Pediatric Trauma Society

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Implementation of a Pediatric Post-Traumatic Stress Disorder (PTSD) Screening and Intervention Program
Michael Smith, BSN RN CEN CPEN1; Amber Tucker, MSN, RN, CEN2; Sarah Carlisle, BSN, RN, CEN2; Thomas McGill, MD3
1UMC Healthsystem Lubbock, Lubbock, TX; 2UMC Healthsystem Lubbock, Lubbock, TX; 3UMC Healthsystem Lubbock/Texas Tech University Health Sciences Center, Lubbock, TX

Background
The Pediatric Trauma Committee identified a need to establish a more intentional and thorough post-traumatic stress disorder (PTSD) screening program. Not only was the initial recognition of acute stress disorder important, but also, designing a sustainable intervention and follow-up program was key to the outcome success for pediatric trauma patients suffering from PTSD. There was a functioning psychology fellowship program previously in place in the pediatric intensive care unit, but the coverage was sporadic and lacked outpatient follow-up methods. Additionally, the children's hospital serves an extremely wide catchment area, resulting in a lack of follow-up resources.

Methods
Collaboration between a pediatric surgery, trauma service, child psychology, and marriage and family therapy (MFT) departments occurred. A comprehensive screening and intervention program was formulated through the use of evidence-based practice specific to pediatric acute stress disorder and post-traumatic stress disorder. Key to the development of the program was credentialing of the providers, choosing an appropriate screening tool, obtaining electronic medical record access and outpatient clinic space.

Results
Although early into implementation of the program, a structured method for identifying and screening pediatric trauma patients has been successfully executed. Collaboration between child psychology and MFT has resulted in a patient-focused, family-centric PTSD program.

Conclusion
There is a great need for comprehensive PTSD screening and intervention programs in the pediatric trauma population. The current program has provided interdisciplinary resources to aid in effective screening, diagnosis and treatment. Moving forward, the project will include measurable data to determine the true impact of the program.


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