Implementing a Trauma-Informed Approach in Pediatric Health Care Networks.

TitleImplementing a Trauma-Informed Approach in Pediatric Health Care Networks.
Publication TypeJournal Article
Year of Publication2016
AuthorsMarsac ML, Kassam-Adams N, Hildenbrand AK, Nicholls E, Winston FK, Leff SS, Fein J
JournalJAMA Pediatr
Volume170
Issue1
Pagination70-7
Date Published2016 Jan
ISSN2168-6211
KeywordsAdaptation, Psychological, Child, Child Health Services, Community Networks, Family, Health Personnel, Humans, Patient-Centered Care, Patients, Pediatrics, Psychological Trauma, Stress Disorders, Post-Traumatic, Wounds and Injuries
Abstract

Pediatric health care networks serve millions of children each year. Pediatric illness and injury are among the most common potentially emotionally traumatic experiences for children and their families. In addition, millions of children who present for medical care (including well visits) have been exposed to prior traumatic events, such as violence or natural disasters. Given the daily challenges of working in pediatric health care networks, medical professionals and support staff can experience trauma symptoms related to their work. The application of a trauma-informed approach to medical care has the potential to mitigate these negative consequences. Trauma-informed care minimizes the potential for medical care to become traumatic or trigger trauma reactions, addresses distress, provides emotional support for the entire family, encourages positive coping, and provides anticipatory guidance regarding the recovery process. When used in conjunction with family-centered practices, trauma-informed approaches enhance the quality of care for patients and their families and the well-being of medical professionals and support staff. Barriers to routine integration of trauma-informed approaches into pediatric medicine include a lack of available training and unclear best-practice guidelines. This article highlights the importance of implementing a trauma-informed approach and offers a framework for training pediatric health care networks in trauma-informed care practices.

DOI10.1001/jamapediatrics.2015.2206
Short TitleImplementing Trauma-informed Approach in Pediatric Care Networks
Alternate JournalJAMA Pediatr
PubMed ID26571032
PubMed Central IDPMC4939592
Grant ListK23 MH093618 / MH / NIMH NIH HHS / United States
1K23MH093618-01A1 / MH / NIMH NIH HHS / United States
U79SSM061255 / / PHS HHS / United States