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Review
. 2022;10(2):45-54.
doi: 10.1007/s40124-022-00262-3. Epub 2022 Mar 7.

Trauma-Informed Care for Hospitalized Adolescents

Affiliations
Review

Trauma-Informed Care for Hospitalized Adolescents

Allison Fialkowski et al. Curr Pediatr Rep. 2022.

Abstract

Purpose of review: Exposure to trauma accelerates during the adolescence, and due to increased behavioral and psychiatric vulnerability during this developmental period, traumatic events during this time are more likely to cause a lasting impact. In this article, we use three case studies of hospitalized adolescents to illustrate the application of trauma-informed principles of care with this unique population.

Recent findings: Adolescents today are caught in the crosshairs of two syndemics-racism and other structural inequities and the COVID-19 pandemic. Increased hospitalizations and mental health diagnoses during the past two years signal toxic levels of stress affecting this group. Trauma-informed care promotes health, healing, and equity.

Summary: This concept of the "trauma-informed approach" is still novel; through examples and practice, providers can learn to universally apply the trauma-informed care framework to every patient encounter to address the harmful effects of trauma and promote recovery and resilience.

Keywords: Adolescent; Adverse childhood experiences; Feeding and eating disorders; Hospitalized; Patient-centered care; Suicide.

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Conflict of interest statement

Conflict of InterestThe authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Incorporating principles of TIC through hospitalization

References

    1. Krass P, Dalton E, Doupnik SK, Esposito J. US pediatric emergency department visits for mental health conditions during the COVID-19 pandemic. JAMA Netw Open. 2021;4(4):e218533. doi: 10.1001/jamanetworkopen.2021.8533. - DOI - PMC - PubMed
    1. Matthews A, Kramer RA, Peterson CM, Mitan L. Higher admission and rapid readmission rates among medically hospitalized youth with anorexia nervosa/atypical anorexia nervosa during COVID-19. Eat Behav. 2021;43:101573. doi: 10.1016/j.eatbeh.2021.101573. - DOI - PMC - PubMed
    1. Yard E, Radhakrishnan L, Ballesteros MF, et al. Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic — United States, January 2019–May 2021. Morb Mortal Wkly Rep. 2021;70(24):888–894. doi: 10.15585/mmwr.mm7024e1. - DOI - PMC - PubMed
    1. Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publ No. (SMA) 14–4884. Rockville, MD: Substance Abuse and Mental Health Services Administration 2014:1–27.
    1. Forkey H. Putting your trauma lens on. Pediatr Ann 2019:48(7):e269-e273. 10.3928/19382359-20190618-01. Comprehensive introduction of trauma-informed care in pediatrics. - PubMed

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