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N C Med J. 2018 Mar-Apr;79(2):108-112. doi: 10.18043/ncm.79.2.108.

Trauma-Informed Primary Care: Prevention, Recognition, and Promoting Resilience.

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director of Pediatric Programs, Community Care of North Carolina, Raleigh, North Carolina; chair, Mental Health Leadership Work Group and Learning Collaborative Advising Committee, Screening in Practices Project, American Academy of Pediatrics; clinical Professor, Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina


Trauma-informed care integrates an understanding of the prevalence of adverse childhood experiences and their impact on lifelong health. The science of early brain development reveals that the environment in which children develop-family, community, and culture-impacts brain development, health, and genetics. In the medical home, being trauma-informed is important for prevention and amelioration of this impact.

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