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Connected Kids:

Safe, Strong,

Secure

Dear Pediatrician,

I am pleased to announce the launch of a new AAP program, Connected Kids: Safe, Strong, Secure. Surveys of pediatricians in 1998 and 2003 revealed that a majority of pediatricians want to counsel patients and their families about violence prevention and want the training and support that will enable them to do so. Connected Kids offers child health care providers a comprehensive, logical approach to integrating violence prevention efforts in their practices.

Connected Kids brings an asset-based approach to anticipatory guidance, focusing on helping

parents and families raise resilient children. Each counseling topic discusses the child’s development, the parent’s feelings and reactions in response to the child’s development and behavior, and specific practical suggestions on how to encourage healthy social, emotional, and physical growth in an environment of support and open communication.

This program evolved from efforts to prevent intentional injuries—youth violence and child abuse. Extensive research, including focus groups with parents around the country, suggested that the most effective approach to these critical areas would be a positive one, an approach that supports the alliance between parents and pediatricians by providing specific, important advice about children and families throughout childhood. The program builds on TIPP®—The Injury Prevention Program

in that information for parents and pediatricians is coordinated with scheduled health maintenance visits. Connected Kids supports these developmentally timed topics with counseling suggestions and with written handouts for parents and teens.

Why is violence prevention important to the American Academy of Pediatrics? As increasing numbers of pediatricians report treating children for injuries related to child abuse, domestic violence, and community violence, it is clear that this issue requires the attention of all those who care for children. Just as we work to protect children from disease, disability, and unintentional injury, so must we help provide them with the tools to be safe from violence.

Development of Connected Kids began with the 1999 report of the Task Force on Violence and ultimately involved extensive input from parents, teens, and more than 100 recognized experts in child health, mental health, and development as well as practicing general pediatricians. The three-year development process, which was supported by a grant from the US Department of Justice, has produced a program that is rooted in science, is responsive to the real-life challenges of parenting, incorporates many issues that pediatricians already include in their practices, and has been field-tested extensively.

Read on for information about what’s included in Connected Kids, how to obtain a copy of TIPP and

Connected Kids on CD-ROM, and how to get started using Connected Kids in practice. I invite you to

use the new Connected Kids resources in your practice and your community, joining the Academy and pediatricians nationwide in addressing this vitally important public health issue.

Sincerely,

Errol R. Alden, MD, FAAP Executive Director

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How Do I Get

Started Using

Connected Kids

?

3. Be a leader.

Successful use of

Connected Kids

will require the

support of all practice staff. You can pave the way

by serving as your practice’s

Connected Kids

“champion.” You might want to hold a staff meeting

to discuss how your practice can use

Connected

Kids.

You can use the

Connected Kids

PowerPoint

presentation (available on the

Connected Kids

Web

site at www.aap.org/connectedkids) to introduce

your practice to the program. Share your vision for

how the practice can implement

Connected Kids

while being open to ideas from everyone else, from

the receptionist to your partners.

4. Share your experience and

get ideas from others.

Visit the

Connected Kids

Web site for success

stories and suggestions from pediatricians around

the country. Use the Web site to pose questions

about

Connected Kids

and get information about

how others have overcome barriers to implementing

the program. Talk to local colleagues who have

implemented

Connected Kids

about their experiences.

5. Be patient.

Your practice won’t be able to implement all of

Connected Kids

overnight. But

Connected Kids

field testers overwhelmingly felt that the program

was easy to adapt to their own practice styles.

Even experienced pediatricians found that once

they started becoming more comfortable using

Connected Kids

it improved their counseling, their

ability to address violence prevention, and their

relationships with parents.

C

onnected Kids

is a comprehensive program for use in well-child visits for all children from birth to age 21.

Its organization follows the familiar TIPP model: there are suggestions for topics to introduce and reinforce at

scheduled visits, supported by printed materials to give to parents and teens to reinforce your advice. Fortunately,

Connected Kids

is a user-friendly and flexible program for providers and families, and it was designed so that

you can implement it at your own pace in a way that is comfortable for you.

Here are some suggestions for getting started with

Connected Kids,

based on how

field testers used this program. One or more of these ideas may help you begin:

If you are interested in receiving periodic updates about Connected Kids, please

send an e-mail to [email protected]

with “updates” in the subject line.

1. Understand

Connected Kids.

The clinical guide introduces the building blocks of

the program and provides suggestions for specific

office visits.

Connected Kids

does not require you

to practice in an entirely new way; instead, it provides

a different way to think about much of what you

already do in providing well-child care. You can use

Connected Kids

tools to frame your counseling in

an asset-based philosophy that pediatricians and

parents find to be appealing and successful.

2. Start small and build incrementally.

Try implementing

Connected Kids

with one or two

visits or topics at a time. You might want to pick

a visit during which you already cover topics

addressed in

Connected Kids

but for which you

feel you are lacking appropriate tools. For example,

maybe you already counsel parents never to shake

their babies, but you could implement

Connected

Kids

at the very first visit to help them anticipate

that their babies will cry and help them find needed

support at the beginning. Or, you could pick a topic

that you have wanted to address but didn’t because

you did not have the needed

information. For example,

bullying is a “hot” topic,

and

Connected Kids

could help you counsel

families of bullies and

children who are being

bullied.

