Working with Children with NDD and IDD Impacted by Trauma: A Guide for Pediatricians



Date & Location
Monday, April 17, 2023, 12:00 PM - Thursday, April 16, 2026, 1:00 PM

Credits
AMA PRA Category 1 Credits™ (0.75 hours), CME-Designated Participation Credit (0.75 hours)

Overview

This training is meant for pediatricians who are working with youth with intellectual and developmental disabilities (IDD) or neurodevelopmental disorders (NDD), who may have experienced trauma. Developmental trauma may look like, mask or exacerbate other mental health conditions. This training should assist pediatricians with recognizing signs and symptoms of traumatic stress in youth with IDD or NDD. Drs. Fogler and McLaren give practical tips for providing trauma informed care to youth as well as supporting caregivers. Dr. Fogler covers Evidence Based Practices that pediatricians can recommend for youth with IDD/NDD who have experienced trauma. Dr. McLaren discusses medication options to consider, after other interventions have been optimized. 

Presenters
Jason Fogler, PhD
Assistant Professor of Pediatrics and Psychology at Harvard Medical School
Senior Psychologist Boston Children’s Hospital, Developmental Medicine

Jennifer McLaren, MD
Medical Director, New Hampshire Bureau of Developmental Services; 
Associate Professor of Psychiatry, Pediatrics
The Dartmouth Institute and Geisel School of Medicine at Dartmouth

Learning Outcome
At the conclusion of this learning activity, (at least 75% of) participants will be able to identify the signs and symptoms of traumatic stress in youth with IDD and/or NDD in order to offer trauma informed care when caring for patients and their families. 

Disclosure
The following activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have reported the following financial relationship(s)* with ineligible company(ies)**. All of the relevant financial relationships listed for these individuals have been mitigated.

Jason Fogler, PhD ~ receives royalties from American Psychiatric Press and Springer Nature.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this activity report NO financial relationship(s)* with any ineligible company(ies)**. 

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Bibliographic Material

  • Ellis BH, Fogler J, Hansen S, Beckman M, Forbes P, Navalta CP, Saxe G. Trauma Systems Therapy: Fifteen-month outcomes and the importance of effecting environmental change. Psychological Trauma: Theory, Research, Practice, & Policy. 2012; 4(6):624-630.

  • Fogler J, Van Scoyoc A, Marquardt M, Phelps R. Chapter 56: Posttraumatic Stress Disorder and Acute Stress Disorder in Youth.  In: Developmental-Behavioral Pediatrics, Fifth Edition.  Feldman HM, Elias E, Blum NJ, Jimenez ME, Stancin T, eds. Philadelphia PA: Elsevier. 2023. p. 594-608.

  • Ford JD, Spinazzolla J, van der Kolk B, Grasso DJ. Toward an empirically based developmental trauma disorder diagnosis for children: Factor structure, item characteristics, reliability and validity of the Developmental Trauma Disorder Semi-Structured Interview. J Clin Psychiatry. 2018; 79(5): 17m11675. https://doi.org/10.4088/JCP.17m11675 

  • JM Rey’s IACAPAP e-Textbook of Child and Adolescent Mental Health. Rey JM & Martin A (eds). Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions, 2019.

  • Kisiel C, Blaustein ME, Fogler J, Ellis H, Saxe GN. Treating children with traumatic experiences: Understanding and assessing needs and strengths.  In JS Lyons, & D Weiner, editors.  Behavioral health care: Assessment, service planning, and Total Clinical Outcomes Management. Kingston, NJ: Civic Research Institute. 2009; 17: 1-15.

  • Kildahl AN, Bakken TL, Iversen TE & Helverschou SB. Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review. Journal of Mental Health Research in Intellectual Disabilities. 2019; 12:1-2, 1-25. 25. https://doi.org/10.1080/19315864.2019.1595233 

  • McLaren JL, Donnelly C.  “Assessment of Post-Traumatic Stress Disorders.” Pediatric Psychopharmacology – Principles and Practice, Second Edition. Ed. Martin, A, Scahill, L, Kratochvil, C. New York: Oxford University Press, 2011; 561-569.

  • Prock L, Fogler J. (co-first author).  Trauma and neurodevelopmental disorder: Assessment, treatment and triage.  In: Fogler JM, Phelps RA, editors.

  • Fogler J; Phelps R (Eds). Trauma, Autism, and Neurodevelopmental Disorders: Integrating Research, Practice, and Policy.  Switzerland: Springer Nature. 2018; 55-71.

  • Rumball, F. A systematic review of the assessment and treatment of posttraumatic stress disorder in individuals with autism spectrum disorders. Review Journal of Autism and Developmental Disorders. 2019; 6(3), 294– 324. https://doi.org/10.1007/s40489-018-0133-9

Medical Trauma Resources:

Resources for Mental Health:


Accreditation

Dartmouth Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Dartmouth Health designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.