Trauma-Informed Pediatric Primary Care: Facilitators and Challenges to the Implementation Process

Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System

“…It is important to recognize the socioenvironmental risk factors contributing to cardiovascular risk, ensuring that interventions are not overly medicalized, but take the whole person into account, especially past traumas [ 63 ]. Research has shown some efficacy with trauma-informed primary care that helps personalize care and meet the complex needs of patients with trauma histories [ 19 , 64 , 65 ]. Additionally, some existing research intimates that trauma-informed care standards, such as conducting ACEs screenings or integrating education on the harmful effects of ACE exposure, may reduce the likelihood of future cardiovascular events [ 19 , 32 ].…”

Protocol for a Case Control Study to Evaluate Oral Health as a Biomarker of Child Exposure to Adverse Psychosocial Experiences

“…There are two key ethical issues that must be considered in the context of this work. The first is resistance to a universal “screening tool” for childhood adversity because of the potential for revictimization, increased stigma from providers [ 90 , 91 ], and because comprehensive trauma and violence-informed approaches are often scarcely available [ 91 , 92 , 93 , 94 , 95 ]. Even so, several jurisdictions (e.g., California) are seeking to implement universal screening among children and adults in primary care settings for childhood adversities and to treat the impacts of toxic stress on stress-related physical and mental health concerns with trauma-informed care and evidence-based interventions [ 96 ].…”

Multiracial children in the child welfare system: Balancing traumatic adversity and cultural resilience in therapeutic treatment and advocacy.

“…The Safe Environment for Every Kid (SEEK) model was developed to train primary care professionals in screening for psychosocial problems and identifying family strengths at well-child visits (Eismann et al, 2019). For an example of implementing the SEEK model and trauma screening in New Mexico pediatric primary care setting, see Sala-Hamrick et al, 2021. The aforementioned frameworks can help providers and systems to recognize and address social determinants of health. They also highlight the critical need to learn the histories of people of color to understand the context for present-day oppression and health disparities and to decrease trauma and build resilience within the multiple contexts that youth of color inhabit (see the APA Multicultural Guidelines 5 and 10; APA, 2017).…”