(3)

Infancy and Early Childhood: Prenatal to 5-Year-Old Visits

Visit

Introduce

Reinforce

Brochures

2 Days to

What Babies Do

1.

Welcome to the

4 Weeks

Parental Frustration

World of Parenting!

Parent Mental Health

Parent Support

2 and 4

Child Care

Parent Mental Health

2.

Parenting Your Infant

Months

Family

Parent Support

Safe Environment

Parenting Style

Bonding and Attachment

6 and 9

Establishing Routines

Parent Support

3.

How Do Infants Learn?

Months

Discipline = Teaching

Child Care

4.

Your Child Is On the

Firearms

Safe Environment

Move: Reduce the Risk

Modeling Behavior

Bonding and Attachment

of Gun Injury

12 and 15

Child Development

Parenting Style

5.

Teaching Good

Months

and Behavior

Firearms

Behavior: Tips on

Modeling Behavior

How to Discipline

Safe Environment

18 Months

Child’s Assets

Parent Support

6.

Playing Is How

and 2 Years

Guided Participation

Firearms

Toddlers Learn

Media

Child Development

7.

Pulling the Plug on

and Behavior

TV Violence

Establishing Routines

3 and 4

Peer Playing

Modeling Behavior

8.

Young Children Learn

Years

Safety in Others’ Homes

Guided Participation

a Lot When They Play

Talking About Emotions

Promoting Independence

T

he

Connected Kids

Clinical Guide

offers pediatricians

comprehensive advice on how to implement the program in clinical

practice. It provides counseling suggestions for each age and well-child

visit, including information about important topics in each brochure,

suggested scripts for assessment and anticipatory guidance, and

practical hints about how to discuss sensitive topics. The Clinical Guide

also includes several tools and worksheets that reinforce important

messages and help connect families to valuable community resources.

The

Connected Kids

Clinical Guide can be found on the AAP

TIPP

and Connected Kids on CD-ROM.

(4)

Middle Childhood: 5- to 10-Year-Old Visits

Visit

Introduce

Reinforce

Brochures

5 Years

Establishing Routines

Child Development

9.

Growing Independence:

and Setting Limits

and Behavior

Tips for Parents of

Child’s Assets

Young Children

Safety in Others’ Homes

Promoting Independence

6 Years

Teaching Behavior

Modeling Behavior

10.

Bullying: It’s Not OK

Bullying

Establishing Routines

Out-of-School Time

and Setting Limits

8 Years

School Connections

Firearms

11.

Drug Abuse

Alcohol and Drugs

Promoting Independence

Prevention Starts

Interpersonal Skills

Establishing Routines

With Parents

and Setting Limits

12.

Friends Are Important:

Tips for Parents

10 Years

Child Mental Health

Media

13.

Everybody Gets Mad:

School Performance

Out-of-School Time

Helping Your Child

Cope with Conflict

Adolescence

Visit

Introduce

Reinforce

Brochures

Early:

Family Time Together

Firearms

14.

Talking With Your Teen:

11 to 14

Peer Relationships

Establishing Routines and

Tips for Parents

Years

Support System

Setting Limits

15.

Staying Cool When

Staying Safe

Alcohol and Drugs

Things Heat Up

Teen Mental Health

School Performance

16.

Expect Respect:

Conflict Resolution Skills

Healthy Relationships

Healthy Dating

17.

Teen Dating Violence:

Gaining Independence

Tips for Parents

Middle:

Plans for the Future

Alcohol and Drugs

18.

Teen Suicide and Guns

15 to 17

Firearms and Suicide

Peer Relationships

19.

Next Stop Adulthood:

Years

Depression

Healthy Dating

Tips for Parents

Resiliency

Gaining Independence

Late:

Transition to

Peer Relationships

20.

Help Stop Teenage

18 to 21

Independence

Plans for the Future

Suicide

Years

Negotiating a

Depression

21.

Connecting With

(5)

Connected Kids Brochures

Infancy and Early Childhood: Prenatal to 5-Year-Old Visits

1. “Welcome to the World of Parenting!”

Provides new parents with information about normal newborn behaviors and development. It offers parents ways to cope with crying, fatigue, relationship changes, and other challenges of new parenthood.

2. “Parenting Your Infant”

Continues themes of the first brochure, focusing on babies’ behaviors and personality development. It discusses common concerns such as colic, trouble sleeping, and clinging to parents, and gives advice on establishing new family routines.

3. “How Do Infants Learn?”

Offers practical suggestions to parents on how to help their babies learn about the world through play, reading, exploration, and positive relationships.

4. “Your Child is On the Move: Reduce the Risk of Gun Injury”

Discusses guns as a household safety issue, to be addressed with other household hazards. This brochure advises parents on how to protect their newly mobile babies from gun injury as they explore their surroundings.

5. “Teaching Good Behavior: Tips on How to Discipline”

Gives specific suggestions on how to encourage good behavior and correct bad behavior in developmentally appropriate ways. It helps parents establish rules and limits and provides tips on alternatives to corporal punishment.

