Foundation for Research and Education on Child Safety


The goal of FRECS is to promote children's health and prevent child deaths and serious injuries

through public education and scientific research. We are seeking an international advisory board

of pediatricians, child psychologists, and family attorneys to guide our work.


Free Poster for your waiting rooms: Keep Kids Safe listing the ten most common causes of child death and serious injury that every parent and other childcare provider should be aware of.



More money is spent on "assessment and management" of mental disorders in childhood than any other pediatric disease, and yet mental health professionals want society to increase that expenditure by 75% to reach all kids who "need" psycho-services. Behavioral disorders are believed to be related to increased morbidity and mortality that are tragic and costly to the individual as well as society eventually, but there is no evidence that rates of morbidity/mortality due to behavioral disorders are comparable to other direct dangers in childhood.

Are you informed about the PEDSTEST (Parents' Evaluation of Developmental Status Test)? It's a questionnaire that a nurse or other professional can administer to parents of children age 0-8y in a pediatrician's office or waiting room, for early detection of developmental or behavioral disorders. The sensitivity and specificity of the test are not very high (80-89%), but since early intervention in developmental or behavioral disorders is believed to be highly effective, the PEDSTEST is widely used. Where is the evidence that early intervention is highly effective?

Another widely used screening test is the M-CHAT: Modified Checklist for Autism in Toddlers (age 16-48mo), which has better sensitivity and specificity (90-99%). If a child fails the M-CHAT then a follow-up interview is recommended to avoid a fairly high over-referral rate for the more expensive and comprehensive Autism Spectrum Disorder (ASD) evaluation. What is the evidence for the efficacy of treatment for severe forms of ASD, even with early intervention?

The Safety Word and Literacy Screener (SWILS) for older children (6-14y) can act as a stimulus for injury prevention consultation or counseling. Is there evidence that knowledge of specific safety vocabulary is related to injury control? Is the increasing use of mental health "screening" beneficial to children's health, or is it merely a form of marketing for the billion-dollar business of selling mental health pill-products and $ervices? Instead of focusing on supposed mental health problems in childhood, parents and other childcare providers should read Real Child Safety 2nd ed. for more information about the known, direct causes of death and serious injury in childhood that may impact your family.

Download the eBook (pdf) Real Child Safety 2nd ed. at

Or get the Kindle version of Real Child Safety 2nd ed. at






All content copyright 2014-2015 Frank Adamo.