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Trauma-informed care for unaccompanied children: Lessons learned for practice and policy development
Diane Elmore Borbon1, Elizabeth Tant Blackmon1, Nctsn Unaccompanied Children Task Force2
1Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine.
This initiative provided trauma-informed mental health services to unaccompanied children (UC) and separated families. Lessons learned can inform future practices and policies for migrant children.
Area of Science:
- Public Health
- Mental Health Services
- Migration Studies
Background:
- Significant increase in unaccompanied children (UC) arriving in the U.S.
- UC face trauma in home countries, during migration, and upon resettlement.
- Need for trauma-informed mental health services for this vulnerable population.
Purpose of the Study:
- Describe a congressionally-funded initiative for trauma-informed mental health services.
- Identify facilitators and barriers in working with UC and separated children.
- Offer lessons learned for future practice and policy development.
Main Methods:
- Qualitative interviews with grantees.
- Survey administered to grantees.
- Analysis of services provided to youth and families.
Main Results:
- 1,195 youth and families served across 11 states (Dec 2018-Sep 2019).
- Served diverse populations including UC, asylees, and immigrants speaking 16 languages.
- Services included direct care, provider training, community partnerships, and resource development.
Conclusions:
- Initiative provided valuable trauma-informed mental health services.
- Identified facilitators and barriers to effective service delivery.
- Lessons learned can guide future trauma-informed practices and policies for migrant children and families.
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