Implementing a Trauma-Informed Approach in Pediatric Health Care Networks
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Published on: January 20, 2019
Meghan L Marsac1, Nancy Kassam-Adams2, Aimee K Hildenbrand3
1Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania2Department of Psychiatry, University of Pennsylvania, Philadelphia.
Insights
Trauma-informed care in pediatric health networks can reduce negative experiences for children and staff. Implementing this approach enhances care quality and well-being, despite training barriers.
Area of Science:
- Pediatric Health Care
- Trauma-Informed Care
- Child Psychology
Background:
- Pediatric medical settings frequently expose children to traumatic events, impacting both patients and families.
- Healthcare professionals in pediatric settings are also vulnerable to work-related trauma symptoms.
- Existing pediatric care models may inadvertently cause distress or re-traumatization.
Purpose of the Study:
- To underscore the critical need for trauma-informed care (TIC) in pediatric health networks.
- To present a framework for training healthcare professionals in TIC practices.
- To advocate for the integration of TIC to improve patient and staff outcomes.
Main Methods:
- The article reviews the principles and benefits of applying a trauma-informed approach in pediatric care.
- It discusses the potential of TIC to mitigate negative psychological impacts on children and families.
- A framework for implementing TIC training in pediatric health networks is proposed.
Main Results:
- Trauma-informed care minimizes iatrogenic trauma and addresses existing distress in pediatric patients.
- Integrating TIC with family-centered care enhances patient/family experiences and staff well-being.
- Successful implementation requires addressing barriers like inadequate training and unclear guidelines.
Conclusions:
- Trauma-informed care is essential for improving the quality of pediatric healthcare and the well-being of all involved.
- A structured training framework is necessary for the routine integration of TIC into pediatric health networks.
- Overcoming implementation barriers is key to realizing the full benefits of trauma-informed pediatric care.
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.
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