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Record W3001739826 · doi:10.1542/peds.2019-3751

Children Exposed to Maltreatment: Assessment and the Role of Psychotropic Medication

2020· article· en· W3001739826 on OpenAlexaff
Brooks Keeshin, Heather Forkey, George A. Fouras, Harriet L. MacMillan, Emalee G. Flaherty, Andrew Sirotnak, Ann E. Budzak, Amy R. Gavril, Suzanne B. Haney, Sheila M. Idzerda, Antoinette L. Laskey, Lori A. Legano, Stephen A. Messner, Rebecca L. Moles, Vincent J. Palusci, Sarah H. Springer, Mary Booth Vaden Greiner, David Harmon, V. Faye Jones, Paul J Lee, Lisa Nalven, Linda Davidson Sagor, Moira Szilagyi, Jonathan D. Thackeray, Douglas Waite, Lisa W. Zetley, Judith A. Cohen, Jeanette M. Scheid, Kalpana Miriyala, David L. Corwin, Beverly J. Bryant, Lisa Amaya‐Jackson, Michael D. De Bellis, Dayna LePlatte-Ogini, Ram Chettiar, Sara Pawlowski, Mikal Hicks-Black, Harry DeCabo, Terry Git Lee, Wynne S. Morgan, Alka Aneja, Imtiaz Basrai, Hanu Damerla, Lisa Durette, Nerissa Galang-Feather, William David Lohr, Michael W. Naylor, Megan Baker, Veronica L. Murphy, Sarah Wakefield, Divya Chhabra, Fernando Valles

Bibliographic record

VenuePEDIATRICS · 2020
Typearticle
Languageen
FieldPsychology
TopicChild Abuse and Trauma
Canadian institutionsMcMaster University
Fundersnot available
KeywordsMedicinePsychological interventionChild abusePsychiatryPoison controlSuicide preventionFoster careInjury preventionMental healthClinical psychologyMedical emergencyNursing

Abstract

fetched live from OpenAlex

Pediatricians regularly care for children who have experienced child maltreatment. Child maltreatment is a risk factor for a broad range of mental health problems. Issues specific to child maltreatment make addressing emotional and behavioral challenges among maltreated children difficult. This clinical report focuses on 2 key issues necessary for the care of maltreated children and adolescents in pediatric settings: trauma-informed assessments and the role of pharmacotherapy in maltreated children and adolescents. Specific to assessment, current or past involvement of the child in the child welfare system can hinder obtaining necessary information or access to appropriate treatments. Furthermore, trauma-informed assessments can help identify the need for specific interventions. Finally, it is important to take both child welfare system and trauma-informed assessment approaches into account when considering the use of psychotropic agents because there are critical diagnostic and systemic issues that affect the prescribing and discontinuing of psychiatric medications among children with a history of child maltreatment.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.116
Threshold uncertainty score0.216

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.291
Teacher spread0.276 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations52
Published2020
Admission routes1
Has abstractyes

Explore more

Same venuePEDIATRICSSame topicChild Abuse and TraumaFrench-language works237,207