AAP Trauma and Resilience ECHO

AAP Trauma and Resilience ECHO


The accumulation of adversities and psychological trauma in childhood causes physiological changes that negatively affect short and long-term health, emotional and behavioral regulation, and adaptive function. Twenty-six percent of children in the United States will witness or experience a traumatic event before they turn four and 68% of children seen in pediatric health settings have experienced exposure to at least one traumatic event1,2,3.

In partnership with the University of California Los Angeles (UCLA) and the University of Massachusetts (UMass), the AAP is implementing a national educational telementoring program, AAP Trauma and Resilience ECHO as part of the Pediatric Approach to Trauma, Treatment and Resilience (PATTeR) project. The program serves as a forum for health care professionals to learn and improve the identification, care, management and outcomes of traumatized children and their families in pediatric settings leveraging the ECHO modelTM

There are 2 levels to the AAP Trauma and Resilience ECHO program:

  • Level 1: Trauma Aware is designed for the learner to develop familiarity with childhood trauma, its presentation in pediatric practice, its impact and effect, and resilience promotion; thus, developing the basic skills to better care for patients and families and to be a resource for colleagues.

    This program is comprised of a total of 6 one-hour weekly sessions and is offered multiple times over the next three years beginning April 2018.

  • Level 2: Trauma-Responsive is designed to help the learner  develop advanced clinical skills in trauma recognition, screening and response, interventions and resources, and in promoting secure attachment and resilience, thus developing competency to implement Trauma-Responsive care in one’s own practice, and to train others.

    This program is comprised of a total of 12 one-hour weekly sessions and is offered multiple times over the next three years beginning December 2018.

    Level 2 enrollment is by invitation only. In order to be eligible to participate in Level 2, participants must have attended Level 1 AAP Trauma and Resilience ECHO or have participated in the 2018 or 2019 Trauma Informed Pediatric Provider (TIPP) Course. 

Each ECHO session includes a brief presentation by a national expert, followed by in-depth, practice-based de-identified case presentations for discussion, problem-solving guidance and recommendations. While we invite individual pediatricians to participate, we encourage you to bring a small team of interested providers and staff. Enrollment is on a first-come, first-served basis and will be limited to the first 23 practices.

  1. Childhood Trauma and Its Effect on Healthy Development. 2012. National Center for Mental Health Promotion and Youth Violence Prevention Web site. July 2012. Available at: http://www.promoteprevent.org/sites/www.promoteprevent.org/files/resources/childhood%20trauma_brief_in_final.pdf. Accessed February 12, 2018
  2. Copeland, W.E., et al. (2007). Traumatic events and posttraumatic stress in childhood. Arch Gen Psychiatry, 64(5), 577-84.
  3. Schilling, E. A., Aseltine, R. H., & Gore, S. (2007). Adverse childhood experiences and mental health in young adults: a longitudinal survey. BMC Public Health, 7, 30.​​


Standardized curricula for both AAP Trauma and Resilience ECHO Level 1 and 2 has been developed with the flexibility to evolve as new information becomes available, as well as additional feedback is received from session participants. Level 1 and Level 2 ECHO sessions focus on the following:

Level 1*:

  • Introduction and Overview of ACEs  
  • Physiology of Trauma
  • Family Engagement and Identification of Trauma Concerns
  • Resilience Promotion               
  • The How To: What to Say and Do in the Office
  • You Already Do This: How to Incorporate Care Into Your Everyday Practice 

* Level 1 participants can earn a maximum of 6.0 AMA PRA Category 1 CreditsTM. In addition, upon successful completion of all six sessions, 6 MOC Part 2 points are available. CME and MOC Part 2 credits are available at no cost.***

To register for Level 1 or to be placed on a waitlist for an upcoming cohort, click here.

Level 2**:

  • Burnout & Secondary Traumatic Stress 
  • Epigenetics 202 
  • Parental ACEs
  • Understanding Attachments: A Deeper Dive 
  • Parenting Though the Ages and Stages (Positive Parenting)
  • Trauma Hierarchy 
  • Cultural Considerations 
  • How Trauma Presents Across the Age Span 
  • Trauma and Suicide Screens: Building in Effective Decision Support when Working with Traumatized Families 
  • Walking Through How We Do Trauma Care 
  • Evidence Based Treatments for Childhood Trauma 
  • Treating Trauma: When (and how) to Entertain A Very-judicious use of mEdications (WEAVE’in it together)

**Level 2 participants can earn a maximum of 12.0 AMA PRA Category 1 CreditsTM. In addition, upon successful completion of 8 or more sessions, 8 MOC Part 2 points are available. CME and MOC Part 2 credits are available at no cost.***

Level 2 is offered to participants who have completed at least 4/6 AAP Trauma and Resilience ECHO Level 1 sessions OR have attended the Trauma-Informed Pediatric Provider (TIPP) Course. 

To register for Level 2 please contact Zaneta Balaban at zbalaban@aap.org or Amy Shah at ashah@aap.org.

Additional Information

For more information about the program, please contact Zaneta Balaban at zbalaban@aap.org or Amy Shah at ashah@aap.org

*The federal government restricts the use of this funding to training qualified participants residing in the United States.

*The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 6 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

The AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities. All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that they either have no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential conflicts of interest are identified and resolved prior to an individual’s confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices and/or medical or surgical procedures that involve “off-label” use of a device or pharmaceutical. The AAP is committed to providing learners with commercially unbiased CME activities.

The content of this CME activity does not necessarily reflect the views or policies of the AAP.

This project is supported by Substance Abuse and Mental Health Services Administration (SAMHSA); Federal award no. 1U79SM080001-01​​
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