2016 Early Learning Conference
- July 21-22
Red Lion Inn
- Price: $150 per attendee
Space is limited to first 80 attendees
- Registration and More Information ››
Idaho Clinical STD Update
- August 10
- Pre-enrollment by August 3rd is required
- Registration and More Information ››
Nevada Chapter AAP Ninth Annual Meeting
- August 12
Las Vegas, NV
- View Brochure ››
SPAN Idaho's Statewide Biennial Suicide Prevention Conference
- September 15-16
Best Western Vista Inn at the Airport
Cost: $150.00 (includes continental breakfast both days, snacks, and lunch on Thursday)
- Registration and More Information ››
Immunization Summit 2016 and Pink Book Course
- November 2-4
- Boise Center
- The Course will focus on the principles of vaccination, general recommendations, immunization strategies for providers, and specific information about vaccine-preventable diseases and the vaccines that prevent them. The two-day Course will include presentations from immunization experts from the Centers for Disease Control and Prevention (CDC). (Training brought to you by the Idaho Immunization Coalition, Centers for Disease Control and Prevention, and Idaho Immunization Program). A half-day Immunization Summit will take place on November 4th with the keynote speaker Tara Haelle. The theme for this Immunization Summit is on vaccine hesitancy and how to approach immunization concerns with confidence.
- Register Online ››
- February 16, 2017
- BSU Sky Box
- 5:30 - 7:00 Legislative Reception
- Details coming soon
Awards and Recognitions
2015 Chapter Awards
- Pediatrician of the Year – Dr. Jack Trotter
- Child Advocate of the Year – Kenny Bramwell, MD FAAP and Greg Janos, MD FAAP
- Organization of the Year – Head Start Programs in Idaho
- Chapter Award Guidelines (pdf)
- Idaho Nurse Practitioner of the Year – Dr. Anne Church
- Special Achievement Award – John Ullery, MD
- Special Achievement Award – Paul Douglas McPherson, MD, FAAP
- 2014 Award of Chapter Excellence – Idaho Chapter of the of the AAP (Presented by the American Academy of Pediatrics
- CDC Childhood Immunization Champion Award – Lisa Marie Barker, MD, FAAP
Other Links of Interest
- Pediatric Disaster Preparedness - June 2016 Update (pdf)
- Summary of SIM Testing Award in Idaho (pdf)
Summary of Proposed Initiatives Impacting Pediatrics Populations and Providers in Idaho's State Innovation Model Testing Application
- Two Programs Geared to Curbing Opioid Overdose Epidemic (pdf)
- How much sleep do you need? (website)
An expert panel releases its recommendations.
- Idaho State Loan Repayment Program (website)
- Pre-participation Physical Evaluation (PPE) (pdf)
- Suicide Depression Student Guidebook (website)
Published by Learn Psychology
- Study: Teens Who Skimp On Sleep Now Have More Drinking Problems Later (website)
- Teen Risk Survey Shows Personal Safety Changes (website)
- Monitoring Adolescents for High-Risk Behaviors (pdf)
Fall 2014 issue of the Northwest Bulletin
- Optimizing Bone Health in Children and Adolescents (website)
- Adolescent Depression Screening Learning Collaborative
- Minor Consent Laws
Summary of laws allowing minors to consent for their own health care.
- Emancipation Law
Text from an article in the Idaho Board of Medicine newsletter.
- How to help your patients deal with bullying and dating violence (from Contemporary Pediatrics website)
- Lessons Learned from the Idaho Teen Dating Violence Awareness & Prevention Project (pdf)
Affordable Care Act
- Sesame Street resource that includes materials about children with autism (website)
- Learn the Signs. Act Early. - Fact Sheets (pdf)
The USC UCEDD faculty, staff, and trainees have translated the CDC Learn the Signs.
- Sound Advice on Autism
- Autism Awareness and Acceptance in Early Childhood Education
- Sound Advice on Autism from the American Academy of Pediatrics
- Jessica Shortall TED Talk
We need women to work, and we need working women to have babies. So why is America one of the only countries in the world that offers no national paid leave to new working mothers? In this incisive talk, Jessica Shortall makes the impassioned case that the reality of new working motherhood in America is both hidden and horrible: millions of women, every year, are forced back to work within just weeks of giving birth. Her idea worth spreading: the time has come for us to recognize the economic, physical and psychological costs of our approach to working mothers and their babies, and to secure our economic future by providing paid leave to all working parents.
