How to do Safety Screenings is a TCAA course created from a webinar which provides communication skills as well as methods to collect the sensitive data required when taking care of pediatric patients.  Social activities such as alcohol and drug abuse, sexual activity and feeling safe in their environment are now mandated in many EMR and trauma programs. Data collection for these social activities can be uncomfortable for both the provider as well as the patient. 

Estimated completion time: 60 minutes
Target Audience: The trauma healthcare team and other clinical departments

Learning Objectives:
At the conclusion of this course, the learner should be better able to:
1. Gain knowledge of appropriate methods and tools when screening for safety
2. Apply strategies to increase effective communication among age groups

Faculty Presenters: Karen Gudic and Melik Coffey

Faculty Bios:

Melik D.H. Coffey, MSW, LCSW,

Melik Coffey is a licensed mental health clinician with over a decade of experience in clinical services such as intakes/assessments, individual, family, and group therapy, crisis intervention, and case management. As a graduate of the Brown School of Social Work at Washington University, Saint Louis, Melik has chosen to base his area of clinical focus on Child and Adolescent mental health, Youth Violence Prevention, Human Trafficking and Sexual Exploitation, and Criminogenic Risk and Behavioral Health Needs. Melik has furthered his education and learning at the Saint Louis Psychoanalytic Institute where he was trained in psychodynamic practice to better treat individuals and families who have experienced compound and complex trauma. Melik currently serves as the clinical case manager/ mentor for the Life Outside of Violence program at SSM Health Cardinal Glennon Children’s Hospital in Saint Louis, MO.

Karen Gudic, MSW LCSW

Karen Gudic is a licensed social worker with over twenty years’ experience with all her of her experience focusing on trauma, domestic violence, child abuse and neglect and Human Trafficking and Sexual exploitation.    She has been working at Cardinal Glennon Children’s Hospital for the past 12 years.  For the past 6 years, she has been the designated trauma social worker. 

Carpentier, M, Silovsky, J, & Chaffin, M. (2006). Randomized trial of treatment for children with sexual behavior problems: Ten year follow-up. Journal of Consulting and Clinical Psychology, 74, 482-488.
Caldwell, M. F. (2016). Quantifying the Decline in Juvenile Sexual Recidivism Rates. Psychology, Public Policy, and Law. Advance online publication. http://dx.doi.org/10.1037/law0000094

Centers for Disease Control and Prevention. Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices. Atlanta, Georgia: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, 2014

CDC. Youth Risk Behavior Surveillance—United States, 2019. MMWR Suppl 2020;69(1):1-83.

CDC, Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Youth Risk Behavior Survey Data Summary & Trends Report, 2009–2019 pdf icon[PDF – 31 MB]. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Office of Infectious Diseases, NCHHSTP; 2020.

(Committee on Substance Use and Prevention, American Academy of Pediatrics, 2015)

Finkelhor, D., Turner, H., Ormrod, R., Hamby, S., and Kracke, K. 2009. Children’s Exposure to Violence: A Comprehensive National Survey. Bulletin. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention.

Hashima, P., and Finkelhor, D. 1999. Violent victimization of youth versus adults in the National Crime Victimization Survey. Journal of Interpersonal Violence 14(8):799–820.

Johnson LD, O’Malley PM, Bachman JG, Schulenberg JE, Miech RA. Monitoring the Future national survey results on drug use, 1975-2013: Volume 1, Secondary school students. Ann Arbor, MI: Institute for Social Research, University of Michigan, 2014: 32-36.

Kann L, Kinchen S, Shanklin SL, et al. Youth risk behavior surveillance–United States, 2013. MMWR Surveillance Summaries. 2014(63): 17-20.

Kelly, S. M., Gryczynski, J., Mitchell, S. G., Kirk, A., O’Grady, K. E., & Schwartz, R. P. (2014). Validity of brief screening instrument for adolescent tobacco, alcohol, and drug use. Pediatrics, 133(5), 819-826. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006430/​

Levy, S., Weiss, R., Sherritt, L., Ziemnik, R., Spalding, A., Van Hook, S., & Shrier, L. A. (2014). An electronic screen for triaging adolescent substance use by risk levels. JAMA Pediatrics, 168(9), 822-828. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270364/ 

LeTendre, M. L., & Reed, M. B. (2017). The effect of adverse childhood experience on clinical diagnosis of a substance use disorder: Results of a nationally representative study. Substance Use & Misuse, 52, 689– 697. doi: 10.1080/10826084.2016.1253746

National annual child abuse statistics cited from U.S. Administration for Children & Families, Child Maltreatment 2018. This data, released annually, is the most current federal data available. https://www.acf.hhs.gov/cb/research-data-technology/statistics-research/child-maltreatment

National Children’s Alliance 2019 national statistics collected from Children’s Advocacy Center members and available on the NCA website: https://www.nationalchildrensalliance.org/cac-statistics

National Institute on Alcohol Abuse and Alcoholism. Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 2011.

NIH publication 11-7805. PDFA (Partnership for a Drug Free America). 2012 partnership attitude tracking study: teens and parents. 2013. Retrieved from https://www.drugfree.org/wp-content/uploads/2013/04/PATS2012-FULL-REPORT2.pdf. Accessed June 2016.

SAMHSA (Substance Abuse and Mental Health Services Administration). Results from the 2009 national survey on drug use and health. Vol. 1, Summary of national findings. NSDUH Series H-38A, HHS Publication No. SMA 10-4856. Rockville, MD: SAMHSA, 2010.

SAMHSA-HRSA Center for Integrated Health Solutions. SBIRT: screening, brief intervention, and referral to treatment. n.d. Retrieved from http://www.integration.samhsa.gov/clinical-practice/sbirt. Accessed July 2015.

The PartnershipTM at Drugfree.Org. 2012 Partnership Attitude Tracking Study: Teens and Parents. 2013.