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Autor/inn/enNadeem, Erum; Floyd-Rodríguez, Vanessa; Torre, Gabriela; Greswold, Whitney
TitelTrauma in Schools: An Examination of Trauma Screening and Linkage to Behavioral Health Care in School-Based Health Centers
QuelleIn: Journal of School Health, 91 (2021) 5, S.428-436 (9 Seiten)Infoseite zur Zeitschrift
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ZusatzinformationORCID (Nadeem, Erum)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0022-4391
DOI10.1111/josh.13014
SchlagwörterTrauma; Screening Tests; School Health Services; Urban Schools; Adolescents; Young Adults; Mental Health; Access to Health Care; Gender Differences; Posttraumatic Stress Disorder; Records (Forms); Student Characteristics
AbstractBackground: This study examined trauma screening and behavioral health linkage rates in school-based health centers (SBHCs). Methods: Participants included 4161 English- and Spanish-speaking patients between the ages of 12 and 22 across 8 urban SBHCs 2 years. Screening rates at medical visits and linkage to additional behavioral health screening and services were assessed via electronic medical records and a chart audit. Results: Medical providers administered the Primary Care-PTSD screen to 66.3% of patients in year 1 and 46.7% of patients in year 2. Rates of positive trauma screens were 27.5% and 32.1%, respectively, with more girls screening positive than boys. Few (year 1; 8.1%; year 2: 9.6%) adolescents received additional trauma screening by a behavioral health clinician. However, the majority were linked to services (year 1: 66%; year 2: 74%). Lack of documentation (year 1: 24%; year 2: 33%) was a common gap in the charts of patients who did not receive a second stage trauma screening. Demographic differences in screening rates were minimal. Conclusion: The current study supports the feasibility of traumatic stress screening and linkage within an integrated care setting. Process improvement efforts should, however, address communication gaps around trauma assessment and its integration into ongoing care. (As Provided).
AnmerkungenWiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2024/1/01
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