- Goat Milk Feedings and Infants Less than One Year of Age
Goats milk is Not appropriate as the primary feeding for infants. Neither goats milk nor cows milk can adequately replace breast milk or infant formula. Children under one year of age need an approved infant formula if not breast fed. Premature infants will likely need supplementation with a specialized formula in addition to breast feeding.
- Idaho Breastfeeding Basics (website)
Child Abuse Prevention
- The Road to Recovery: Supporting Children with Intellectual and Developmental Disabilities Who Have Experienced Trauma Toolkit (website)
This Toolkit consists of a Facilitator Guide and a Participant Manual. Together, they are designed to teach basic knowledge, skills, and values about working with children with IDD who have had traumatic experiences, and how to use this knowledge to support children's safety, well-being, happiness, and recovery through trauma-informed practice.
- Facebook challenge Darkness to Light! (websites)
Take the Darkness to Light Stewards of Children training to learn how to prevent child sexual abuse before it happens. It's online and free until December 31.
- Response to recent editorial Are we seeing the demise of the shaken baby myth?
- Report: Bullying Effects Linger Into Adulthood
A new study from Duke University found that bullying increases the risk of anxiety and depressive disorders for decades after the incidents.
- Guidance for Parents on Violence
Written by psychologist Myrna Frank, PhD
- Violence Prevention: Healing the Heart of Darkness
How can we create peace in our homes, streets, schools and nations? Violence prevention begins during early childhood as we work to understand, love, guide and model for our children.
Transitioning to Adult Health Care
- Practice Tools & New Website
The Center for Health Care Transition Improvement - Got Transition recently released The Six Core Elements of Health Care Transition (2.0), which define components of transition support and are based on the clinical report, "Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home", developed by the AAP (led by the Council on Children with Disabilities), the American Academy of Family Physicians, and the American College of Physicians.
Three transition tool packages are available for: 1) practices serving youth who will transition out of pediatric care into adult care; 2) practices serving youth who will remain with the same provider but need to transition to adult-focused care; and 3) practices accepting new young adults into adult care. Each package includes sample tools that are customizable and available for download.
A new website, www.GotTransition.org, includes an interactive health provider section, FAQs developed by and for youth/young adults and families, information for researchers and policymakers, and lists of transition resources.
- AAP responds to study showing link between cell phone radiation, tumors in rats (website)
- CATCH Call for Proposals is Open (website)
Submissions are due July 29, 2016. Chapter officers are encouraged to apply.
- What Does Zika Virus Mean for the Children of the Americas? (pdf)
- CDC issues new directives for pediatricians (website)
- CDC confirms Zika causes microcephaly (website)
- CDC confirms over 100 Zika virus cases in US (website)
- CDC and AAP release algorithms on testing infants for Zika virus (website)
- CDCs Response to Zika: Have a happy and healthy Spring Break (pdf)
- CDCs Response to Zika: Spring Break on your mind? (pdf)
- Microcephaly and Zika virus infection (pdf)
- Association between Zika virus and microcephaly in French Polynesia, 2013–15: a retrospective study (pdf)
- CDC reports low Zika virus risk in high altitude areas (website)
- Why do children die? (website)
Idaho Child Fatality Review Team looks for answers
- Child Fatality 2012 Report (pdf)
- 12.5% of children susceptible to measles (website)
Nearly 9 million U.S. children and adolescents are susceptible to measles, according to a new study.
- Idaho Voices for Children Newsletter - July 2015 (pdf)
- Every Kid Needs a Family (website)
Giving Children in the Child Welfare System the Best Chance for Success
- Progress for Idaho Noted in Children's Health Insurance Report (website)
- New CFOC3 collection, Caring for Our Children: Environmental Health in Early Care and Education (EH) is now available online (website)
- Stepping Stones to Caring for Our Children, 3rd Edition (pdf)
Child Passenger Safety
- Now in Stock on shopAAP: 2016 Car Safety Seat Brochure (website)
Updated annually, our top-selling Car Safety Seats: 2016 Guide for Families, helps parents make informed decisions about car seat selection and use.
