“…chronically poly-victimized (Terr's type II) versus single type/incident trauma exposure (Terr's type I) (Terr, 1991;Finkelhor, Ormrod, & Turner, 2007;Ford, Elhai, Connor, & Frueh, 2010;Gustafsson, Nilsson, & Svedin, 2009;Holt, Finkelhor, & Kantor, 2007). Further, when primary caregiving relationships are disrupted as a result of caregiver impairment or multiple out-of-home placements (Fischer, Dolitzsch, Schmeck, Fegert, & Schmid, 2016;Ford, Connor, & Hawke, 2009), as many as 30-50% of these children are poly-victims and receive multiple psychiatric diagnoses, yet few (< 5%) are identified with PTSD by clinical or research diagnostic criteria. Thus, the combination of interpersonal victimization and disrupted primary caregiving is associated with complex paediatric psychiatric morbidity (D'Andrea et al, 2012).…”