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Published on: January 20, 2019
Trauma-Informed Strategies in Pediatric Primary Care
Heather Forkey1, Jessica Griffin2
1Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children's Medical Center, 55 Lake Avenue North, Benedict Building A2-201, Worcester, MA 01655, USA.
Insights
Pediatric clinicians must integrate trauma-informed care (TIC) by understanding trauma
Area of Science:
- Pediatric Health
- Trauma Studies
- Clinical Psychology
Background:
- Childhood trauma, especially within caregiving relationships, significantly impacts health.
- Pediatric clinicians play a vital role in identifying and addressing trauma.
- Trauma-informed care (TIC) principles are often discussed but lack clear implementation strategies.
Purpose of the Study:
- To outline practical implementation strategies for trauma-informed care (TIC) in pediatric settings.
- To equip clinicians with methods for promoting resilience in children affected by trauma.
- To guide the recognition, diagnosis, and management of trauma in pediatric patients.
Main Methods:
- Review of current literature on trauma-informed care (TIC) principles and pediatric clinical practice.
- Integration of physiological trauma knowledge with practical resilience-building strategies.
- Development of a framework for primary prevention, secondary response, and tertiary treatment of trauma.
Main Results:
- Identified key practical approaches for pediatric clinicians to implement TIC.
- Highlighted the importance of promoting resilience alongside trauma recognition and management.
- Provided a structured approach to addressing trauma across its continuum.
Conclusions:
- Effective trauma-informed care (TIC) requires a practical, integrated approach beyond guiding principles.
- Pediatric clinicians can enhance patient outcomes by actively promoting resilience and managing trauma.
- This study offers a roadmap for implementing comprehensive trauma care in pediatrics.
Abstract:
Child trauma, particularly within the context of the caregiving relationship, can have profound impacts on health, thus pediatric clinicians have a crucial role in recognizing and responding to trauma. Yet, trauma-informed care (TIC) is often described by its guiding principles rather than an approach to implementation. TIC requires the pediatric clinician to not only be familiar with the physiology of trauma, but actively promote resilience and employ strategies for primary prevention, secondary response and tertiary treatment of trauma. This study covers practical approaches to care that allow for promoting resilience, and the recognition, diagnosis and management of trauma.
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