Pediatric Prism - Insights from VA-AAP Chapter - Beginning the week of September 9, 2024

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SEPTEMBER 2024, WEEK BEGINNING SEPTEMBER 9

Hello Team,

This week, PRISM is brimming with valuable insights. Look inside for information on Grand Rounds at all our academic institutions The AAP is focusing on trauma-informed care, an essential aspect of providing compassionate and effective support to our patients Additionally, our Chapter has partnered with VMAP to offer a QI opportunity centered around substance use and abuse, aiming to enhance our approaches and interventions in this crucial area.

I hope everyone is settling in well as the new school year gets underway. While the return to school brings excitement, it also ushers in an increase in mental health concerns Percita Ellis, our VP and Rural Health Champion, has shared some thought-provoking information on the risk and protective factors influencing our children and adolescents This is a timely reminder of the importance of understanding and addressing these factors in our practices. Remember, there are valuable resources available to support our efforts. VMAP provides state-level assistance, while the national 988 hotline offers critical support for mental health crises.

As we approach Suicide Prevention Week from Sunday, September 8, 2024, to Saturday, September 14, 2024, let's remain vigilant and proactive in our roles Together, we can make a significant difference in the lives of the children and families we serve

Thank you for your continued dedication and hard work.

“Be the change you wish to see in this world ” -Mahatma Gandhi

Meet Your Executive Committee

PRESIDENT

NATASHA K. SRIRAMAN, M.D.

Events

SEPT 27 - OCT 1

PERCITA ELLIS, M.D.

NCE/AAP National Meeting

NOV 8 - 9

Mohsen Ziai at INOVA

NOV 14

Board Meeting (Virtual)

Committees

ADVOCACY

CHILD SAFETY

FOOD EQUITY

IMMIGRANT HEALTH IMMUNIZATION

MENTAL HEALTH

PEDIATRIC COUNCIL

SCHOOL HEALTH

TREASURER

SUZANNE BRIXEY, M.D. KRISTINA POWELL, M.D.

JANUARY 23 , 2025

VA-AAP Advocacy Day

MARCH 21-23, 2025

Birdsong McLemore at UVA

APRIL 24, 2025 Board Meeting (Virtual)

JUNE 12, 2025

Pediatric Sports Medicine

JULY 18, 2025

BOD Meeting & Dinner

JULY 18-20, 2025

Pediatrics at the Beach

Champions

We have a few committees & champions that are looking for Co-chairs. If you are interested in becoming a co-chair, or even a member of any of these committees, please click the Contact Us button below. Contact Us

ADOLESCENT MEDICINE BREASTFEEDING

EARLY CHILDHOOD

ENVIRONMENTAL

EQUITY, DIVERSITY, & INCLUSION

GUN VIOLENCE

HEALTHY LIFESTYLE

INFECTIOUS DISEASE

ORAL HEALTH

RURAL HEALTH

SPORTS MEDICINE

TELEHEALTH

COLOR: Purple and Teal

SEPTEMBER: SUICIDE

PREVENTION AND AWARENESS MONTH

NATIONAL SUICIDE PREVENTION WEEK: September 8-14, 2024

NATIONAL SUICIDE DAY: September 8, 2024

September is Suicide Prevention and Awareness month.

Death by suicide continues to be the second cause of death in ages 10-24 years. Prior to the covid pandemic, death by suicide, as well as thoughts or behaviors suggestive of suicide, were a public health issue. After the peak of the covid pandemic, death by suicide in this age group continued to increase.

In October 2021, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association, together declared a “National Emergency in Child and Adolescent Mental Health.” By February 2022, the American Academy of Pediatrics, the American Foundation of Suicide Prevention, and sections in collaboration with the National Institute of Mental Health, published the document, “Suicide: Blueprint for Suicide Prevention,” followed over time by expansion of categorical sections. One chapter of the Blueprint, in collaboration with the CDC, lists the risk factors, protective factors, and warning signs pertaining to suicide. (American Academy of Pediatrics., Suicide: Blueprint for Youth and Suicide Prevention, Feb 2022 - Dec 2023 )

Suicide prevention and awareness stress the importance of initiative-taking education. In addressing this concept, the AAP established a grant where two members of each state’s chapter(s), in collaboration with representatives from that state’s AFSP formulated a community oriented suicide prevention educational project. Serving as representatives of Virginia, Dr. Jacqueline Cotton, and I with members of the AFSP, focused on the disparities that can occur when addressing suicide with minoritized races/cultures, particularly Black/African American youth. Bringing awareness to this disparity, the Virginia cohort produced an interactive, educational video geared towards Black/African American youth and community .

