Q. Not a question, a comment. No time for that here.
@lordsedge.bsky.social
@lordsedge.bsky.socialQ. Not a question, a comment. No time for that here.
@lordsedge.bsky.socialCommon themes:
Practitioner level: Not offered opportunities to talk, be involved, ask questions, or not listened to
Operational level: No able to speak preferred language. Not able to have meeting in a place or time of choice
Systemic: Not really knowing why needed in the first place
@lordsedge.bsky.socialDr Williams: Capturing the voice of care-experienced children
They surveyed child about their care experiences
Anonymous survey during statutory LAC appointments
@lordsedge.bsky.socialQ. Did you find issues in motivation around exercise
A. Yes, which could be child-specific or access/equity issues.
Q. Wasn't a question.
@lordsedge.bsky.socialDr Lief suggests an individualised, multi-interventional service is needed, and requested by families.
SEND-embedded principles need to be part of weight management services
@lordsedge.bsky.social50% of the cohort were above a healthy weight, but onward referral to weight management services was low, at 20%
73% of parents reported they had concerns
There were multiple factors identified as barriers to intervention
@lordsedge.bsky.socialQ. A diagnosis list is not trauma informed language, but we all use them, how can we ensure they are trauma informed
A. The list itself is not trauma informed, but can contain jargon that is potentially harmful
@lordsedge.bsky.socialQ. What is a reflexive diary?
A. It's a diary reflective on how the situation made her feel
@lordsedge.bsky.socialQ. Does the intended primary recipient make a difference to the tone of the letter
A. We tended to produce only one letter, written to the child, copied to the GP with actions included, so not possible to say
@lordsedge.bsky.socialQ. If people are using ambient AI tech to write letters, how wil this translate into trauma informed letters
A. Obviously we need to review our AI letters! But it's possible that the tools can be used to produce trauma informed letters
@lordsedge.bsky.socialThey recommend embedding trauma informed review into everyday practice
@lordsedge.bsky.socialContextual/system aware practice
TI - Contextual, recognise system adversity
Not= deficit framing.
Missed the last one sorry.... not fast enough
@lordsedge.bsky.socialShared understanding
Trauma informed: feeling heard, collaboration, strengths
Not - Doctor power relationship
Clarity:
TI - predictability, explain jargon
Not - Jargon, no clear plan
@lordsedge.bsky.socialThey looked at 20 new patient letters from one clinician and did thematic analysis
Relational safety
Trauma informed - avoid blame, warm tone, normalising distress
Not - pathologising, limited emotional explanation, cooler tone
@lordsedge.bsky.socialCommunication can reinforce or undermine trauma informed care
Although we think about verbal communication, Dr Davies will be looking at WRITTEN communication - which I think is an interesting, often overlooked area
They did a QI project about it
@lordsedge.bsky.socialAbstract time
Dr Davies talking about Trauma Informed Communication in Paediatric Practice
Trauma informed care aims to support CYP to feel safe, supported, respected and in control
@lordsedge.bsky.socialCoffeeeeeeee (Coffi)
#bacch
@lordsedge.bsky.socialQ. How are we going to influence the government to implement evidence-based research
A. No quick fixes
#bacch @commchildhealth.bsky.social
@lordsedge.bsky.socialQ. is your DRI trial the reason we can't get hyoscine patches in Wales?
A. Can't really say!
@lordsedge.bsky.socialA drooling care pathway is coming from www.aacpdm.org
@commchildhealth.bsky.social #bacch