{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T05:29:06Z","timestamp":1701408546799},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"vor","delay-in-days":59,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Two epidemics\u2014Covid\u201019 and opioid use disorder (OUD) \u2014are creating short\u2010 and long\u2010term mental and physical health risks for vulnerable children and adolescents. Information about the risks to children from exposure to the coronavirus is still fragmentary, but even many healthy children are not getting appropriate health care, such as vaccinations or monitoring of developmental milestones during the Covid\u201019 pandemic. Children living in poverty are at heightened risk. Youngsters who are already dealing with OUD in their families\u20142.2 million as of 2017\u2014face serious consequences stemming from trauma and stress. Although not officially designated by the Centers for Disease Control and Prevention as \u201cadverse childhood experiences\u201d (\u201cACEs\u201d), these situations meet the CDC's criteria for inclusion, such as death or separation from a parent. It is important to recognize and meet the needs of all these children now and not just when the long\u2010term consequences become apparent<\/jats:italic>.<\/jats:p>","DOI":"10.1002\/hast.1140","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T08:14:09Z","timestamp":1593418449000},"page":"69-71","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Vulnerable Children in a Dual Epidemic"],"prefix":"10.1002","volume":"50","author":[{"given":"Carol","family":"Levine","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"e_1_2_4_1_1","unstructured":"\u201cFor Parents: Multisystem Inflammatory Syndrome in Children (MIS\u2010C) Associated with COVID\u201019 \u201d accessed June 3 2020 Centers for Disease Control and Prevention https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/daily-life-coping\/children\/mis-c.html."},{"key":"e_1_2_4_2_1","unstructured":"J.Gold \u201cPediatric Practices Struggle to Adapt and Survive amid Covid\u201019 \u201d Kaiser Health News April 14 2020 https:\/\/khn.org\/news\/pediatric-practices-struggle-to-adapt-and-survive-amid-Covid-19\/."},{"key":"e_1_2_4_3_1","unstructured":"S. C.BrundageandC.Levine \u201cThe Impact of the Opioid Epidemic on Children and Families \u201d United Hospital Fund March 2019 https:\/\/uhfnyc.org\/publications\/publication\/ripple-effect-opioid-epidemic-children-and-families\/."},{"key":"e_1_2_4_4_1","unstructured":"\u201cAdverse Childhood Experiences \u201d Centers for Disease Control and Prevention https:\/\/www.cdc.gov\/violenceprevention\/childabuseandneglect\/acestudy\/index.html."},{"key":"e_1_2_4_5_1","unstructured":"\u201cPreventing Adverse Childhood Experiences during COVID\u201019 \u201d Association of State and Territorial Health Organizations April 8 2020 https:\/\/astho.org\/COVID-19\/Preventing-ACEs-During-Pandemic\/."},{"key":"e_1_2_4_6_1","unstructured":"\u201cThe Ripple Effect: National and State Estimates of the U.S. Opioid Epidemic's Impact on Children \u201d United Hospital Fund November 2019 https:\/\/uhfnyc.org\/publications\/publication\/ripple-effect-chartbook."},{"key":"e_1_2_4_7_1","unstructured":"L.TrasandeandB.Dryer \u201cThe Pandemic Will Haunt Today's Children Forever \u201dWashington Post April 19 2020."},{"key":"e_1_2_4_8_1","unstructured":"A.Solomon \u201cDon't Ignore Clinical Mental Illness \u201dNew York Times April 12 2020."},{"key":"e_1_2_4_9_1","unstructured":"See for example E. A.Rider \u201cKeeping Children Emotionally Healthy during the Covid\u201019 Epidemic \u201dBMJ(blog) April 14 2020 https:\/\/blogs.bmj.com\/bmj\/2020\/04\/14\/elizabeth-rider-keeping-children-emotionally-healthy-Covid-19-pandemic\/."}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhast.1140","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.1140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T14:16:37Z","timestamp":1694009797000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.1140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1002\/hast.1140"],"URL":"https:\/\/doi.org\/10.1002\/hast.1140","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]},"assertion":[{"value":"2020-06-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}