Preventative factors to decrease the incidence of ideations of and death by suicide in youth of all races/cultures include:

and

as a way of promoting positive self esteem

Awareness of verbalization and behaviors, indicative of risk of ideations or plans of suicide requiring emergent management.

“ONE CARING ADULT CAN SAVE A LIFE.”
Percita

QI PROJECT

Implementing Substance Use Screening for Teens

Are you using the CRAFFT screening tool with your teens? Not sure what to do with positive screens?

Increasing screening opportunities whenever a teen receives any medical care can increase the chances of identifying risky substance use. Join this three-month practice improvement project to implement the CRAFFT interview for your practice –and build your confidence in supporting teens in risk reduction and referral to further assessment and intervention when needed. This MOC-4 opportunity is available to individual PCPs as well as practices that see kids ages 12 to 21.

1.

3 QI meetings with an interdisciplinary team and a dedicated quality improvement (QI) coach

2.

Explore screening implementation and process improvement, “having the conversation” with your teen patients, and evidence-based approaches for intervention and referral

3.

Receive support from the QI team in submitting your data for three chart review cycles

4.

Participants are eligible to receive up to: 25 MOC IV points; 10 MOC II points; 10 AMA PRA Category 1TM credits; 10 ANCC credits

Timeline: October to December 2024

QI Meeting Dates: 10/10 at 5:30 to 6:30 PM; 11/13 at 5:30 to 6:30 PM; 12/12 at 5:30 to 6:30 PM Points may be submitted for posting in 2024

Registration Deadline: A limited number of seats are available for this opportunity; registration closes Sept. 23

To register, visit the VMAP Provider Portal at login, and select "Provider Education"

Saturday, September 28

6:30 pm - 8:00 pm

Rosen Centre Hotel Salon 15

Rosen Centre Hotel 9840 International Drive Orlando, Florida 32819

JOIN US FOR AN EVENING OF CONNECTION AND CONVERSATION

T THE VIRGINIA NCE MEET & GREET!

Socialize and mingle with fellow professionals in a relaxed atmosphere

Hosted by

Sponsored by

This

LINK/LOCATION:

Each session will have a unique Zoom link sent upon registration. Registration is required to attend, and all sessions will be virtual only.

ADDRESSINGHEALTHINPEDIATRICS

Intensive Health Behavior & Lifestyle Treatment in Obesity Management

NIMALI FERNANDO, MD, MPH

Founder of the Dr. Yum Project and Pediatrician and Creator of Touchpoints

SEPTEMBER 11TH, 2024 7:00 PM

This course is designed for pediatricians seeking practical and effective strategies to address common nutritional challenges in children. Through an interactive exploration of three typical pediatric cases—starting solids in infants, managing picky eaters, and addressing childhood obesity—we will delve into the wide range of free nutrition resources offered by the Dr. Yum Project. Attendees will learn how to incorporate these tools into their practice immediately, regardless of whether they choose to participate in the Dr. Yum Partnership Program. Additionally, the course will introduce the Dr. Yum Touchpoints (IHBLT) program for managing obesity, offering insights into how this resource can enhance patient care. By the end of the session, participants will be equipped with actionable knowledge and resources to support their young patients' nutritional needs.

LEARNING OBJECTIVES:

a Comprehensive Understanding

Evidence-Based and Multidisciplinary Approaches

Improve Time Management and Follow-Up

Address Stigma and Foster Parental Involvement

Master Safe and Effective Management

Patient and Family Education

Understand Legal, Regulatory, and Collaborative Care

Long-Term Care and Monitoring

Bridge2ResourcesVA.org

It is back to school and many of our students need precious resources such as food, clothing, and supplies. Do you know about Bridge2ResourcesVA?