- Child Passenger Safety Centralized Leadership
Please welcome Carma McKinnon as the statewide CPS Centralized Leadership coordinator!! Carma will reach out to all the organizations and technicians that continue child passenger safety in their communities. We seek everyones ideas how to strengthen the program in your area and also statewide.
- SafetyBeltSafe U.S.A. List of Recalls and Replacement Parts for Child Restraints (website)
- Grant provides car seats to Pocatello parents (website)
- Free Car Seat Checkup Event posters (website)
- Quick Notes from the Idaho Office of Highway Safety – 8/14/15 (pdf)
Fatalities by Month, School Bus Safety Tips, Child Restraint Re-use after a Crash, Idaho Fact Sheet, Calendar of Events, and more!
- Traffic Safety Facts (pdf)
- Letter of Intent 2015 (pdf)
Highway Safety Grant FFY 2015
- Child Restraint PARENT pocket card (pdf)
One for law enforcement agencies, the other for caregivers and parents. The LE card is laminated, and has the Idaho statute on the backside. The caregiver/parent card is not laminated, has facts on the backside, and is designed to be distributed.
- Most new parents are doing car seats wrong (website)
- Don't Delay Infograph (jpg)
For physicians and others to use to encourage families to register their car seat.
- 4 Things You Need to Register Your Child's Car Seat (jpg)
For physicians and others to use to encourage families to register their car seat.
Click for a larger image.
- Fatal and Serious Injury Crashes in Idaho: 2010-2012 (pdf)
Over the last 3 years (2010-2012), there have been 433 fatal crashes and 2747 serious injury crashes involving a Passenger Motor Vehicle (PMV) resulting in 420 fatalities and 3024 serious injuries of the PMV occupants.
- Accuracy of Point-of-Care Ultrasound for Diagnosis of Skull Fractures in Children (website)
To determine the test performance characteristics for point-of-care ultrasound performed by clinicians compared with computed tomography (CT) diagnosis of skull fractures.
- App takes the guesswork out of recognizing concussions (iTunes App Store)
A Smartphone and tablet application now makes it possible for parents and coaches to recognize and respond to possible concussions in athletes.
Early Brain & Child Development
- Importance of Play in Childrens Development (pdf)
- Children's Executive Function Skills
Doctors can discuss strategies with parents to help children with executive function difficulties stay on task.
- Pediatrics Group to Recommend Reading Aloud to Children From Birth (pdf)
Doctors will tell parents to read aloud to their infants from birth, under a new policy that the American Academy of Pediatrics will announce on Tuesday.
- Birth to 5: Watch Me Thrive! promotes early developmental and behavioral screening for kids (website)
Birth to 5: Watch Me Thrive! will help families look for and celebrate milestones; promote universal screenings; identify delays as early as possible; and improve the support available to help children succeed in school and thrive alongside their peers.
- Early Reading Proficiency in the United States (website)
Children who are proficient readers by the end of third grade are more likely to graduate from high school and to be economically successful in adulthood.
- AAP Strategic Plan: Early Brain and Child Development Priority Initiative
Ending Childhood Obesity
- Preventing Childhood Obesity 5-2-1-0 Order Forms (pdf)
Many providers and their clinics have requested a way to order more 5-2-1-0 Let's Go! tear-away forms. Blue Cross is working on getting this form online, but until then please use the attached fillable pdf form to obtain additional copies.
- Handout to patients that includes information on HealthyChildren.org, YEAH!, High-Five, 2-1-1, the YMCA, Be Outside Idaho, and more! (pdf)
- CHIC Obesity QI TeamSpace (website)
All conference call PowerPoint Slides and Recorded Webinar
- Eat and Play the 5-2-1 way (website)
- Start Smart: Healthy Weight in Early Childhood (pdf)
- Childhood ADHD Increases Risk of Adult Obesity (website)
- The new standards on preventing childhood obesity are now available! (pdf)
- AMCHP Celebrates 43 Percent Decline in Early Childhood Obesity
Electronic Health Records
- Idaho Medicaid Electronic Health Record (EHR) Incentive Program for Stage 1 Meaningful Use
- Introduction to the Medicaid EHR Incentive Program for Eligible Professionals Guide (pdf)
Provides a one-stop shop for EPs, covering eligibility, registration, incentive payment, AIU, meaningful use, CQMs, and other Medicaid EHR Incentive Program subtopics.