6. “Playing Is How Toddlers Learn”

Helps parents understand normal toddler behavior and how to encourage learning through play. It offers ways to help toddlers learn to make friends and interact with others.

7. “Pulling the Plug on TV Violence”

Informs parents about the influence of television violence on children and gives them specific sugges-tions on how to limit television’s harmful effects.

8. “Young Children Learn a Lot When They Play”

Discusses playing with peers and how parents can support their preschool-aged child’s social development. This brochure gives tips on how to deal with common interpersonal problems, such as aggression and rejection.

Middle Childhood: 5- to 10-Year-Old Visits

9. “Growing Independence:

Tips for Parents of Young Children”

Offers guidance to parents in helping their children begin to become independent. It focuses on establishing limits and daily routines, talking and listening, encouraging independence in daily tasks, teaching safety around other adults, and learning to be a friend.

10. “Bullying: It’s Not OK”

Offers facts about bullying and strategies for parents to help stop bullying, whether their child is a victim, a perpetrator, or a bystander. This brochure is useful in clinical settings or as a handout for school and community groups.

11. “Drug Abuse Prevention Starts with Parents”

Highlights the connection between parent behavior and attitudes, media influences, parent/child communication, and children’s subsequent use of drugs and alcohol. Major themes include parental role modeling and open communication.

12. “Friends Are Important: Tips for Parents”

Focuses on the importance of peer relationships as children become teenagers. It offers parents guidance on getting to know their child’s friends, helping their child avoid risky situations, and getting their child involved in community service.

13. “Everybody Gets Mad:

Helping Your Child Cope with Conflict”

Describes children’s anger and guides parents in giving their children specific strategies to avoid fighting when they are angry. It emphasizes communication and teaching children how to respond to their anger in appropriate ways.

Adolescence

14. “Talking with Your Teen: Tips for Parents”

Helps parents understand the ways that their children’s feelings and behaviors will change as they enter puberty and the teen years. It emphasizes the importance of continued communication and establishing reasonable limits to keep teens safe.

15. “Staying Cool When Things Heat Up”

Acknowledges that it is normal for teens to get angry and helps them find ways to respond to their anger without fighting. Written for young adolescents, it offers methods of defusing conflict and helping other teens avoid fighting.

16. “Expect Respect: Healthy Relationships”

Guides teens in avoiding abusive relationships and intimate partner violence. Written for adolescents, it describes signs of healthy and unhealthy relationships in an interactive “quiz” format and empowers teens to take steps to change or end an unhealthy relationship.

17. “Teen Dating Violence: Tips for Parents”

Helps parents recognize signs that their teenager is involved in an abusive relationship. It offers parents advice on how to talk about potential problems and help their teenager deal with the relationship safely.

18. “Teen Suicide and Guns”

Highlights the risk of having a gun in the home in the context of teen suicide prevention. It provides the facts about suicide attempts involving guns being deadly more often than attempts by other methods.

19. “Next Stop Adulthood: Tips for Parents”

Helps parents and teenagers negotiate the complex relationship changes that occur as teenagers become more independent. It gives advice to parents on helping their teen learn to be a responsible adult while staying connected and having realistic expectations.

20. “Help Stop Teenage Suicide”

Provides information about warning signs for suicide and dispels common myths about teen suicide. It offers practical suggestions to parents, peers, and

others on how to respond if you are concerned that a teen may attempt suicide.

21. “Connecting With Your Community”

Encourages teenagers to be actively involved in their communities as a way of growing into an independent and successful adult. It provides information on what adolescents can expect as their relationships with their parents and other adults change.

(6)

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NEW! TIPP

®

and Connected Kids on CD-ROM:

Injury and Violence Prevention Counseling Resources

TIPP®and Connected Kids on CD-ROM: Injury and Violence Prevention Counseling Resources includes • Complete TIPP®—The Injury Prevention Program, which consists of 40 printable and age-related safety sheets,

safety slips, and safety surveys

• NEW! Connected Kids: Safe, Strong, Secure™violence intervention and prevention program, which consists

of 21 child and adolescent violence prevention resources and handouts

• Plus additional TIPP®and Connected Kids: Safe, Strong, Secure resources and implementation guides

TIPP®—The Injury Prevention Programis a comprehensive and easy-to-use program to help parents prevent common childhood injuries from birth through age 12 years. Since the program was first introduced more than 20 years ago, more than 21 million TIPP®handouts have been distributed on topics such as bicycle safety, car safety

seats, fire prevention, first aid, poison prevention, water safety, and much more.

NEW! Connected Kids: Safe, Strong, Secure™is a new set of resources developed by the Violence Intervention and Prevention Program (VIPP).Connected Kids: Safe, Strong, Secure provides pediatricians with guidance and patient-oriented materials to take an asset-based approach to violence prevention. The CD-ROM includes 21 Connected Kids: Safe, Strong, Secure handouts on topics such as bullying, discipline, interpersonal skills, parenting, suicide, television violence, and much more.

TIPP®and Connected Kids on CD-ROM, 2006

X-CD0038 Price: $325 Member Price: $275

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