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Pediatricians are likely to be the first, and often only professionals who encounter the 68% of American children who have experienced trauma. Trauma-informed care (TIC) is defined by the National Child Traumatic Stress Network as medical care in which all parties involved assess, recognize, and respond to the effects of traumatic stress on children, caregivers, and healthcare providers. This includes attention to secondary traumatic stress, the emotional duress that results when an individual hears about the firsthand trauma experiences of another. In the clinical setting TIC includes the prevention, identification and assessment of trauma, response to trauma and recovery from trauma as a focus of all services. TIC can be conceptualized in a public health stratification:

  • Primary prevention of trauma and promotion of resilience
  • Secondary prevention and intervention for those exposed to potentially traumatic experiences, including parents, siblings, guardians, and health care workers.
  • Tertiary care for children who display symptoms related to traumatic experiences.

The resources below provide information and guidance on how pediatricians and health care providers can make their practices trauma-informed.

Trauma Toolbox for Primary Care

The Resilience Project

PATTeR (Pediatric Approach to Trauma, Treatment and Resilience

Child Abuse and Neglect

STAR Center (Screening Technical Assistance and Resource Center)

Healthy Foster Care America

Early Brain and Child Development

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