The Virginia Mental Health Access Program (VMAP) and Virginia Chapter of the American Academy of Pediatrics (VA-AAP) are here for you. We have a free social needs platform that anyone can use called Bridge2ResourcesVA.

It doesn’t matter about the time of year; we know that families can often use a little help. Did you know that about 10% of Virginians are food insecure? There are many wonderful non-profits in Virginia that can help with various student and family needs. Have you checked out what resources are in your area? If not, consider using this online platform.

Here are a few reasons why Bridge2ResourcesVA may be very helpful to you:

Bridge2ResourcesVA, sponsored by VMAP and the VA-AAP, is powered by Find help who manages this information and keeps it up to date. We have over 10,000 programs in Virginia It is free and easy to use, just scan the QR code or type in the URL and your zip code https://bridge2resourcesva.org It allows for self-navigation for students, families, and staff. It comes in over 100 languages. It can be searched anonymously. Patient information is not required. It allows individuals to use the site as many times as they would like throughout the year. It provides a wide network of free and reduced-cost services in our communities, such as food, housing, financial assistance, mental health support, legal help, health services, and more It is all in one site

We can add non-profits or services at any time, just let us know which ones we are missing and or suggest a program through the link at the bottom of the landing page!

We can support you in your work by providing posters, postcards, magnets, stickers with QR codes and much, much more.

Please email us with any questions (kpowellvaaap@gmail.com).

Also, please let us know if you would like to set up a Zoom meeting to see a demo.

Thank you, from your VMAP and VA-AAP Team

8/7

8/21- Crim

Eraka Bath,

otecting our elves or Project (AFSP) rician | Virginia n | Lexington, VA DU | Norfolk, VA nal Currency , MD | CSB |

October Collaboration

10/2 - Collaboration & Communication with Families

Ravinderpal Singh, MD | Inova | Fairfax, VA

10/16 - Collaboration with Psychiatry

Kate Liebesny, MD | Carilion Clinic | Roanoke, VA

Amy Kryder, MD | Carilion Clinic | Roanoke, VA

Are you a Virginia PCP looking to gain professional education in pediatric mental health? Join us for a REACH PPP! What t

A dynamic 3-day, 16-hour in-person interactive course focused on building skills and confidence in diagnosing and treating pediatric mental & behavioral health problems led by Virginia faculty.

Followed by a 6-month, case-based online program. Participants join 12 bi-monthly, 1-hour group conference calls with Virginia primary care and child psychiatry experts to learn how to manage pediatric mental health issues encountered in daily practices.. All participants will receive custom-designed toolkits with guides, assessment instruments, dosing and side effect charts, medication comparison tables, and handouts for patients and parents.

Participants will learn to:

ntifyanddifferentiateamongpediatric health problems such as childhood DHD,bipolardisorder,anxietystates D),oppositionalandconductdisorders, manage psychopharmacology: selecting initiating and tapering dosages, improvements, and identifying and minimizingmedicationsideeffects. implementatreatmentplanbymobilizing urces like family members, school personnel,andotherprofessionalcaregivers.

FOR YOUR AWARENESS

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Pediculosis/HeadLice PreventionMonth

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FOR YOUR AWARENESS

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We would like to congratulation Dr. Samantha Ahdoot on her inclusion in:

Climate Change Youth Mental Health &

FOLLOWING IS AN ABSTRACT OF HER CONTRIBUTION “PEDIATRICIANS’ PERSPECTIVE”

Theriseofmentalhealthdisordersinyoungpeoplehaspresentedatremendouschallenge,exacerbatedbythedeficitin trained mental health professionals. Pediatricians are positioned to help fill this gap by virtue of their long-standing relationships, understanding of a family’s social context and highly valued perspective. As pediatricians assume greater responsibilityformentalhealthcareinyoungpeople,thereisaneedtoincorporateclimatechangeasarisingrisk.

