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Early detection of posttraumatic stress disorder in children
Shannon McIntosh1, Melanie Mata
1Department of Psychology, Hurley Medical Center, Flint, Michigan 48503, USA.
Insights
Children surviving trauma face higher risks of posttraumatic stress disorder (PTSD). A new guideline improved PTSD detection by 40% in pediatric trauma patients, enabling earlier screening and intervention.
Area of Science:
- Pediatric trauma care
- Child psychology
- Mental health screening
Background:
- Children surviving trauma have an elevated risk for developing posttraumatic stress disorder (PTSD).
- Approximately 1 million U.S. children annually experience some form of PTSD.
- Early detection and intervention are crucial for managing pediatric PTSD.
Purpose of the Study:
- To establish a benchmark for PTSD detection in pediatric trauma patients at a specific trauma center.
- To develop a guideline for identifying children who may require PTSD screening before hospital discharge.
- To improve the rate of PTSD detection and subsequent intervention in pediatric trauma survivors.
Main Methods:
- A multidisciplinary team (trauma, rehabilitation, neuropsychology, pediatrics) collaborated to create a PTSD detection guideline.
- The guideline focused on systematic identification of potential PTSD triggers in children.
- The guideline was implemented, and its impact on PTSD detection rates was evaluated.
Main Results:
- Following the guideline's implementation, there was a significant 40% increase in the detection of PTSD symptoms among screened children.
- The guideline facilitated the identification of more children at risk for PTSD.
- The study demonstrated a measurable improvement in the screening process for pediatric PTSD.
Conclusions:
- Systematic identification of PTSD triggers is effective in increasing detection rates.
- Implementing a standardized guideline enhances opportunities for PTSD screening and intervention in pediatric trauma patients.
- Proactive screening protocols can significantly improve outcomes for children at risk of developing PTSD.
Abstract:
Surviving trauma patients are at an increased risk for developing posttraumatic stress disorder (PTSD) symptoms. An estimated 1 million American children develop some form (acute, chronic) of PTSD every year. The purpose of this study was to benchmark detection of PTSD in children at our trauma center against the national average and develop a guideline that would identify children who might need referral for screening prior to discharge. A collaborative effort among the trauma, rehabilitation, neuropsychology, and pediatric personnel resulted in a guideline to address early detection of PTSD in children. After implementation of the guideline, there was a 40% increase in detection of PTSD symptoms in identified children who were screened. We conclude that a systematic identification of PTSD triggers increases the detection rate of PTSD and opportunities for screening and intervention.
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