Lesson 12: Supporting Caregivers and Adolescents

All right. Thank you so much for watching all of these videos. We're on our last video, and this is going to be talking a little bit about some more challenging situations and how to cope with them. As we mentioned before. You may hear that a caregiver has experienced partner violence.

This is actually pretty common when you're doing work with caregivers and adolescents around adolescent relationship abuse. The caregiver or trusted adult in their life may disclose their own trauma or their own experiences. So as I mentioned in the previous video, you can use the warm referral to get the.

Caregiver connected to resources if that's what they'd like. And we actually have a specific script that's focused on how to support a caregiver who discloses that they've experienced partner violence. And what this script also includes is a little bit of verbiage around how it can sometimes be challenging for caregivers who've been in unhealthy relationships to talk about dating with their children.

So there's a little bit of verbiage there as well. You may also hear through this, an adolescent disclose that they use violence in relationships. And like I said in

the podcast, in prior videos, I actually think that what's really nice about this work is you can also support young people who are using violence in relationships to help them understand the harm that they're causing and break future cycles of violence.

So I know that this can be a really challenging topic. And so we've created a script for this as well. If an adolescent shares that they are using violence in a relationship, there's some script with some verbiage that you can use to help guide them through this and also connect them and their caregiver with resources.

And before I move on to mandated [00:10:00] reporting, I just wanna share that I've mentioned a lot of special scripts for different circumstances and situations. All of those scripts are on the website and on the binders that you received. So they're all available for you. But if you're having any trouble finding one, please let us know.

So the last thing we wanna share today is on mandated reporting. So one of the questions that we get asked a lot is about, do you need to file a mandated report to Child Protective Services for disclosure of dating violence? So in general, you do not need to file a mandated report for disclosure of dating violence.

There are some situations where you may need to file a report. This is not an exhaustive list, but just some things to be aware of. Disclosure of ch sexual activity depending on the age of the child and the age of the partner. Disclosure of child abuse and neglect perpetrated by a parent or caregiver as we know.

If ARA is perpetrated by someone who lives in the home or severe, ARA where the parent or caregiver is not being supportive, and this is not an exhaustive list, but some situations where you may need to file. It is certainly not universal and for most situations you don't.

I will say if you're ever unsure about this, please feel free to contact either myself or Dr. Randall or please page your child abuse pediatrician on call, and they can be helpful as well. Now in the circumstances where you may need to file a mandated report, we just have some best practice suggestions for you.

So we recommend not using the word report because that can have a punitive connotation, especially with young people. So we like to remind the young person that it's not their fault that they're not in trouble. And then we wanna ensure that the young person has adequate support. Through warm referrals as we shared previously, and we really recommend prioritizing support.

So yes, we have to file the report, but let's also support the family in all the ways that we've discussed, but most importantly, through that warm referral to a victim services agency. And like I said, if you have any questions about this, please let us know. And we have a script for you as well on mandated reporting.

So we know that this is a really difficult conversation to have. We, this is a conversation that we, as pediatricians unfortunately, do have for, we, we have had in the past and we do have as part of our job, but what we've done is we've created a script, if you ever need to file a mandated report because of.

Adolescent relationship abuse. We've created a script for words you can use when you're sharing this with the adolescent and when you're sharing it with the caregiver. And hopefully this script will be helpful as well, and it's available with all the other scripts that we discussed. So what are some of the next steps for the training?

So we really recommend that you review the in-clinic guides. Those are those three guides that you'll use for every visit. We recommend that you listen to the ETHR. Podcast watch the three videos which show you how to use ETHR. So these are three videos that we role model, ETHR. One video is a longer video where you have a little bit of time to really dive in.

The second video is a more abbreviated version of ETHR. And the third video is you just did have, didn't have any time during the visit, and it's really just. How do you give the box to the family? And we know that could happen. We understand. So we wanna show all of these videos. Please review the clinician seven Taps as well, and the interactive activity that we've created on disclosure.

And then contact us with any questions we will likely have a group virtual session where you can answer more questions about all the different components of this intervention of this program. So please keep note of any of your questions as you're going through all of these materials.

Thank you so much for watching all the videos and thank you so much for participating. Have a great rest of your day.