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PTSD & Trauma-Informed Care

Written by Sabrina Patel, MPH

Post-traumatic stress disorder (PTSD) is characterized by intrusive thoughts about a traumatic incident, recurrent distress/anxiety, flashback and avoidance of similar situations. In young people, PTSD often presents differently in different stages of development, and can include, but are not limited to, the following:

Children under 6

School-aged children (6-12)

Adolescents (13-17)

Difficulty forming an attachment to caregivers


Excessive fear of strangers or separation anxiety


Trouble eating and/or sleeping


Regression after reaching a developmental milestone


Fussiness

Aggressive behavior


Becoming withdrawn


Fixation on their own safety or safety of others


Frequent nightmares


Reenactment of traumatic events through play


Difficulty concentrating in school

Become anxious or depressed


Engagement in risk-taking or self-destructive behaviors


Feelings of intense anger, shame, and/or guilt


Negative view of people and society


In some cases, have persistent thoughts about suicide or seeking revenge

While PTSD can be a challenging and debilitating condition, many children and adolescents are able to manage their symptoms with the help of specialized care and supportive relationships. Trauma-informed care, primarily implemented by trained clinicians, is an approach that recognizes the impact trauma has on mental health and wellbeing and creates a safe and supportive environment for children and adolescents. This type of care utilizes evidence-based treatments to provide education and resources about trauma and PTSD.


Schools are well-placed to implement trauma-informed care. Health partners can work collaboratively with teachers and school staff to extend the principles of trauma-informed care beyond the therapeutic setting. They can execute professional development for both educators and other non-teaching staff with topics that can include:


  • the concept of trauma-informed care
  • a guide on creating safe and supportive environments
  • strategies for promoting healing and resilience
  • mindful approaches to avoid causing preemptive anxiety or distress
  • coping skills needed to process traumatic events and manage trauma-related symptoms  


The three resources below provide guidance to both school staff and health partners on how to implement trauma-informed care in a school setting. These resources were developed by organizations that have additional relevant offerings you can explore. We hope the information below is helpful to you in your work.

Resources

Creating, Supporting, and Sustaining Trauma-Informed Schools: A System Framework

Developed by the National Child Traumatic Stress Network

This resource provides a framework for creating and sustaining trauma-informed schools by outlining how to:


  • Build a trauma-informed school culture
  • Provide professional development opportunities
  • Implement evidence-based practices
  • Engage families and community partners
  • Use data to monitor progress


The goal is to help schools create a safe and supportive environment for students who have experienced trauma, and to promote resilience and healing.

Learn more 

Trauma-Informed Care Toolkit

Developed by the Trauma Informed Care Collective

This resource was designed for organizations and individuals looking to implement trauma-informed care (TIC) practices. It provides an overview of TIC principles, as well as practical tools and resources for integrating TIC into organizational policies and practices. The toolkit includes sections on leadership, staff training, program design, evaluation, and sustainability.

Learn more

Ready Kids: Educators and Organizers

Developed by Ready.gov 

This resource offers a comprehensive toolkit for educators and organizations to help children and adolescents prepare for and respond to emergencies by fostering a culture of preparedness and confidence. It includes engaging lesson plans, activities, and materials designed to teach kids about emergency preparedness in a fun and interactive way. Topics include natural disasters, severe weather, and emergency planning.

Learn more

CHHCS Spotlight

Climate Change, Mental Health & Trauma-informed Care

Sabrina Patel, MPH

This brief discusses how children and adolescents are particularly susceptible to trauma caused by the effects of climate change. It then lays out how schools can implement trauma-informed care practices to support these students.


Sabrina is a recent graduate of the George Washington University, where she received her Masters of Public Health in Global Environmental Health. Her interests lie at the intersection of mental health and climate change, and over the past year she honed in on those interests by completing her thesis on the mental health impacts of natural disasters on adults living in South Asia, highlighting the importance of integrating robust and comprehensive mental health support systems into disaster relief efforts.

Read the brief

Grant Alerts

ACT on Health Equity: Community Solutions Challenge | AstraZeneca

Funding to advance health equity through the support of community-based non-profit programming that prioritize the needs of historically excluded and disenfranchised populations

Learn more

Deadline: July 7, 2023

Youth Advocacy Fellowship (18-30 year olds) | Point Source Youth

Funding to support youth-led initiatives and youth-led solutions addressing housing and healthcare.

Learn more

Deadline: July 31, 2023

Full-Service Community Schools Program | OESE

Funding to provide academic and whole child supports to build and strengthen connections between schools, parents, families, and their surrounding communities.

Learn more

Deadline: August 7, 2023

Announcements

Practical Guide for Implementing a Trauma-Informed Approach

This new resource from SAMHSA expands on the Concept of Trauma and Guidance for a Trauma-Informed Approach Resource from 2014. The primary goal of this guide is to provide implementation strategies across multiple domains based on the original publication.

Learn more

Upcoming Meetings and Events

June 26, 2023 | 9:30-10:30am ET

Promoting the Mental Health of Parents and Children by Strengthening Medicaid Support for Home Visiting

Think Better Do Good

June 27, 2023 | 2:30-3:30pm ET

Mapping the Crisis System of Care: Alternatives to Emergency Departments

Innovations Institute | National Council for Mental Wellbeing

July 12, 2023 | 12:00-1:00pm ET

Promoting Internet Safety for Parents, Guardians and Communities (free 1 CME/CE)

Maryland Assembly on School-Based Health Care | Moses/Weitzman Health System, Inc.

The Center for Health and Health Care in Schools (CHHCS) Weekly Insider is a web-enhanced newsletter that offers news alerts, grant announcements and general web site updates delivered directly to your email box on a weekly basis. The Center is located at the Milken Institute School of Public Health at The George Washington University in Washington, D.C.

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