Creating the necessary infrastructure for a trauma-informed system of care for children and youth
Understanding and addressing the impact of adverse life events is an important priority in the design of helping systems. However, creating trauma-informed systems requires efforts to embed effective trauma-informed work in routine practice. This article discusses a model for developing trauma-infor...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1129197/full |
| _version_ | 1797783345838424064 |
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| author | John S. Lyons April D. Fernando |
| author_facet | John S. Lyons April D. Fernando |
| author_sort | John S. Lyons |
| collection | DOAJ |
| description | Understanding and addressing the impact of adverse life events is an important priority in the design of helping systems. However, creating trauma-informed systems requires efforts to embed effective trauma-informed work in routine practice. This article discusses a model for developing trauma-informed systems using the Transformational Collaborative Outcomes Management (TCOM) framework, a strategy for engineering person-centered care. Person-centered care is naturally congruent with trauma-informed care. We describe the initial stages of implementation of a trauma-informed standardized assessment process to support the sustained evolution of trauma-informed care. Distinguishing between traumatic experiences and traumatic stress is fundamental to an effective trauma-informed system. We describe two sets of analyses—one in a statewide child welfare system and the other in a statewide behavioral health system. These projects found opportunities in the analysis of the detection of traumatic stress based on traumatic experiences to inform practice and policy. Being trauma-informed in child welfare is distinct from being trauma-informed in behavioral health. In child welfare, it appears that a number of children are resilient in the face of traumatic experiences and do not require trauma treatment interventions. However, delayed and missed traumatic stress responses are common. In behavioral health, misses often occur among adolescents, particularly boys, who engage in acting out behavior. Opportunities for the ongoing development of trauma-informed systems using the TCOM framework are discussed. |
| first_indexed | 2024-03-13T00:24:43Z |
| format | Article |
| id | doaj.art-f534892c7f864049b58d4c2ab0dfc27e |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-13T00:24:43Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-f534892c7f864049b58d4c2ab0dfc27e2023-07-11T07:53:52ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-07-011410.3389/fpsyg.2023.11291971129197Creating the necessary infrastructure for a trauma-informed system of care for children and youthJohn S. LyonsApril D. FernandoUnderstanding and addressing the impact of adverse life events is an important priority in the design of helping systems. However, creating trauma-informed systems requires efforts to embed effective trauma-informed work in routine practice. This article discusses a model for developing trauma-informed systems using the Transformational Collaborative Outcomes Management (TCOM) framework, a strategy for engineering person-centered care. Person-centered care is naturally congruent with trauma-informed care. We describe the initial stages of implementation of a trauma-informed standardized assessment process to support the sustained evolution of trauma-informed care. Distinguishing between traumatic experiences and traumatic stress is fundamental to an effective trauma-informed system. We describe two sets of analyses—one in a statewide child welfare system and the other in a statewide behavioral health system. These projects found opportunities in the analysis of the detection of traumatic stress based on traumatic experiences to inform practice and policy. Being trauma-informed in child welfare is distinct from being trauma-informed in behavioral health. In child welfare, it appears that a number of children are resilient in the face of traumatic experiences and do not require trauma treatment interventions. However, delayed and missed traumatic stress responses are common. In behavioral health, misses often occur among adolescents, particularly boys, who engage in acting out behavior. Opportunities for the ongoing development of trauma-informed systems using the TCOM framework are discussed.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1129197/fulltrauma-informed systemTransformational Collaborative Outcomes Managementperson-centered system of carechild and adolescent needs and strengthstraumatic stress symptomscommunimetrics |
| spellingShingle | John S. Lyons April D. Fernando Creating the necessary infrastructure for a trauma-informed system of care for children and youth Frontiers in Psychology trauma-informed system Transformational Collaborative Outcomes Management person-centered system of care child and adolescent needs and strengths traumatic stress symptoms communimetrics |
| title | Creating the necessary infrastructure for a trauma-informed system of care for children and youth |
| title_full | Creating the necessary infrastructure for a trauma-informed system of care for children and youth |
| title_fullStr | Creating the necessary infrastructure for a trauma-informed system of care for children and youth |
| title_full_unstemmed | Creating the necessary infrastructure for a trauma-informed system of care for children and youth |
| title_short | Creating the necessary infrastructure for a trauma-informed system of care for children and youth |
| title_sort | creating the necessary infrastructure for a trauma informed system of care for children and youth |
| topic | trauma-informed system Transformational Collaborative Outcomes Management person-centered system of care child and adolescent needs and strengths traumatic stress symptoms communimetrics |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1129197/full |
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