To address this need, pediatricians can serve in several roles. As clinicians, pediatricians meet the needs of patients sufferingfromclimate-relatedphysicalandmentalhealthharms.Aseducators,pediatriciansadvanceunderstandingof theintersectionsbetweenclimatechangeandhealth.Pediatriciansarealsouniquelypositionedtoadvocateforclimate changesolutions,promotinghopeintheprocess Thischapterdiscussesclimatechange-relatedmentalhealthconcerns inaprimarycaresettingandhowpediatriciansareworkingtoadvancesolutionsacrossthenation

PLEASE CLICK THE “MORE INFO” BUTTON OR SCAN THE QR CODE FOR MORE INFORMATION OR TO ORDER!

LOOKING

EVERY RIDE SAFE RIDE:

VDH SAFE TRANSPORTATION FOR CHILDREN WORK

ONE YEAR COMMITMENT

BEGINNING SEPT 1, ESTIMATE OF 15 HRS

STIPEND APPROXIMATION: $1500

ACTIVITIES PRIMARILY INCLUDE: PROVIDING INPUT ON PROFESSIONAL DEVELOPMENT TRAINING CONTENT AND PRACTICE TOOLS

ASSIST IN CONDUCTING PROFESSIONAL DEVELOPMENT TRAININGS WITH SUBJECT MATTER EXPERT (2, 2-HOUR SESSIONS, VIRTUAL)

TESTING TOOLS IN PRACTICE FOR FEEDBACK

For more information, or to express interest, please email Jane Chappell by clicking this image or scanning the QR Code.

RESOURCES & REQUESTS

YOUR VOTE IS

TU VOTO TIENE PODER

Podermos influir directamente en estas politicas y ayudar a dar forma a la salud de nuestra comunidad para las generaciones venideras.

LATA DE VOTACION:

Los funcionarios que votamos para el cargo toman decisiones importantes como Cuánto cuestan los medicamentos recetados

Si tenemos acceso a frutas y verduras frescas...y más.

Voting is one of the most powerful ways to influence change at the local, state and national levels. There is a connection between voting and health equity.

Election Day is Tuesday, November 5

Candidates elected to positions up and down the ballot will shape policies that directly impact the health of young people, families and communities.

AAP is leading a nonpartisan Get Out the Vote campaign to provide pediatricians with the tools they need to cast their ballot and share the importance of voting.

To access these resources, please click here or scan the QR Code

Voter Registration Badges

Thousands of health professionals across the country are using Vot-ER badges to give their patients an opportunity to access a nonpartisan voter registration platform in the hospital or clinic.

Get a free voter registration badge today and join the movement for a healthier democracy!

To request your badge, please click here or scan the QR Code

Children are counting on us; vote like their future depends on it.

REGISTRATION IS EASY!

ONLINE: if you have Virginia state ID or Virginia Driver’s license you can register online here BY MAIL or IN PERSON: complete the registration form, found here, then mail or deliver to your local registrar; IF YOUR ADDRESS HAS CHANGED since you last voted, you need to update your registration

Last date for on-line registration or mail in registration is October 14, 2024.

You may also register any time at your county registrar

Register in person on election day Nov 5, 2024 at your designated polling place with proper ID. If your address has changed also bring proof of your new address

All forms will be available in English, Spanish, Amharic, Arabic, Filipino, Korean, Vietnamese

VOTE EARLY IN VIRGINIA

Vote Early starting September 20, 2024

Early voting is available to all registered voters

Apply for early absentee ballot online, by mail, or in person from September 20 - October 25

Ballot can be returned by mail, in person to your registrar, or a designated ballot drop box on or before election day November 5, 2025

For non-partisan voter information, please click the button below or scan the QR code

NEWS FROM AAP

Join the Conversation!

Enhance digital screening and treatment tools that help manage suicide risk. Focus groups with teens, parents, & practice teams.