- How to Access the Idaho Incentive Management System (IIMS)
Healthy Teen Relationships
- Campus Climate Survey Validation Study Fact Sheet (pdf)
- Campus Sexual Assault Survey
The U.S. Department of Justice recently released an OVW funded Campus Climate Survey Validation Study, which examined campus sexual assault climate surveys. Rates of campus sexual assault that are higher than previously measured.
- Pediatric Resources (website)
- Pediatric Safety Card (pdf)
- 2013 National Youth Risk Behavior Survey (YRBS) (website)
- A Warning to Teenagers Before They Start Dating
- AAP Immunization Initiatives — July 2016
- Idaho Immunization Coalition Newsletter — July 2016
- AAP backs new ACIP recommendation on influenza vaccine (website)
- HPV Videos Education & Promotion Project (website)
These videos provide up-to-date information about the burden of HPV-related disease, the rationale behind vaccinating pre-teens prior to sexual debut, the clear need for boys as well as girls to receive HPV vaccination, and vaccine safety information. They feature 8 case vignettes in which doctors demonstrate effective counseling strategies, incorporating the latest available evidence, to address the concerns of vaccine-hesitant parents.
- Immunization Summit 2016 and Pink Book Course — November 2-4
The Course will focus on the principles of vaccination, general recommendations, immunization strategies for providers, and specific information about vaccine-preventable diseases and the vaccines that prevent them. The two-day Course will include presentations from immunization experts from the Centers for Disease Control and Prevention (CDC). (Training brought to you by the Idaho Immunization Coalition, Centers for Disease Control and Prevention, and Idaho Immunization Program). A half-day Immunization Summit will take place on November 4th with the keynote speaker Tara Haelle. The theme for this Immunization Summit is on vaccine hesitancy and how to approach immunization concerns with confidence.
- ACIP updates vaccination guidelines for 2016 (website)
- National NIPA HPV Learning Collaborative
- Partnership Description (pdf)
- Improving HPV Immunization Coverage (pdf)
- General Timeline (pdf)
- Recruitment Summary (docx)
- HPV Vaccination Quarterly Report - October 2015 (pdf)
- Injections outperform inhaled measles vaccine (website)
- AAP State Advocacy Infographic (website)
Immunization rates by state and non-medical exemption poster.
- New ACIP recommendations for 9-valent HPV Vaccine (website)
- Immunization Rates from the 2013 NIS (pdf)
- FDA approval for new HPV vaccine (website)
Gardasil 9 has potential to prevent approximately 90% of cervical, vulvar, vaginal and anal cancers. The vaccine is approved for females ages 9-26 and males 9-15.
- CDC: Childhood vaccines prevent 322M diseases in U.S. (website)
- See all Dear Doctor videos ››
How blessed we are to have access to safe vaccines? Read More >>
Idaho Health and Wellness Collaborative for Children (IHAWCC)
We use local, state, and nationwide networking to address the healthcare needs and priorities of children.
- Reading Pamphlet (docx)
A brochure you can customize and print out.
- Reading Makes A Difference (pptx)
A PowerPoint presentation highlighting the importance of reading.
- Pediatrics Group to Recommend Reading Aloud to Children From Birth (pdf)
Doctors will tell parents to read aloud to their infants from birth, under a new policy from the American Academy of Pediatrics.
- Report says U.S. children are spending less time reading for fun (website)
- AAP Literacy Toolkit
- Early Literacy Activities
- Reach out and Read Program
- Newest Medicaid Redesign Could Save Idaho $173 Million (website)
- TheRightMedicineforIdaho (website)
- The Coverage Gap for Idaho Families (pdf)
- Medicaid Editorial: Enhanced Medicaid Access (pdf)
- Pediatric Medical Home Technical Assistance and Support
- Tools and Resources (website)
- Online Resource Guide (website)
- Technical Assistance and Support (website)
- State Pediatric Medical Home Initiatives (website)
- National Center for Medical Home Implementation (NCMHI) in the American Academy of Pediatrics (AAP) (website)
- Building Your Medical Home: An Introduction to Pediatric Primary Care Transformation (website)
- State Pediatric Medicaid and CHIP Medical Home Initiatives: At-A-Glance Table (website)
- Medical Homes @ Work e-Newsletter - September 2014 (website)
- EHDI-PALS Smart Phone App In the coming months, the The Early Hearing Detection and Intervention-Pediatric Audiology Links to Services (EHDI-PALS) Committee will begin pilot testing a free smart phone app designed to provide parents with information, prompts, and reminders at each point along the rescreening-diagnostic-early intervention path.
