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Advice for Parents on Coping Techniques

Renee's guest is Dr. Erin Frazier, a pediatrician with Kosair Children's Hospital in Louisville. Dr. Frazier discusses coping techniques for parents that can prevent child abuse. She specializes in educating parents and caregivers about the dangers of shaking infants and strategies for dealing with persistent crying babies.
Season 11 Episode 27 Length 28:06 Premiere: 04/29/16

Techniques for Preventing Child Abuse

There are any number of jobs, from barbers to teachers, that require a special license or certification to perform. Yet anyone, regardless of training, experience, or background, can become a parent.

And that can lead to dangerous situations for new mothers and fathers when the stress of caring for an infant becomes too much to bear.

Louisville pediatrician Dr. Erin Frazier appeared on KET’s Connections to discuss the coping techniques she shares with new parents that can prevent child abuse. Frazier is medical director at Kosair Children’s Hospital Foundation Office of Child Advocacy and chair of the Partnership to Eliminate Child Abuse in Kentucky and Indiana.

Frazier’s commitment to child abuse prevention began when she was medical resident on emergency room duty. She vividly recalls two young patients who died as a result of abusive head trauma: a baby who had been shaken so badly that she developed fatal seizures, and a toddler who had the imprint of a boot on her skull.

Parents may possess behavioral traits that can put a child at greater risk for abuse, such mental health problems, substance abuse, or a history of violence in the home. But Frazier says abuse can happen anywhere.

“It crosses every socioeconomic status, it can happen [in] any neighborhood, on any street,” Frazier says. “It usually happens when [parents] get frustrated, they’re angry, they have other problems in their life, and they’re taking it out on kids.”

It’s not just parents who are at risk of perpetrating abuse. Frazier says children who live in a home with an unrelated caregiver are 50 times more likely to die of child abuse.

Educating Parents and Caregivers
To help prevent abuse of infants, Frazier has implemented a simple training process for the new mothers and fathers that she sees.

“One of the things I’m very passionate about is educating parents about abusive head trauma and shaken baby syndrome, so when parents leave the hospital, they get education about how to deal with a persistently crying infant and the dangers associated with shaking a baby,” Frazier says.

The training includes having parents watch a video and read a brochure about the detrimental effects of shaking an infant. Then they are asked to sign a statement that says they will commit to not shake their child. Frazier says most Louisville hospitals have implemented this training, and she’s working to bring it to other facilities around the state. She says the health care providers that have implemented the program have seen a 47 percent reduction in abusive head trauma cases.

Frazier says another factor in preventing abuse is to change how parents view the development of their child. She explains that parents with unreasonable expectations of an infant’s behavior may be prone to abuse. So Frazier warns mothers and fathers to expect their babies to cry a lot in the first two or three months of life.

“I tell them that it’s very normal,” says Frazier. “It doesn’t mean you’re a bad parent, it doesn’t mean that you’re doing something wrong. It just means that the baby’s way of communicating is by crying.”

If the crying persists, Frazier suggest checking to see if the baby needs to be fed, burped, or changed. If the caregiver sees sign of illness, they should call their doctor. Otherwise, a timeout for the parent may be in order. Frazier says when she was raising one of her three children and needed a brief break to collect herself, she would put the baby in a crib resting on its back, and then go listen to a favorite Beatles song. By the time the tune was over, she says she would be able to go back and help her child.

Other challenging phases come just after the one-year mark, when children can start saying “no,” or when they start teething or potty training. Frazier cautions that during these stressful times, parents may revert to behaviors they experienced at the hands of their own mothers or fathers, including some form of physical correction.

“The research is very clear on corporal punishment that there are negative side effects,” Frazier says.

Those can include mental health problems, an increase of aggressive or other negative behaviors, and an erosion of the parent-child relationship. Frazier says hitting or spanking a child can also teach them that a loving relationship involves pain.

Instead of physically punishing disobedience, Frazier recommends finding ways to reward successful behaviors and to build positive interactions with the child through normal daily activities. She encourages parents to turn off televisions, computers, and cell phones and play a game with their child. When a child does something well, praise a very specific detail of what they did. She also suggests making eye contact and offering positive physical contact like a hug.

“When you’re specific and you’re looking and you’re touching your child, you are going to get much more of a reaction for them to follow through and do what you’re asking them to do,” Frazier says.