In search of: Primary care practices (one pediatrician/one staff) to:

Participate in a virtual focus group about a digital app-based teen suicide prevention intervention

Refer parents/adolescents who may be interested in participating in a virtual focus group about the app

Length of Focus Groups: About one hour Dates of Focus Groups: Spring 2024 - exact dates TBA

Practices that qualify: Primary care practices that do NOT have embedded/co-located mental health services

Each Focus Group Participant will receive a $50 gift CARD IN RECOGNITION OF THEIR EFFORTS AND EACH PARTICIPATING PRACTICE RECEIVES

$250

• Note that there will be separate focus groups for practices, parents, and teens, respectively

HEART+ STUDY RESPONSE FORM

click here or scan QR Code

The American Academy of Pediatrics’ Pediatric Research in Office Settings (PROS) teams are currently recruiting clinicians/staff, parents, and teens to participate in focus groups as part of their HEART+ teen suicide prevention study. The purpose of the focus groups is to explore the use of a digital teen suicide intervention by pediatric primary care practices with no embedded mental health services –the idea is for this intervention, ideally shaped by those who would ultimately use it, to serve as a support bridge until a teen can secure comprehensive mental health services.

Below you will also find information about a new tool, launched by the Center of Excellence on Social Media and TheHelpAt-RiskTeensThrive(HEART+)studyneedsyourhelp!

This research opportunity is a collaboration between:

The American Academy of Pediatrics (AAP) Pediatric Re-search in Office Settings (PRS) research network

University of Pittsburgh (Pitt)

Study Funder: National Institute of Mental Health (NIMH)

Principal Investigator: Stephanie Stepp, PhD, at Pitt

Research opportunity purpose:

Take part in refining digital suicide prevention screening and treatment tools that identify, triage, and manage teens with depression or at risk of suicide. Help design digital screening and treatment tools that are user-friendly for teens, parents, and practices!

This research opportunity is part of a larger study that will later pilot test these digital suicide prevention tools within pediatric primary care

What is involved for your practice?

Identify patients 12-17 years with a past history of depression or suicide behavior to invite to a 1-hour confidential focus group

Refer parents of patients 12-17 to PITT to learn more about the confidential focus group Parent permission is required for a teen to participate. Parents are invited to separate confidential focus groups too! Select practice team members (clinicians and staff) to participate in a 1-hour confidential focus groups.

To join the study:

Return the Study Participation Form via email (prosops.org) OR fax (847-434-8910)

Want to know more?

Please reach out to Donna Harris at dlharris@aap.org or 630-626-6362

September 27October 1, 2024

The CDC has developed a Provider Toolkit in preparation of the fall and winter virus season.

Annually, in the US, flu, COVID-19, and RSV cause extreme numbers of hospitalizations and deaths. We now have more tools than ever before to help people protect themselves, their families, and communities!

To access the Toolkit, please click HERE or scan the QR Code

The American Academy of Pediatrics have developed a Reporting Form for RSV.

Please submit reporting, questions, success stories, and barriers related to the administration in inpatient and outpatient settings.

The form can be found here, or by scanning the QR Code

NEWS FROM AAP

The AAP has launched a new 6-unit PediaLink course Free to all registrants!!

Practical Strategies for Implementing Trauma-Informed Care

Description

Pediatricians are often the first health care professionals to encounter children exposed to trauma and have the greatest potential for early identification and response to childhood trauma and traumatic stress. This course, which builds upon the “Trauma Informed Care and Resilience Promotion” PediaLink course, aims to enhance practical skills to identify and respond to child traumatic stress, including how to help regulate disrupted caregivers. The course explains the connection between relational health and trauma-informed care and identifies strategies for providers and caregivers to promote relational health. Additionally, the course dives deeper into trauma symptoms and response by age groups, including guidance on trauma-informed care interventions and psychotropic prescribing.

Define relational health and why it is important for child development and life course trajectories. 1.

Course Details

Start Date: August 12, 2024

Online Access Expires: August 11, 2027

Credit Expires: August 11, 2027

Course ID: 61585

Explain the importance of identifying and responding to child traumatic stress. 2.

Identify when medication is indicated for children exposed to trauma. 3.

Identify how trauma symptoms present in infants and young children. 4.

5.

Describe how pediatricians and other healthcare professionals can address trauma in school-aged children and adolescents.

Distinguish how traumas, stress, depression, and substance use disorder by caregivers can disrupt neuronal processes of the human caregiving network. 6.