- Early intervention: Mom gives account of newborns' hearing tests (IdahoFamilyMagazine.com)
- Vision & Hearing Health Campaign (website)
- Newborn screening bill clears Congress
- Sleep machines at full volume may be damaging to infant hearing (website)
- Call to Action for Hearing Screen Referrals (pdf)
- Newborn Hearing Screening Checklist (pdf)
- Health and Academic Achievement — CDC Report (pdf)
- Importance of Milk and Dairy in Children's Diets (pdf)
- American Academy of Pediatrics Offers Advice on Nutrition: What Every Parent Needs to Know
Now there is a single resource parents can turn to for answers to all these questions and so much more. "Nutrition: What Every Parent Needs to Know, 2nd Edition" by the American Academy of Pediatrics, William H. Dietz, MD, PhD, FAAP, and Loraine Stern, MD, FAAP, Editors, is a complete guide for maintaining children's nutritional health from birth through adolescence. It will be available in bookstores nationwide October 1, 2011.
- Idaho Foodbank Backpack Program
Three New Posters and Shareable Images (website)
- AAP: Fluoride varnish is billable and implementable (website)
According to Pediatric News, with fluoride varnish treatments now on the Bright Futures periodicity schedule, reimbursement is attainable, and pediatricians can focus on integrating the 45- to 60-second procedure into their practices and strengthening their oral health messaging to families.
- Idaho Oral Health Network Update – November 2015 (pdf)
- Healthy Me Update – November 2015 (pdf)
From the Idaho Oral Health Alliance
- US Preventive Services Task Force Recommendations Ages 0-5 (website)
- Schedule of Screenings & Assessments Recommended at Each Well-child Visit from Infancy through Adolescence (website)
From the American Academy of Pediatrics
- Please Welcome Catina Tharp, Network Coordinator/Health Program Specialist, Idaho Oral Health Program
For those of you that may not be aware, this past spring the Idaho Oral Health Program (IOHP) received funding from the DentaQuest Foundation Oral Health 2020 Initiative to build a statewide oral health network here in Idaho. The overarching mission of this network is to implement the 2015-2020 Idaho Oral Health Action Plan utilizing a Collective Impact Framework. The network will also serve as the driving force for Idaho to achieve the DentaQuest Foundation Oral Health 2020 Goal of eradicating dental disease in children. More››
An important part of this network and any Collective Impact initiative is having a dedicated infrastructure and backbone organization with staff that can "plan, manage, and support the initiative through ongoing facilitation, technology and communications support, data collection and reporting, and handling the myriad logistical and administrative details needed for the initiative to function smoothly." With this being said, I would like to introduce to you our Network Coordinator, Catina Tharp. Catina has a passion for improving health outcomes and strengthening communities. She has had opportunities to build programs from the ground up as well as expand/strengthen existing programs. She has extensive experience creating connections, cultivating relationships, developing professional networks and building sustainable programs. Catina?s previous experience includes working with the March of Dimes and the Albert Einstein Healthcare system to build a professional network and advance efforts for a group model of prenatal care, aimed at improving birth outcomes for at risk moms and families. In addition to this experience she also worked at Idaho State University as a program coordinator for various academic programs while obtaining a Bachelor of Science Degree in Health Education with an emphasis on Community/Worksite Health.
The IOHP is extremely excited to have Catina and I know that once you all have an opportunity to meet her you will share this excitement! As we move forward with the initial first steps of developing a statewide oral health network please be on the lookout for an initial contact from Catina, especially as we begin to personally reach out to each of you individually to attend one of the upcoming Regional Oral Health Network meetings!
- Idaho Receives A Grade in PEW Dental Sealant Report
- Idaho Receives A Grade in PEW Dental Sealant Report (pdf)
- New CPT Code for Physician Administered Fluoride Varnish (pdf)
Effective January 1, 2015 for children up to 21 years of age, the application of topical fluoride varnish by a physician, or other qualified health care professional, should be billed with the new 2015 CPT® code 99188. The dental code D1208 is no longer covered for physicians by Idaho Medicaid. Application of fluoride varnish by a dentist continues to be covered through the Idaho Smiles program.
