Developmental Adversity as a Fundamental Social Determinant of Health (Problems): What Primary Care Providers Need to Know (Part of the Fall 2021 Virtual Guerette Symposia Series)
The contribution of developmental adversity (otherwise known as adverse childhood experiences [ACEs]) in the onset and maintenance of a multitude of health problems is undeniable. Findings from scientific research, such as the groundbreaking Adverse Childhood Experiences Study, helped to cement our understanding of the influence of exposure to such adversity on the development of children and adolescents. Given that the most prevalent and impactful adversities are interpersonal in nature, ACEs are among the social determinants of health for which primary care providers must account. Thus, this program will provide an overview of the field of developmental adversity by highlighting the types of adverse experiences that have been shown to contribute to the development of varied health problems (medical/physical and behavioral). This knowledge will be used to demonstrate to participants what and how to assess for exposure to ACEs during their clinical evaluations. A framework that integrates developmental psychopathology and the biopsychosociocontextual model will then be reviewed that allows primary care providers to enhance their clinical understanding of their pediatric and adolescent patients. Referring for behavioral healthcare will also be discussed and a review of science-based treatments and their common practice elements will be conducted.
This program will take place virtually on Zoom. Please register here and connection information will be sent 48 hours prior to the meeting.
This program is designed for primary care physicians, nurse practitioners, psychologists and other primary care clinicians.
At the end of this program the learner will be able to:
- List the major ACEs associated with later health problems and describe key findings and clinical implications of the ACE Study
- Discuss how discrimination impacts children’s and adolescents’ health
- Create expanded case conceptualizations of patients by integrating exposure to developmental adversity and apply a decision-making approach for referrals for behavioral healthcare
- Articulate the science-based treatments for adversity-related behavioral health problems
This program will cover:
What is developmental adversity and adverse childhood experiences
Developmental adversity as a social determinant of health problems
Adverse Childhood Experiences Study: Key findings and clinical implications
Exposure to racism and other forms of discrimination as developmental adversity
Case conceptualization: Intersection of science and art in clinical understanding
Behavioral healthcare: When referrals are clinically indicated and what science-based treatments look like
Carryl P. Navalta, Ph.D
Carryl P. Navalta, Ph.D. is Clinical Associate Professor of Psychiatry and a core faculty member in the Mental Health Counseling and Behavioral Medicine Program at Boston University School of Medicine. Dr. Navalta is also a Licensed Psychologist and Certified Healthcare Provider in the Commonwealth of Massachusetts. Previously, he was an investigator for several NIH grant-funded projects focused on childhood maltreatment as well as a researcher at a SAMHSA-funded child trauma center. He is an expert in Trauma Systems Therapy (TST) and has written several articles and book chapters on the treatment model. Besides publishing works in The Encyclopedia of Psychological Trauma (2008) and the Handbook of Pediatric Neuropsychology (2010), he has served as Associate Editor of the online journals, BioMed Central (BMC) Psychiatry, Cogent Psychology, and Trauma Care. Most recently, Dr. Navalta was Guest Editor for a special issue of the International Journal of Environmental Research and Public Health, Trauma and Adversity During Childhood and Adolescence: Assessment, Case Conceptualization, and Intervention.
Speaker has no relevant financial relationships to disclose. Speaker does not plan on discussing unlabeled/investigational uses of a commercial product.
Stephen Brady, PhD | CME Course Director
Associate Professor of Psychiatry
Boston University School of Medicine
Janice Furlong, MSW | Social Work Advisor
Clinical Associate Professor, Boston University School of Social Work
Robert C. Guerette, MD | Planning Committee
President, New England Educational Institute
Carmela A. Townsend, DNP, MS/MBA, RN | Accredited Provider Activity Director
Continuing Medical Education Office, Boston University School of Medicine
Debra M. Winters, APRN-BC, AACRN | CNE Nurse Advisor
Community Research Initiative (CRI)
CME Program Manager: Claire P. Grimble, CMP
This program is sponsored by the the Massachusetts Psychological Association. Massachusetts Psychological Associationis approved by the American Psychological Association to sponsor Continuing Education (CE) for psychologists. MPA maintains responsibility for this program and its content.
These sessions are suitable for beginner and intermediate levels for psychologists
Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Boston University School of Medicine designates this live activity for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Boston University School of Medicine Continuing Nursing Education is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Contact Hours: 2.25 of which 0 is eligible for pharmacology credit.
- 2.00 AMA PRA Category 1 Credit™Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Boston University School of Medicine designates this Live activity for a maximum of 2.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 2.25 ANCCBoston University School of Medicine Continuing Nursing Education is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
- 2.00 Participation
Regular Rate: $75
Student Rate: $25
BUSM/BMC/BU Alumni: $60
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Substitutions may be made at any time without an additional charge. Refunds, less an $25 administrative fee, will be issued for all cancellations received two weeks prior to the start of the meeting. Should cancellation occur within the two-week window, a credit will be issued, not a refund. Credits will be honored for up to two years. “No shows” are subject to the full course fee. Cancellations/substitution(s) must be made in writing. Refunds or credits will not be issued once the conference has started. This course is subject to change or cancellation.
If you need to cancel your registration, please click here.
Special Services / Dietary Needs
To request reasonable accommodations for disabilities, please notify the Office of Continuing Medical Education in writing at least two weeks prior to the start of the conference.