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Pediatric Medical Traumatic Stress
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  • Trauma-informed pediatric care

    What is Pediatric Medical Traumatic Stress?

    • The basics
    • Prevalence & course
    • Traumatic stress symptoms
    • Risk factors
    • Understanding the family's experience
    • Key research findings

    How to Provide Trauma-Informed Care

    • The basics
    • D-E-F framework
    • Levels of risk and trauma-informed care
    • Timeline for trauma-informed care
    • Referral to mental health care
    • Addressing health disparities
    • Developmental considerations
    • Cultural considerations

    Self Care & Secondary Trauma

    • The basics
    • Self care tips
    • Organizational support
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    • The healthcare team
    • Physicians-PAs-NPs
    • Nurses
    • Pre-hospital providers
    • Medical interpreters
    • Mental health professionals
    • Child welfare professionals
    • Child Life Professionals
  • Professional Education
    • Take a Free Online Course
    • Trauma-Informed Nursing Curriculum
    • Other education resources
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  • Find Tools and Resources

    Patient Education

    Patient Education

    • For parents & caregivers
    • For children & teens

    Screening & Assessment

    Screening & Assessment

    • The basics
    • Find screening & assessment tools
    • Screening after pediatric injury
    • Psychosocial Assessment Tool (PAT)
    • Acute Stress Checklist (ASC-Kids)
    • Family Illness Beliefs Inventory (FIBI)
    • Immediate Stress Reaction Checklist (ISRC)

    Intervention

    Intervention

    • The basics
    • Surviving Cancer Competently (SCCIP)
    • Cellie Coping Kit

    Trauma-Informed Care

    Trauma-Informed Care

    • The basics
    • TIC Provider Survey
    • Observation Checklist - Pediatric Resuscitation

    COVID-19

    COVID-19

    • COVID-19
    • Resources for healthcare staff
    • COVID-19 Exposure and Family Impact Scales (CEFIS)
    • Helping my child cope

    Resources

    Resources

    • More resources
    • More resources
  • For Patients and Families
    • Coping with injury or illness
    • Sleep
    • Pain
    • Behavior
    • Worries & fears
    • Quiet or withdrawn
    • School
    • Siblings
    • Parents
    • Need more help?
    • Family voices

Trauma-Informed Care: The basics

Health care professionals can provide trauma-informed care as part of everyday clinical treatment in primary, secondary and tertiary healthcare settings.

Use the D-E-F Framework

The D-E-F framework provides a model for best practice:

  • Address DISTRESS: Help manage pain, fears and worries, loss

  • Facilitate EMOTIONAL SUPPORT: Provide anticipatory guidance about adaptive ways of coping

  • Remember the FAMILY: Identify needs, strengths, and resources

Use these practical tools to help you team implement the D-E-F framework for trauma-informed care in your own clinical setting:

D-E-F Pocket Cards with quick screening and intervention recommendations.

D-E-F Nursing Assessment Form

D-E-F Users Guide

D-E-F Poster

The D-E-F Users Guide, D-E-F cards, D-E-F Nursing Assessment, and D-E-F posters are also available to order through the Center for Pediatric Traumatic Stress.

Implement screening and assessment

  • Screen to determine which children and families might need more support, then assess further when screening indicates risk or distress

  • Refer for mental health care when needed

Track trauma-informed care awareness and practice

  • Use the Trauma-Informed Care Provider Survey (TIC Provider Survey) to gauge healthcare professionals' knowledge, opinions, confidence, and current practices.
  • Use the Observational Checklist for Pediatric Resuscitation to assess family-centered and trauma-informed care during pediatric resuscitation.

Interested in working with CPTS to support your organization's efforts to provide trauma-informed care? Complete this request form.

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