TY - JOUR PY - 2020// TI - A systematic review and synthesis of trauma-informed care within outpatient and counseling health settings for young people JO - Child maltreatment A1 - Bendall, Sarah A1 - Eastwood, Oliver A1 - Cox, Georgina A1 - Farrelly-Rosch, Anna A1 - Nicoll, Helen A1 - Peters, Wilma A1 - Bailey, Alan P. A1 - McGorry, Patrick D. A1 - Scanlan, Faye SP - ePub EP - ePub VL - ePub IS - ePub N2 - There is growing consensus that outpatient health services for young people (aged 12-25 years) need to deliver trauma-informed care to ameliorate the effects of trauma, offer safe treatments, and avoid retraumatization. Trauma-informed care has become a familiar term for many professionals; however, its operating definition lacks clarity. MEDLINE, Embase, and PsycINFO were systematically searched to clarify what trauma-informed care is, and what it should achieve in these settings. We reviewed 3,381 unique records, of which 13 met criteria for inclusion. Content analysis identified 10 components of trauma-informed care as it has been operationalized in practice: seven of these occurred at the system-level (interagency collaboration; service provider training; safety; leadership, governance and agency processes; youth and family/carer choice in care; cultural and gender sensitivity; youth and family/carer participation), and three involved trauma-specific clinical practices (screening and assessment; psychoeducation; therapeutic interventions). There is a need for greater consensus regarding an operating definition of trauma-informed care and further research into outcomes for young people and their families/carers.

Language: en

LA - en SN - 1077-5595 UR - http://dx.doi.org/10.1177/1077559520927468 ID - ref1 ER -