Training for Medical Professionals
Another part of Frazier’s prevention efforts take her to the General Assembly to lobby for child-friendly legislation and to work with health care providers on how to recognize signs of child abuse. She promotes a technique that doctors can use to spot suspicious bruising on a child based on their age. Frazier says bruising on a child under four months old is unusual because they are not old enough or mobile enough to hurt themselves. Bruising on the torso, ears, and neck of a child under the age of four would also be a cause for concern.

Frazier praises legislation passed by the Kentucky General Assembly in 2010 and 2014 mandating that any person who regularly works around children be educated on the signs of head trauma and other abuse. She says that training is especially important for physicians.

“Because we know that if we get those early-warning signs, we can get children the help that they need before they are abused further or before any type of fatal event,” Frazier says.

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Season 11 Episodes

Businessman Phil Wilkins

S11 E43 Length 26:31 Premiere Date 08/19/16

Training Business Leaders

S11 E42 Length 26:21 Premiere Date 08/12/16

NBA Great Dominique Wilkins

S11 E41 Length 27:47 Premiere Date 08/05/16

DEA Agent Gary Tuggle

S11 E40 Length 27:47 Premiere Date 07/29/16

Addiction and Public Health Reform

S11 E39 Length 29:11 Premiere Date 07/22/16

Addiction and the Criminal Justice System

S11 E38 Length 28:21 Premiere Date 07/15/16

Addiction in Rural Communities

S11 E37 Length 29:26 Premiere Date 07/07/16

Addiction and Mental Health

S11 E36 Length 29:06 Premiere Date 07/01/16

Recovery Services for Inmates

S11 E35 Length 28:26 Premiere Date 06/24/16

Veterans Treatment Court

S11 E34 Length 28:22 Premiere Date 06/17/16

Opioid Epidemic in Northern Ky.

