Abstract
Abstract
Purpose of Review
Provided the high prevalence of trauma exposure in childhood as well as the risk for morbidity, this article examines evidence, a recommended approach, and key implementation factors relevant to screening for trauma in pediatric primary care.
Recent Findings
A standardized approach to trauma screening is possible, but previous attempts have relied heavily upon exposure screening and failed to guide an individualized response specific to the impact of trauma on the child and family. Trauma screening tools for pediatric primary care should be brief and inform the care response based on screening for trauma exposure, traumatic stress symptoms, functional impact, and suicidality.
Summary
Clinicians should use trauma screening to (1) identify if the child has any ongoing risk of harm and report where required; (2) determine risk of suicidality and respond appropriately; (3) assess need for evidence-based trauma treatment based on symptoms and functional impact; and (4) provide a skill or guidance targeting the most severe or pressing traumatic stress symptoms.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Reference16 articles.
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5. •• Campbell TL. Screening for adverse childhood experiences (ACEs) in primary care: a cautionary note. JAMA. 2020. https://doi.org/10.1001/jama.2020.4365. This article argues that while there is an extensive body of literature linking Adverse Childhood Experiences (ACEs) to negative health and mental health, compelling many to recommend screening for ACEs in primary care, no major medical organizations have specifically recommended screening for ACEs. Further, there is little to no evidence for a secondary screening process or an effective intervention for patients with a high number of ACEs and there is a potential for harm with ACE screening.
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