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1.
Copeland  WEKeeler  GAngold  ACostello  EJ Traumatic events and posttraumatic stress in childhood.  Arch Gen Psychiatry 2007;64 (5) 577- 584PubMedGoogle Scholar
2.
Costello  EJErkanli  AFairbank  JAAngold  A The prevalence of potentially traumatic events in childhood and adolescence.  J Trauma Stress 2002;15 (2) 99- 112PubMedGoogle Scholar
3.
Lipschitz  DSRasmusson  AMAnyan  WCromwell  PSouthwick  SM Clinical and functional correlates of posttraumatic stress disorder in urban adolescent girls at a primary care clinic.  J Am Acad Child Adolesc Psychiatry 2000;39 (9) 1104- 1111PubMedGoogle Scholar
4.
Felitti  VJAnda  RFNordenberg  D  et al.  Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study.  Am J Prev Med 1998;14 (4) 245- 258PubMedGoogle Scholar
5.
Graham-Bermann  SASeng  J Violence exposure and traumatic stress symptoms as additional predictors of health problems in high-risk children.  J Pediatr 2005;146 (3) 349- 354PubMedGoogle Scholar
6.
Seng  JSGraham-Bermann  SAClark  MK McCarthy  AMRonis  DL Posttraumatic stress disorder and physical comorbidity among female children and adolescents: results from service-use data.  Pediatrics 2005;116 (6) e767- e776PubMed10.1542/peds.2005-0608Google Scholar
7.
Brown  JCohen  PJohnson  JGSmailes  EM Childhood abuse and neglect: specificity of effects on adolescent and young adult depression and suicidality.  J Am Acad Child Adolesc Psychiatry 1999;38 (12) 1490- 1496PubMedGoogle Scholar
8.
Walker  EAUnutzer  JRutter  C  et al.  Costs of health care use by women HMO members with a history of childhood abuse and neglect.  Arch Gen Psychiatry 1999;56 (7) 609- 613PubMedGoogle Scholar
9.
Trupin  EWTarico  VSLow  BPJemelka  R McClellan  J Children on child protective service caseloads: prevalence and nature of serious emotional disturbance.  Child Abuse Negl 1993;17 (3) 345- 355PubMedGoogle Scholar
10.
Steinberg  AMBrymer  MJDecker  KBPynoos  RS The University of California at Los Angeles Post-traumatic Stress Disorder Reaction Index.  Curr Psychiatry Rep 2004;6 (2) 96- 100PubMedGoogle Scholar
11.
Scheeringa  MS Posttraumatic stress disorder: clinical guidelines and research findings. Luby  J Handbook of Preschool Mental Health. New York, NY Guilford Press2006;165- 185Google Scholar
12.
Pynoos  RRodriguez  NSteinberg  AStuber  MFrederick  C The UCLA PTSD Index for DSM-IV. Los Angeles, CA UCLA Trauma Psychiatry Program1998;
13.
Carlson  EB Trauma Assessments: A Clinician's Guide. New York, NY Guilford Press1997;
14.
National Child Traumatic Stress Network, Child Traumatic Stress introduction information sheets. http://www.nctsn.org. Accessed February 18, 2008
15.
National Crime Victims Research and Treatment Center, Medical University of South Carolina, Trauma-focused cognitive behavioral therapy Web-based distance learning course. http://www.musc.edu/tfcbt. Accessed February 18, 2008
16.
American Academy of Child and Adolescent Psychiatry, Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder.  J Am Acad Child Adolesc Psychiatry 1998;37 (10) ((suppl)) 4S- 26SPubMedGoogle Scholar
17.
Saunders  BEBerliner  LHanson  RF Child Physical and Sexual Abuse: Guidelines for Treatment. Charleston, SC National Crime Victims Research and Treatment Center2004;
18.
Foa  EBKeane  TFriedman  MJCohen  JA Effective Treatments for Posttraumatic Stress Disorder: Practice Guidelines From the International Society for Traumatic Stress Studies. 2nd ed. New York, NY Guilford Press2008;
19.
Macdonald  GMHiggins  JPRamchandani  P Cognitive-behavioural interventions for children who have been sexually abused.  Cochrane Database Syst Rev 2006; (4) CD001930PubMedGoogle Scholar
20.
Lieberman  AFVan Horn  P Don't Hit My Mommy! Washington, DC Zero to Three Press2005;
21.
Lieberman  AFVan Horn  PIppen  CH Toward evidence based treatment: child-parent psychotherapy for preschoolers exposed to marital violence.  J Am Acad Child Adolesc Psychiatry 2005;44 (12) 1241- 1248PubMedGoogle Scholar
22.
Cohen  JAMannarino  APDeblinger  E Treating Trauma and Traumatic Grief in Children and Adolescents. New York, NY Guilford Press2006;
23.
Cohen  JADeblinger  EMannarino  APSteer  R A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms.  J Am Acad Child Adolesc Psychiatry 2004;43 (4) 393- 402PubMedGoogle Scholar
24.
Jaycox  LH Cognitive Behavioral Interventions for Trauma in Schools. Longmont, CO Sopris West Educational Services2003;
25.
Stein  BDJaycox  LHKataoka  SH  et al.  A mental health intervention for school children exposed to violence: a randomized controlled trial.  JAMA 2003;290 (5) 603- 611PubMedGoogle Scholar
26.
Kataoka  SHStein  BDJaycox  LH  et al.  A school-based mental health program for traumatized Latino immigrant children.  J Am Acad Child Adolesc Psychiatry 2003;42 (3) 311- 318PubMedGoogle Scholar
27.
Smith  PYule  WPerrin  STranah  TDalgleish  TClark  TM Cognitive-behavioral therapy for PTSD in children and adolescents: a preliminary randomized controlled trial.  J Am Acad Child Adolesc Psychiatry 2007;46 (8) 1051- 1061PubMedGoogle Scholar
28.
Trowell  JKolvin  IWeeranamthri  T  et al.  Psychotherapy for sexually abused girls: psychopathological outcome findings and patterns of change.  Br J Psychiatry 2002;180234- 247Google Scholar
29.
Stallard  PVelleman  RSalter  EHowse  IYule  WTaylor  G A randomized controlled trial to determine the effectiveness of an early psychological intervention with children involved in road traffic accidents.  J Child Psychol Psychiatry 2006;47 (2) 127- 134PubMedGoogle Scholar
30.
Boris  NWZeanah  CHWork Group on Quality Issues, Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood.  J Am Acad Child Adolesc Psychiatry 2005;44 (11) 1206- 1219PubMedGoogle Scholar
Review
May 2008

