Recorded on October 5, 2021

1. Welcome to Weitzman Institute’s webinar
on Childhood Trauma: COVID-19 & Beyond
The webinar will
begin momentarily.
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2. Childhood Trauma:
COVID-19 and Beyond
Dr. Timothy Kearney, PhD
Georgette Harrison, LPC, NCC
Dr. Naomi Schapiro, PhD, CPNP-PC
Dr. Jessica Welt, PsyD

3. In support of improving patient care,
Community Health Center, Inc./Weitzman Institute is jointly accredited
by the Accreditation Council for Continuing Medical Education (ACCME),
the Accreditation Council for Pharmacy Education (ACPE),
and the American Nurses Credentialing Center (ANCC),
to provide continuing education for the healthcare team.
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4. Disclosure
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◉ With respect to the following presentation, there has been no relevant
(direct or indirect) financial relationship between the party listed above
(or spouse) and any for-profit company in the past 12 months which would
be considered a conflict of interest.
◉ The views expressed in this presentation are those of the presenter and
may not reflect official policy of Community Health Center, Inc. and its
Weitzman Institute.
◉ We are obligated to disclose any products which are off-label, unlabeled,
experimental, and/or under investigation (not FDA approved) and any
limitations on the information that we present, such as data that are
preliminary or that represent ongoing research, interim analyses,
and/or unsupported opinion.

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At the Weitzman Institute, we value a culture of equity, inclusiveness, diversity,
and mutually respectful dialogue. We want to ensure that all feel welcome.
If there is anything said in our program that makes you feel uncomfortable,
please let us know.

6. What is Trauma?
Individual trauma results from an event, series of
events, or circumstances that is experienced by an
individual as physically or emotionally harmful or life
threatening and that has lasting effects on an
individual’s functioning and mental, physical, social,
emotional, or spiritual well being.
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From SAMHSA’s Concept of Trauma and Guidance for a Trauma Informed Approach, July 2014,
http://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf

7. Specificity of Definitions
◉Acute Trauma
◉Chronic/Long Term Trauma
◉Toxic Stress
◉Potentially Traumatic Event
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8. COVID Then & Now
◉ COVID Then
– An estimated 113, 708 US children have lost a primary caregiver due to
COVID (1.5/1000 children), as of 4/2021
– Proportionately higher losses in Black and Latinx children
– Steep decline in pediatric well visits – missing immunizations,
developmental and behavioral surveillance
– 77% of School-Based Health Centers closed at least temporarily
– Increased reporting of neglect and emotional abuse
◉ COVID Now
– More children are infected with COVID
– More hospitalized, but not necessarily sicker
– Increased severity of pre-existing
behavioral health problems
– Academic impact is clear: 3rd school year
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https://pediatrics.aappublications.org/content/pediatrics/138/3/e20162147.full.pdf
Hillis, S. D., et al. (2021). Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study. The Lancet, 398(10298), 391-402.
https://doi.org/10.1016/s0140-6736(21)01253-8

9. Personal Reflection
What has been the cost of COVID…
– To you personally?
– To your institution?
– To your clients?
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10. Trauma Beyond COVID
◉Trauma persists beyond the pandemics
◉Contextual variables impact an individual’s response
to potentially traumatic events
◉Current challenges facing children and families
– Identification
– Barriers to accessing care
– Limited protective factors
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11. Practical Tips
◉ Fear of talking openly about the potentially traumatic event
– Caregivers
– Children
– Providers
◉ Talking with families about
potentially traumatic events
and their impact
– Consider your role, reason why
family is seeing you, context, age of
child, how long ago the PTE occurred
◉ Psychoeducation can help families feel less alone and can guide the
decision to seek treatment
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Unsplash

12. Where Do We Go From Here?
◉ Everyone is fatigued
– Physically, emotionally, mentally
◉ Everyone is excited and more anxious about more in person
gatherings
◉ Important to work self-care into daily work & home schedules
– Self-care in children’s schedules as well
◉ Consider how institutions and/or
communities can honor the impact
of trauma on children
– e.g. Altars for Día de los Muertos
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https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/self-care-tips-during-the-covid-19-pandemic

13. Participant Q & A
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14. Thank You
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