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Applying Trauma Informed Care in Multidisciplinary Cleft Practices: Defining Pediatric Cleft Trauma and Providing
Matteo Laspro1, Allison L Diaz2, Jessica Aceste2
1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
Insights
Cleft lip and/or palate (CL/P) can negatively impact psychosocial well-being, increasing risks for mood disorders and trauma. Trauma-informed care is crucial for children with CL/P, especially given limited access to specialized cleft centers.
Area of Science:
- Pediatric Health
- Psychosocial Outcomes
- Trauma-Informed Care
Background:
- Cleft lip and/or palate (CL/P) is a lifelong condition necessitating comprehensive, multidisciplinary care.
- CL/P is associated with significant psychosocial challenges, including low self-esteem, bullying, social isolation, and rejection.
- Patients with CL/P face increased vulnerability to mood disorders and trauma stemming from their facial differences.
Purpose of the Study:
- To highlight the psychosocial impacts of CL/P on children.
- To emphasize the importance of evaluating for trauma symptoms in children with CL/P.
- To advocate for the integration of trauma-informed care within the healthcare system for CL/P patients.
Main Methods:
- Review of existing literature on psychosocial outcomes in CL/P.
- Analysis of the psychological effects of facial differences.
- Discussion of care models for children with CL/P.
Main Results:
- Children with CL/P experience adverse psychosocial outcomes.
- Facial differences can predispose individuals to mood disorders and trauma.
- Limited access to specialized cleft care centers exacerbates challenges.
Conclusions:
- Early evaluation for trauma symptoms is essential for children with CL/P.
- Implementing trauma-informed care can significantly improve psychosocial well-being.
- Addressing psychosocial needs is critical for lifelong CL/P management.
Abstract:
Cleft lip and/or palate (CL/P) is a life-long condition that requires multidisciplinary care throughout childhood and beyond. Studies have examined the impact of CL/P on psychosocial outcomes including lower self-esteem, higher incidence of bullying, social isolation, and rejection. As a result, patients may be predisposed to experiencing mood disorders or trauma related to their facial difference. Moreover, access to dedicated cleft centers is limited in many areas in the United States. For children with a CL/P who present to the healthcare system, evaluating for trauma symptoms and incorporating trauma-informed care can support these patients' psychosocial wellbeing during an impressionable developmental period.
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