在学前语音和语言服务中进行普遍创伤查:查过程和客户档案
Anna C Rupert1,2, Leticia Gracia1, Diane Bartlett3
1The George Hull Centre Institute of Childhood Trauma and Attachment, Toronto, Ontario, Canada.
Language, speech, and hearing services in schools
|September 17, 2025
概括
在学前语音和语言服务中进行的普遍创伤查发现了幼儿的重大创伤暴露. 早期识别可以为更好的支持提供量身定制的干预措施和综合护理.
科学领域:
- 儿科 儿科 儿科
- 心理健康 心理健康
- 语音语言病理学 语言病理学
背景情况:
- 创伤暴露在儿童早期普遍存在.
- 学前语音和语言 (PSL) 服务是早期干预的关键接触点.
- 将创伤信息化护理纳入现有服务是全面儿童发展的关键.
研究的目的:
- 调查公共资助PSL服务中普遍创伤查的实施情况.
- 在这些服务中检查客户资料,包括创伤暴露和反应.
- 评估创伤查在儿科临床环境中的可行性和影响.
主要方法:
- 一项临床试点和研究研究,涉及语音语言病理学家 (SLP) 和心理健康专业人员.
- 临床医生在初步评估期间进行了预先查.
- 为家庭提供完整的创伤查,从193个SLP问卷和57个儿童查 (年龄为9至50个月) 中收集数据.
主要成果:
- 30%的客户在PSL初步评估期间披露了潜在的创伤暴露.
- 报告的最高暴露率包括公共卫生危机 (33%),家庭搬迁 (30%) 和分居 (26%).
- 在创伤暴露数量和潜在的创伤反应之间发现了显著的相关性 (r=.28,p=.037).
结论:
- 全球性创伤查对于在PSL服务中早期识别有风险儿童至关重要.
- 整合创伤知情护理和协作精神卫生服务可以改善对受创伤影响的儿童的支持.
- 早期识别和量身定制的干预措施对于解决创伤儿童复杂需求至关重要.
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