A Systematic Review and Synthesis of Trauma-Informed Care Within Outpatient and Counseling Health Settings for Young People

Bendall, Sarah; Eastwood, Oliver; Cox, Georgina; Farrelly-Rosch, Anna; Nicoll, Helen; Peters, W.H.M.; Bailey, Alan P; McGorry, Patrick D.; Scanlan, Faye

doi:10.1177/1077559520927468

Cited by 57 publications

(61 citation statements)

References 43 publications

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“…In conclusion, early trauma-informed treatments, like described in the literature [22] and like the early intervention approach of the OTC described in this paper, are able to provide comprehensive and specialized support the families during early stages after the traumatic event; this may mitigate the risk for persistence of symptoms in the vulnerable group of children and adolescents.…”

Section: Discussionmentioning

confidence: 84%

“…In order to reduce the time span untreated, barriers need to be addressed. This calls for better access to care [18], increased availability of clinics [19,20] and trauma-informed approaches [22], in order to reach out to those in need for treatment.…”

Section: Discussionmentioning

confidence: 99%

“…trauma narratives). The intervention in the OTC follows an adaptive, tailored approach, mirroring the concept of trauma-informed care [22]. At the end of the treatment, individual recommendations for further interventions are stated and longer-term follow-up-intervention for the patients is initiated, if needed.…”

Section: Procedures In the Otcmentioning

confidence: 99%

“…Data published in 2017 illustrate the situation of trauma care for children and adolescents in Germany: Münzer et al analyzed the health care utilization of 241 children aged 4-17 years with a history of maltreatment in Germany and point out that 65% of the sample did not receive any psychotherapeutic intervention-and among the cases who did, only a few received trauma-focused psychotherapy [19]. Barriers for seeking and accessing mental health care for affected children and adolescents are by large part structural, e.g., lack of coordination and integration of services, service costs and long waiting times [22]. In a qualitative study [18], internet posts by young people in online trauma forums were analyzed.…”

Section: Introductionmentioning

confidence: 99%

“…While the need for further implementation of trauma care for children and adolescents is consistently underlined in the literature [18][19][20][21], and approaches have been emerging [16], up to now, little is known about the unselected, treatment-seeking samples of children and adolescents [22,24]. However, knowledge on trauma characteristics, mental health, the need for treatment and the families' further pathways through the healthcare system among a naturalistic sample [16,17] will provide valuable contributions to the development and implementation of treatment approaches for this vulnerable group.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of an Early Intervention Model for Child and Adolescent Victims of Interpersonal Violence

et al. 2021

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Only the minority of youth exposed to traumatic events receive mental health care, as trauma-informed clinical services are lacking or are poorly accessible. In order to bridge this gap, the Outpatient Trauma Clinic (OTC) was founded, an easily accessible early, short-time intervention, with onward referral to follow-up treatment. This report presents the OTC’s interventional approach and first outcome data. Using a retrospective naturalistic design, we analyzed trauma- and intervention-related data of the sample (n = 377, 55.4% female, mean age 10.95, SD = 4.69). Following drop-out analyses, predictors for treatment outcome were identified by logistic regression. The majority (81.9%) was suffering from posttraumatic stress disorder (PTSD) or adjustment disorders. Around one forth dropped out of treatment; these cases showed higher avoidance symptoms at presentation. In 91%, psychological symptoms improved. Experience of multiple traumatic events was the strongest predictor for poor treatment outcome (B = −0.823, SE = 0.313, OR = 0.439, 95% CI 0.238–0.811). Around two thirds were connected to follow-up treatment. The OTC realized a high retention rate, initial improvement of symptoms and referral to subsequent longer-term psychotherapeutic treatment in the majority. Further dissemination of comparable early intervention models is needed, in order to improve mental health care for this vulnerable group.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Procedures In the Otcmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of an Early Intervention Model for Child and Adolescent Victims of Interpersonal Violence

et al. 2021

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Toward trauma‐informed applications of behavior analysis

Rajaraman¹,

Austin

Gover

et al. 2021

J of App Behav Analysis

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Despite a growing acknowledgement of the importance of understanding the impacts of trauma on therapeutic approaches across human service disciplines, discussions of trauma have been relatively infrequent in the behavior analytic literature. In this paper, we delineate some of the barriers to discussing and investigating trauma in applied behavior analysis (ABA) and describe how the core commitments of trauma‐informed care could be applied to behavior analysis. We then provide some examples of how trauma‐informed care might be incorporated into ABA practice. We conclude by suggesting opportunities to approach trauma as a viable avenue for behavior analytic research and argue that omitting trauma‐informed care from ABA could be detrimental not only to the public perception of ABA, but to the effectiveness of our assessment and treatment procedures.

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Providing patient‐centred care as Medical Radiation Practitioners to children and young persons in out of home care

Denham

Denham²

2023

J of Medical Radiation Sci

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Modern healthcare focuses on patient‐centred care where patients' needs, beliefs, choices and preferences are valued and lead to better health outcomes. Children and young persons in out of home care (OOHC) require more health care services compared with children from similar social and economic backgrounds. Each state and territory government are responsible for statutory child protection in Australia. If a child is unsafe in their current environment, they may be removed and placed into OOHC where they have ongoing case management with either a government or non‐government agency. Complex trauma is the prolonged and uncontrolled exposure to traumatic events, like those experienced by maltreated children. Complex trauma can create a toxic stress response that produces biological alteration to the developing brain and affects the lives of the child, other family members and their descendants. Children with complex trauma often do not have the ability to regulate their responses to stimuli, reacting to minor triggers with disproportionate reactions. Many of these children will present with challenging behaviours. Trauma‐informed care is a method of service delivery that seeks to actively minimise re‐traumatisation. Creating a safe space is an essential element of trauma‐informed care. Children with a history of complex trauma have life experiences that may be re‐lived in a healthcare setting. There are ethical and legal considerations like privacy, consent and mandatory reporting when dealing with children in OOHC. By practising trauma‐informed care Medical Radiation Practitioners can minimise further trauma to one of the most vulnerable population groups in Australia.

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A Systematic Review and Synthesis of Trauma-Informed Care Within Outpatient and Counseling Health Settings for Young People

Cited by 57 publications

References 43 publications

Evaluation of an Early Intervention Model for Child and Adolescent Victims of Interpersonal Violence

Evaluation of an Early Intervention Model for Child and Adolescent Victims of Interpersonal Violence

Toward trauma‐informed applications of behavior analysis

Providing patient‐centred care as Medical Radiation Practitioners to children and young persons in out of home care

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