Trauma-Informed Care

Heather Forkey1, Moira Szilagyi2, Erin T Kelly3

  • 1Department of Pediatrics, University of Massachusetts, Worcester, Massachusetts heather.forkey@umassmemorial.org.

Pediatrics
|July 27, 2021
PubMed

Insights

Childhood trauma impacts physical and mental health across the lifespan. Trauma-informed care uses scientific evidence to improve pediatric health outcomes by providing clinicians with assessment tools and interventions.

Area of Science:

  • Childhood trauma and adversity research
  • Pediatric health and development
  • Trauma-informed care principles

Background:

  • Childhood trauma is prevalent and has profound, lifelong health consequences.
  • Scientific evidence from genetics, neuroscience, and epidemiology demonstrates molecular and cellular impacts.
  • Adverse childhood experiences affect physical, emotional, developmental, and behavioral health.

Purpose of the Study:

  • To translate scientific findings on childhood trauma into practical pediatric care.
  • To provide clinicians with tools and guidance for implementing trauma-informed care.
  • To promote resilience and improve health outcomes for children experiencing adversity.

Main Methods:

  • Summarizing current scientific literature on childhood trauma.
  • Compiling practical advice for clinicians across various medical settings.
  • Identifying essential tools for assessing trauma and adversity in children.

Main Results:

  • Childhood trauma has significant molecular, cellular, and organ-level effects.
  • Trauma-informed care strategies can improve pediatric patient outcomes.
  • Clinicians require practical resources for effective trauma assessment and intervention.

Conclusions:

  • Integrating trauma-informed care is crucial for pediatric healthcare.
  • Evidence-based tools and interventions enhance the management of childhood trauma.
  • Addressing adversity promotes child resilience and long-term well-being.

Related Concept Videos

Traumatic Memory01:20

Traumatic Memory

Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
316
Post-traumatic Stress Disorder01:27

Post-traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
172
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.9K
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.6K
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.1K
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
58