Implementing a trauma-informed approach in a tiered model of pediatric population mental health care: a pilot study in primary and secondary care
Findings support the need for trauma-informed, population mental health approaches in pediatric care. Developmentally tailored, family-centered, transdiagnostic screening and interventions are essential. Study findings, including gaps in programmatic fiscal sustainability, suggest avenues for policy reform to support and scale trauma-informed programs like ours. Programs seeking to implement trauma-informed approaches should leverage implementation and participatory research to ensure effectiveness and equitable accessibility for patients of diverse identities.
Authors
- Dana Allswede (ORCID: https://orcid.org/0000-0002-8264-4525)
- Nancy Rotter (ORCID: https://orcid.org/0000-0002-4141-5048)
- Emily J. Blevins (ORCID: https://orcid.org/0000-0003-1928-0340)
- Caley Mikesell (ORCID: https://orcid.org/0000-0001-5380-7930)
- Young A Lee (ORCID: https://orcid.org/0000-0001-7517-6594)
- Makiko Watanabe (ORCID: https://orcid.org/0000-0001-7174-9439)
- Archana Basu (ORCID: https://orcid.org/0000-0003-2585-868X)
- Mary Wallace (ORCID: https://orcid.org/0009-0003-6189-2153)
- Yu Zhou (ORCID: https://orcid.org/0009-0001-6547-4413)
- Miranda Eschtruth (ORCID: https://orcid.org/0009-0003-2644-3870)
- Katelyn Malvese (ORCID: https://orcid.org/0009-0008-3386-7045)
Institutions
- Broad Institute (US)
- Massachusetts General Hospital (US)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-12-18
- DOI
- https://doi.org/10.1186/s12913-025-13356-7
- Primary Topic
- Child Abuse and Trauma
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Massachusetts General Hospital
- Broad Institute