- Idaho Smile Survey 2013 Report (pdf)
- Fluoride Recommendations for Primary Care Clinicians from the US Preventive Services Task Force (pdf)
Partners & Partner Resources
- The 2016 KIDS COUNT Data Book (website)
State Trends in Child Well-Being
- A Shared Sentence: The Devastating Toll of Parental Incarceration on Kids, Families and Communities (website)
The incarceration of a parent can have as much impact on a child’s well-being as abuse or domestic violence.
- 2015 KIDS COUNT Profile — Idaho (pdf)
- Kids Count eNews – September 2015 (pdf)
US Population Demographics, Adoption Wait Times, and more.
- Idaho KIDS COUNT News (May 2015)
What Government and Communities Should Do to Support Kinship Families
- Idaho Voices For Children Releases Strong Foundations Report (newsletter)
Report explains benefits of Early Education and has been expanded and updated with 2015 data.
- Idaho Perinatal Project (website)
- Medicaid and Maternal Depression Screening (pdf)
New AAP Resource
- WHO declares public health emergency (website)
The World Health Organization (WHO) declared a public health emergency Monday as it continues to investigate whether clusters of microcephaly and other neurological disorders are linked to the Zika virus.
Text BABY to 511411
Three free text messages are sent to your patient's cell phone each week timed to the due date or baby's birthday. Messages start at pregnancy and go through the baby's first year. Tips include information on prenatal and infant care, immunizations, postpartum depression, nutrition, oral health, quit smoking, safety, and more.
Prescription Drug Abuse Prevention
- National Institute on Drug Abuse (NIDA) Adolescent Resources (website)
A treatment guide that highlights the clinicians' role in identifying and supporting treatment and recovery, an online module that provides videos on best practices for screening teens at risk for or struggling with drug abuse, and a step-by-step resource that helps identify and manage SUD in teens.
Respiratory Virus Tracking
- What's the Latest with the Flu? (website)
The American Academy of Pediatrics (AAP) policy Recommendations for Prevention and Control of Influenza in Children, 2015-2016 was recently released, and it offers updated recommendations for routine use of seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children.
- RSV Season and 2014–2015 Recommendations for Synagis
- Local and Regional Trends in Respiratory Infection
- Data Sources
- Synagis Criteria
Smoking, Nicotine, E-Cigarettes, and Marijuana
- New AAP Policy Statements on Tobacco and E-cigarettes (website)
The AAP Section on Tobacco Control is proud to announce the release of three new tobacco control policy statements and one technical report.
- How to Talk to Your Kids About Marijuana (website)
- 58 Million Americans Exposed to Secondhand Smoke: CDC (website)
Two out of five children breathing in passive smoke, study says.
- Liquid nicotine used in e-cigarettes can kill children (website)
A 1-year-old child died from liquid nicotine poisoning in December — the first such death in the United States. The number of calls to poison control centers about liquid nicotine shot up significantly in 2014. There were 3,638 calls about exposures as of Nov. 30, more than double the 1,543 in 2013.
- Strict Smoke-free Home Policies Among Smoking Parents (pdf)
- Implementation of a Parental Tobacco Control Intervention in Pediatric Practice (pdf)
- PROS Clinical Effort Against Secondhand Smoke Exposure (CEASE) Study 1 (pdf)
- PROS Clinical Effort Against Secondhand Smoke Exposure (CEASE) Study 2 (pdf)
- We all will be hearing more about toxic stress in the future. This topic is one of the AAP's strategic initiatives on the national level. It should come as no surprise that adverse childhood experiences (or ACEs) such as child abuse, neglect, or living with parents with drug or alcohol abuse causes stress, the hormone-mediated flight-or-fight response that we all know about. However because the ACEs are usually chronic in nature, the stress response from ACE's is never turned off. This prolonged "toxic" stress, especially when experienced in the first several years of life, has been shown to cause observable changes in brain structure and function, as well as epigenetic changes in a child's DNA. The effects not only cause childhood problems such as poor impulse control, emotional dysregulation and developmental delays, but it also has been linked to adult diseases such as heart and lung disease. Pediatricians practice preventative health very well; the hope is that advancements in our understanding of toxic stress will help us improve our practice of preventative mental health.