S11 E33 Length 27:21 Premiere Date 06/10/16

Treatment Models for Addiction

S11 E32 Length 27:51 Premiere Date 06/03/16

Jazz Vocalist Jessie Laine Powell

S11 E31 Length 28:11 Premiere Date 05/27/16

Kentucky Oral Health Coalition

S11 E30 Length 28:21 Premiere Date 05/20/16

Dr. Kishonna Gray on Gaming

S11 E29 Length 28:06 Premiere Date 05/13/16

Advocating for Victims Rights

S11 E28 Length 28:46 Premiere Date 05/06/16

Advice for Parents on Coping Techniques

S11 E27 Length 28:06 Premiere Date 04/29/16

Author and Poet Crystal Wilkinson

S11 E26 Length 28:01 Premiere Date 04/22/16

Secretary Grimes on Voting Access

S11 E25 Length 28:31 Premiere Date 04/15/16

Child Abuse and Neglect

S11 E24 Length 28:01 Premiere Date 04/08/16

Overcoming Eating Disorders

S11 E21 Length 28:59 Premiere Date 02/26/16

Lt. Gov. Jenean Hampton

S11 E19 Length 28:16 Premiere Date 02/12/16

Remembering Georgia Davis Powers

S11 E18 Length 29:31 Premiere Date 02/05/16

Giving Students a Voice

S11 E17 Length 28:01 Premiere Date 01/29/16

Addressing Youth Violence

S11 E16 Length 28:11 Premiere Date 01/22/16

Professor Wayne Lewis

S11 E15 Length 28:01 Premiere Date 01/15/16

Ed. Commissioner Stephen Pruitt

S11 E14 Length 28:06 Premiere Date 01/08/16

State Sen. Julie Raque Adams

S11 E13 Length 28:31 Premiere Date 01/01/16

Kentucky First Lady Jane Beshear

S11 E11 Length 28:57 Premiere Date 12/11/15

Miss Kentucky Clark Davis

S11 E10 Length 29:03 Premiere Date 11/20/15

Ari Berman on Voting Rights

S11 E9 Length 28:01 Premiere Date 11/13/15

Poet Allison Joseph

S11 E8 Length 28:01 Premiere Date 11/06/15

Journalist Dorothy Gilliam

S11 E7 Length 28:41 Premiere Date 10/30/15

Author Jacinda Townsend

S11 E6 Length 28:01 Premiere Date 10/09/15

Kellie Blair Hardt

S11 E5 Length 28:16 Premiere Date 10/02/15

Childhood Cancer

S11 E4 Length 28:01 Premiere Date 09/25/15

Kentucky African-American Encyclopedia

S11 E3 Length 28:11 Premiere Date 09/18/15

Manny Caulk

S11 E2 Length 28:09 Premiere Date 09/11/15

25th Anniversary of the Americans with Disabilities Act

S11 E1 Length 28:31 Premiere Date 09/03/15

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Jill Seyfred, executive director of Prevent Child Abuse Kentucky, discusses efforts to increase awareness and prevention of child abuse in the state.

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Affrilachian poet and author Crystal Wilkinson talks about her first novel, "The Birds of Opulence", that tackles the issue of mental illness and the plight of the African American female experience in the South.

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  • Sunday October 2, 2022 12:00 pm ET on KET
  • Sunday October 2, 2022 11:00 am CT on KET

Josh Nadzam and Tanya Torp - S10 E37

  • Friday September 30, 2022 10:30 pm ET on KETKY
  • Friday September 30, 2022 9:30 pm CT on KETKY
  • Friday September 30, 2022 2:00 pm ET on KETKY
  • Friday September 30, 2022 1:00 pm CT on KETKY
  • Friday September 30, 2022 5:29 am ET on KETKY
  • Friday September 30, 2022 4:29 am CT on KETKY

Susan and Morgan Guess - S10 E34

  • Thursday September 29, 2022 10:30 pm ET on KETKY
  • Thursday September 29, 2022 9:30 pm CT on KETKY
  • Thursday September 29, 2022 5:30 am ET on KETKY
  • Thursday September 29, 2022 4:30 am CT on KETKY

Jay Williams - S10 E33

  • Wednesday September 28, 2022 10:30 pm ET on KETKY
  • Wednesday September 28, 2022 9:30 pm CT on KETKY
  • Wednesday September 28, 2022 5:30 am ET on KETKY
  • Wednesday September 28, 2022 4:30 am CT on KETKY

Pellom McDaniels - S10 E30

  • Tuesday September 27, 2022 10:30 pm ET on KETKY
  • Tuesday September 27, 2022 9:30 pm CT on KETKY
  • Tuesday September 27, 2022 5:30 am ET on KETKY
  • Tuesday September 27, 2022 4:30 am CT on KETKY

Kiley Lane Parker - S10 E29

  • Monday September 26, 2022 10:30 pm ET on KETKY
  • Monday September 26, 2022 9:30 pm CT on KETKY
  • Monday September 26, 2022 2:00 pm ET on KETKY
  • Monday September 26, 2022 1:00 pm CT on KETKY
  • Monday September 26, 2022 5:29 am ET on KETKY
  • Monday September 26, 2022 4:29 am CT on KETKY

David Adkins - The Council of State Governments - S18 E3

  • Saturday October 1, 2022 4:30 pm ET on KETKY
  • Saturday October 1, 2022 3:30 pm CT on KETKY
  • Sunday September 25, 2022 6:00 pm ET on KET2
  • Sunday September 25, 2022 5:00 pm CT on KET2
  • Sunday September 25, 2022 4:30 pm ET on KETKY
  • Sunday September 25, 2022 3:30 pm CT on KETKY
  • Sunday September 25, 2022 11:59 am ET on KET
  • Sunday September 25, 2022 10:59 am CT on KET

Kevin Chapman - S10 E28

  • Friday September 23, 2022 10:30 pm ET on KETKY
  • Friday September 23, 2022 9:30 pm CT on KETKY
  • Friday September 23, 2022 2:00 pm ET on KETKY
  • Friday September 23, 2022 1:00 pm CT on KETKY
  • Friday September 23, 2022 5:30 am ET on KETKY
  • Friday September 23, 2022 4:30 am CT on KETKY

Kendell Nash - ECHO - S10 E27

  • Thursday September 22, 2022 10:30 pm ET on KETKY
  • Thursday September 22, 2022 9:30 pm CT on KETKY
  • Thursday September 22, 2022 5:30 am ET on KETKY
  • Thursday September 22, 2022 4:30 am CT on KETKY