To register for this free webinar, please click “Register Now” or scan the QR Code

Physician-PracticalStrategiesforImplementingTrauma-InformedCare

Faculty

Subject Matter Experts

Khadijia Tribie Reid, MD, MPH, FAAP

Brooks Keeshin, MD,FAAP

Lindsay Shepard Abdulahad, PhD, LCSW

Rachel Gilgoff, MD, FAAP

Deborah Rodriguez, MD, FAAP

Heather Forkey, MD, FAAP

Reviewers

Andrew Garner, MD, FAAP

Kathleen Franchek-Roa, MD, FAAP

Moira Szilagyi, MD, PhD, FAAP

Davida Schiff, MD, FAAP

AAP Staff

Sandra George

Zaneta Balaban

Tammy Hurley

Sondra Moore

Hira Khan

TheAmericanAcademyofPediatrics(AAP)isaccreditedbytheAccreditationCouncilforContinuingMedicalEducation(ACCME)toprovidecontinuingmedicaleducationforphysicians TheAAPdesignatesthisenduringmaterialforamaximumof300AMAPRACategory1Credit(s)™ Physiciansshouldclaimonlythecreditcommensuratewiththeextentoftheirparticipation intheactivity

Thisactivityisapprovedfor3.00pointsofMOCPart2creditbytheAmericanBoardofPediatricsthroughtheAAPMOCPortfolioProgram.Allapprovedactivitiesmustbecompletedbythe MOCCreditApprovalEndDate.AlldeadlinesandMOCpointvaluesshouldbeconfirmedbycheckingtheABPActivityCatalogwithineachphysician’sABPPortfolio.ConsultyourABPportfolio atwwwabporgfordetailsaboutyourspecificcertificationrequirements Forquestionsabouthowtoaccessthisactivity,contactMOCPortfolio@aaporg AlliedHealthProfessional-PracticalStrategiesforImplementingTrauma-InformedCare

TheAmericanAcademyofPediatrics(AAP)isaccreditedbytheAccreditationCouncilforContinuingMedicalEducation(ACCME)toprovidecontinuingmedicaleducationforphysicians PAsmayclaimamaximumof3.00Category1creditsforcompletingthisactivity.NCCPAacceptsAMAPRACategory1Credit™fromorganizationsaccreditedbyACCMEorarecognizedstate medicalsociety. Thisprogramisaccreditedfor3.00NAPNAPCEcontacthoursofwhich0.00containpharmacology(Rx)content,(0.00relatedtopsychopharmacology)(0.00relatedtocontrolled substances),pertheNationalAssociationofPediatricNursePractitioners(NAPNAP)ContinuingEducationGuidelines TheAAPisdesignatedasAgency#A17 Uponcompletionoftheprogram, eachparticipantdesiringNAPNAPcontacthoursmustsendacompletedcertificateofattendancetoce@napnaporg Paymentof$15forNAPNAPmembersandnonmembersisrequiredvia creditcardforallNAPNAPcontacthourrequests Keepthiscertificateforyourrecordsforsix(6)years RequestsforduplicatecertificatesshouldbemadetotheAAP

TRAINING OPPORTUNITY

Learning Update from Across the State

Children’s Hospital of Richmond Grand Rounds are one a break for the summer and will return in September 2024.

Grand Rounds are held Tuesdays from 12 noon - 1 pm.

No Grand Rounds scheduled for the week.

Learning Update from Across the State

Crisis Prevention Education: Verbal De-escalation and Therapeutic Rapport in the Health Care Setting

Erin Stricklan, RN

CHKD Clinical Practice & Education Coordinator

Brickhouse Auditorium

Thursday, September 12, 2024

8:00 am - 9:00 am

Contact Julie Miller for Meeting ID & Passcode

No Grand Rounds scheduled for the week.

Learning Update from Across the State

"Neonatal

Antimicrobial Pharmacology”

Thursday, September 12 ,2024

7:30 am - 8:30 am

Meeting ID: 215 263 407 462

Passcode: mfgVkn

UPCOMING COURSES & CONFERENCES

PHOTOCREDIT:PERCITAELLIS,MD

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