatrician, nurse practitioner, or other primary care provider. In many situations, these individuals may already have trust and rapport with the child and her or his family, making it easier to discuss their needs or experiences beyond the physical. However, the process of re-telling can be difficult for children; safe spaces in which to share are essential. “If we create an environment where that child can feel like what’s happened to them isn’t their fault, that child can then start building a support system for themselves,” says Young Adult Leader Amber Singh. Debra Waldron, M.D., MPH, FAAP, Senior Vice President of Child Health and Wellness at the American Academy of Pediatrics, knows firsthand the importance of being an early, if not first, touch point in a child’s care. A best practice in her view is to ask age-appropriate questions to find out what may be occurring in a child’s life that would be an example of trauma. “We always need to remember that these little warriors, these survivors, are kids,” says Dawn Garzon Maaks, Ph.D., CPNP-PC, PMHS, FAANP, President, National Association of Pediatric Nurse Practitioners. “And what we do as health care providers can be scary. For these children in particular, we need to embrace their child-ness.” Panelists agreed that a key piece of being a trauma- informed primary care provider is to be curious and open-minded about why people behave the way they do. At the same time, these providers must reserve judgment about family dynamics and experiences, and instead focus on moving forward. “There are so many reasons to have hope. Recovery is possible, and things do get better.” — DANIEL SCHWARTZ, Young Adult Leader YOUNG ADULT LEADERS: Amber Singh and Daniel Schwartz PARTNERING FOR HEALTH AND HOPE FOLLOWING TRAUMA 11