Dorothy Edwards and Diane Fleet - S10 E26

  • Wednesday September 21, 2022 10:30 pm ET on KETKY
  • Wednesday September 21, 2022 9:30 pm CT on KETKY
  • Wednesday September 21, 2022 5:30 am ET on KETKY
  • Wednesday September 21, 2022 4:30 am CT on KETKY

Elaine Chao - S10 E23

  • Tuesday September 20, 2022 10:30 pm ET on KETKY
  • Tuesday September 20, 2022 9:30 pm CT on KETKY
  • Tuesday September 20, 2022 2:06 pm ET on KETKY
  • Tuesday September 20, 2022 1:06 pm CT on KETKY
  • Tuesday September 20, 2022 5:30 am ET on KETKY
  • Tuesday September 20, 2022 4:30 am CT on KETKY

Diabetes Epidemic - S10 E20

  • Monday September 19, 2022 10:30 pm ET on KETKY
  • Monday September 19, 2022 9:30 pm CT on KETKY
  • Monday September 19, 2022 2:00 pm ET on KETKY
  • Monday September 19, 2022 1:00 pm CT on KETKY
  • Monday September 19, 2022 5:30 am ET on KETKY
  • Monday September 19, 2022 4:30 am CT on KETKY

Melynda Jamison - CASA of Lexington - S18 E2

  • Sunday September 25, 2022 8:00 am ET on KETKY
  • Sunday September 25, 2022 7:00 am CT on KETKY
  • Saturday September 24, 2022 4:30 pm ET on KETKY
  • Saturday September 24, 2022 3:30 pm CT on KETKY
  • Sunday September 18, 2022 6:00 pm ET on KET2
  • Sunday September 18, 2022 5:00 pm CT on KET2
  • Sunday September 18, 2022 4:30 pm ET on KETKY
  • Sunday September 18, 2022 3:30 pm CT on KETKY
  • Sunday September 18, 2022 12:00 pm ET on KET
  • Sunday September 18, 2022 11:00 am CT on KET

Mary Gwen Wheeler, 55,000 Degrees - S10 E16

  • Friday September 16, 2022 10:30 pm ET on KETKY
  • Friday September 16, 2022 9:30 pm CT on KETKY
  • Friday September 16, 2022 2:00 pm ET on KETKY
  • Friday September 16, 2022 1:00 pm CT on KETKY
  • Friday September 16, 2022 5:30 am ET on KETKY
  • Friday September 16, 2022 4:30 am CT on KETKY

15K Degrees Initiative - S10 E13

  • Thursday September 15, 2022 10:30 pm ET on KETKY
  • Thursday September 15, 2022 9:30 pm CT on KETKY
  • Thursday September 15, 2022 5:30 am ET on KETKY
  • Thursday September 15, 2022 4:30 am CT on KETKY

Sister Helen Prejean - S10 E12

  • Wednesday September 14, 2022 10:30 pm ET on KETKY
  • Wednesday September 14, 2022 9:30 pm CT on KETKY
  • Wednesday September 14, 2022 5:30 am ET on KETKY
  • Wednesday September 14, 2022 4:30 am CT on KETKY

Jefferson County Veterans Treatment Court - S10 E11

  • Tuesday September 13, 2022 10:30 pm ET on KETKY
  • Tuesday September 13, 2022 9:30 pm CT on KETKY
  • Tuesday September 13, 2022 2:00 pm ET on KETKY
  • Tuesday September 13, 2022 1:00 pm CT on KETKY
  • Tuesday September 13, 2022 5:30 am ET on KETKY
  • Tuesday September 13, 2022 4:30 am CT on KETKY

Bill Farmer - S10 E8

  • Monday September 12, 2022 10:30 pm ET on KETKY
  • Monday September 12, 2022 9:30 pm CT on KETKY
  • Monday September 12, 2022 2:00 pm ET on KETKY
  • Monday September 12, 2022 1:00 pm CT on KETKY
  • Monday September 12, 2022 5:30 am ET on KETKY
  • Monday September 12, 2022 4:30 am CT on KETKY

State Treasurer Allison Ball - S18 E1

  • Sunday September 11, 2022 6:00 pm ET on KET2
  • Sunday September 11, 2022 5:00 pm CT on KET2
  • Sunday September 11, 2022 12:00 pm ET on KET
  • Sunday September 11, 2022 11:00 am CT on KET

