Trauma Screening in Child Welfare: Lessons Learned from Five States

被引:0
作者
Lang J.M. [1 ,2 ,3 ]
Ake G. [4 ,5 ]
Barto B. [6 ]
Caringi J. [7 ]
Little C. [8 ]
Baldwin M.J. [9 ]
Sullivan K. [4 ,5 ]
Tunno A.M. [4 ,5 ]
Bodian R. [10 ]
Joy Stewart C. [11 ]
Stevens K. [12 ]
Connell C.M. [13 ]
机构
[1] Child Health and Development Institute, 270 Farmington Avenue, Suite 367, Farmington, 06032, CT
[2] Department of Psychiatry, UCONN Health, Farmington, CT
[3] Child Study Center, Yale School of Medicine, New Haven, CT
[4] Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC
[5] Center for Child and Family Health, Durham, NC
[6] LUK, Inc., Fitchburg, MA
[7] University of Montana School of Social Work, Missoula, MT
[8] Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO
[9] U.S. Department of Health and Human Services, Administration on Children, Youth & Families, Children’s Bureau, Washington, DC
[10] Massachusetts Department of Children and Families, Boston, MA
[11] School of Social Work, University of North Carolina-Chapel Hill, Chapel Hill, NC
[12] Connecticut Department of Children and Families, Hartford, CT
[13] Division of Prevention and Community Research, Department of Psychiatry, Yale School of Medicine, New Haven, CT
关键词
Child welfare; Implementation; PTSD; Screening; Trauma;
D O I
10.1007/s40653-017-0155-y
中图分类号
学科分类号
摘要
Children in the child welfare system experience high rates of exposure to potentially traumatic events, which are associated with significant impairments in safety, permanency, and well-being. However, child welfare systems have not routinely screened children for trauma, and little is known about such efforts. This paper describes five statewide and tribal projects to implement trauma screening for children in the child welfare system as part of broader, trauma informed care initiatives. Findings indicate that implementation strategies varied considerably but that screening generally resulted in identification of high rates of trauma exposure, trauma symptoms and service referrals. Further, screening was generally perceived favorably by child welfare workers and mental health professionals. However, wide variations were observed in the number of children screened, suggesting that more research is needed to identify optimal strategies. Lessons learned are described and recommendations made for implementing trauma screening in state or tribal child welfare systems. © 2017, Springer International Publishing AG.
引用
收藏
页码:405 / 416
页数:11
相关论文
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