Identifying, Treating, and Referring Traumatized Children: The Role of Pediatric Providers

Author Affiliations

Author Affiliations: Department of Psychiatry, Allegheny General Hospital, Drexel University College of Medicine, Pittsburgh, Pennsylvania (Drs Cohen and Mannarino); and Departments of Pediatrics and Public Health, The Ohio State University, Columbus (Dr Kelleher).

Arch Pediatr Adolesc Med. 2008;162(5):447-452. doi:10.1001/archpedi.162.5.447
Abstract

Objectives  To describe practical ways for pediatric providers to screen children for exposure to potentially traumatic events and trauma symptoms, provide brief office-based pediatric interventions for trauma-exposed children, engage families in mental health care referrals, and recognize elements of evidence-based practices for traumatized children.

Main Exposure  Many children exposed to potentially traumatic events develop severe and long-lasting negative somatic and psychological problems. Pediatric providers are often ideally situated to detect children with these symptoms, provide office-based interventions, and make referrals to optimal community treatment providers.

Main Outcome Measures  Several comprehensive literature reviews of evidence-based treatments for traumatized children conducted by other organizations were evaluated and summarized for their relevance to primary care pediatricians.

Results  Optimal pediatric screening and office-based interventions for traumatized children are described. Evidence-based practices for traumatized children are summarized and their common treatment elements extracted. Suggestions for engaging families in mental health care referrals are included.

Conclusions  Pediatric providers can identify and provide office-based interventions for traumatized children as well as play a critical role in referring children for optimal mental health treatments.

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