The Edmund N. Ervin Pediatric Center provides a number of services for children who have experienced traumatic stress and also identifies children who have experienced traumatic stress.
The pediatric center has a comprehensive assessment program called PREP, which provides medical, developmental, mental health, and educational evaluations for children as they enter home placements from the child welfare system. A child psychologist and a general pediatrician perform this function annually with approximately 200 children from six counties in Maine. If the children are still in care six to eight months later, the pediatrician revisits them to ensure that their needs have been addressed and to help with permanency planning.
In the behavioral medicine and developmental evaluation clinics, children are evaluated for hyperactivity, aggressive behavior, developmental delay, and autism. Speech, PT, medical, psychology, and social work staff screen children and families for adverse childhood experiences and history of trauma. The pediatric center serves over 400 children per year in these programs and frequently identifies significant parental mental health needs and child traumatic stress, and staff enact interventions to help these families.
The Center is currently associated with a CAC that operates in the same building and has achieved full certification. In the work to help develop the CAC, the pediatric center staff identified a need for evidence-based evidentiary medical exams, and a state child abuse pediatrician, who is on the CAC’s board, visits the office once a month to provide this service.
Dr. Stephen Meister is the Chair of the state child death and serious injury review panel and works closely with the DHHS Office of Child and Family Services in an advocacy role. Furthermore, he works closely with both the national and Maine chapters of the AAP in this area.