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Trauma-Informed Pediatric Primary Care: Facilitators and Challenges to the Implementation Process.

Kelsey J Sala-Hamrick1,2, Brian Isakson3, Sara Del Campo De Gonzalez4

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Integrating trauma-informed care into pediatric primary care is feasible for underserved communities, even with resource limitations. This guide details a process for primary care providers to address traumatic stress effectively.

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Area of Science:

  • Pediatric Primary Care
  • Behavioral Health Integration
  • Trauma-Informed Care

Background:

  • Community pediatric clinics often serve vulnerable populations facing significant barriers to accessing quality behavioral health services.
  • Integrating trauma-informed care is crucial for addressing the needs of low-income and minority families experiencing traumatic stress.
  • Limited financial, staffing, and time resources are common challenges in community healthcare settings.

Purpose of the Study:

  • To describe the implementation process of trauma-informed behavioral health practices in a pediatric primary care clinic.
  • To identify facilitators and challenges encountered during the integration of trauma-informed care.
  • To evaluate the impact of trauma-informed care implementation on patients, providers, and the community.

Main Methods:

  • Utilized an iterative approach to implement and evaluate each stage of the integration process.
  • Focused on empowering primary care providers to lead the identification and management of traumatic stress.
  • Documented the practical steps, challenges, and outcomes of integrating new behavioral health practices.

Main Results:

  • Successfully integrated trauma-informed care into a pediatric primary care setting despite resource constraints.
  • Identified key facilitators, such as provider buy-in and iterative evaluation, and challenges, including financial and staffing limitations.
  • Observed positive impacts at patient (improved care), provider (enhanced skills), and community (increased access) levels.

Conclusions:

  • Trauma-informed care can be feasibly integrated into resource-limited pediatric primary care settings.
  • An iterative, provider-led approach is effective for implementing behavioral health practices in community clinics.
  • This implementation model serves as a guide for other clinics seeking to enhance behavioral health services for underserved families.