Reporter Jonathan Bullington - S17 E23

  • Sunday September 18, 2022 8:00 am ET on KETKY
  • Sunday September 18, 2022 7:00 am CT on KETKY
  • Saturday September 17, 2022 4:30 pm ET on KETKY
  • Saturday September 17, 2022 3:30 pm CT on KETKY
  • Sunday September 11, 2022 4:30 pm ET on KETKY
  • Sunday September 11, 2022 3:30 pm CT on KETKY

Diane Follingstad - UK Women's Circle Endowment Chair - S10 E6

  • Friday September 9, 2022 10:30 pm ET on KETKY
  • Friday September 9, 2022 9:30 pm CT on KETKY
  • Friday September 9, 2022 2:00 pm ET on KETKY
  • Friday September 9, 2022 1:00 pm CT on KETKY
  • Friday September 9, 2022 5:30 am ET on KETKY
  • Friday September 9, 2022 4:30 am CT on KETKY

Kevin Chapman - S10 E5

  • Thursday September 8, 2022 10:30 pm ET on KETKY
  • Thursday September 8, 2022 9:30 pm CT on KETKY
  • Thursday September 8, 2022 2:00 pm ET on KETKY
  • Thursday September 8, 2022 1:00 pm CT on KETKY
  • Thursday September 8, 2022 5:30 am ET on KETKY
  • Thursday September 8, 2022 4:30 am CT on KETKY

Soreyda Benedit Begley and Chris Begley - S10 E3

  • Wednesday September 7, 2022 10:30 pm ET on KETKY
  • Wednesday September 7, 2022 9:30 pm CT on KETKY
  • Wednesday September 7, 2022 2:00 pm ET on KETKY
  • Wednesday September 7, 2022 1:00 pm CT on KETKY
  • Wednesday September 7, 2022 5:30 am ET on KETKY
  • Wednesday September 7, 2022 4:30 am CT on KETKY

Bloggers on Personal Development - S10 E2

  • Tuesday September 6, 2022 10:30 pm ET on KETKY
  • Tuesday September 6, 2022 9:30 pm CT on KETKY
  • Tuesday September 6, 2022 2:00 pm ET on KETKY
  • Tuesday September 6, 2022 1:00 pm CT on KETKY
  • Tuesday September 6, 2022 5:30 am ET on KETKY
  • Tuesday September 6, 2022 4:30 am CT on KETKY

Chris Rabb - S10 E1

  • Monday September 5, 2022 10:30 pm ET on KETKY
  • Monday September 5, 2022 9:30 pm CT on KETKY
  • Monday September 5, 2022 2:00 pm ET on KETKY
  • Monday September 5, 2022 1:00 pm CT on KETKY
  • Monday September 5, 2022 5:30 am ET on KETKY
  • Monday September 5, 2022 4:30 am CT on KETKY

Nikki Lanier - Harper Slade - S17 E22

  • Sunday September 11, 2022 8:00 am ET on KETKY
  • Sunday September 11, 2022 7:00 am CT on KETKY
  • Saturday September 10, 2022 4:30 pm ET on KETKY
  • Saturday September 10, 2022 3:30 pm CT on KETKY
  • Sunday September 4, 2022 6:00 pm ET on KET2
  • Sunday September 4, 2022 5:00 pm CT on KET2
  • Sunday September 4, 2022 4:30 pm ET on KETKY
  • Sunday September 4, 2022 3:30 pm CT on KETKY
  • Sunday September 4, 2022 12:00 pm ET on KET
  • Sunday September 4, 2022 11:00 am CT on KET

Delanor Manson - Kentucky Nurses Association - S17 E36

  • Sunday September 4, 2022 8:00 am ET on KETKY
  • Sunday September 4, 2022 7:00 am CT on KETKY

Tanya Torp and Holly Houston - S9 E46

  • Friday September 2, 2022 10:30 pm ET on KETKY
  • Friday September 2, 2022 9:30 pm CT on KETKY
  • Friday September 2, 2022 2:00 pm ET on KETKY
  • Friday September 2, 2022 1:00 pm CT on KETKY
  • Friday September 2, 2022 5:30 am ET on KETKY
  • Friday September 2, 2022 4:30 am CT on KETKY
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