Trauma and Pediatric Primary Care - 03/04/26

Doi : 10.1016/j.chc.2025.11.011

Brittany M. McCoy, MD ^a,^b,^c,^d,^⁎ , Brooks Keeshin, MD ^e,^f,^g

^a Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA

^b Department of Global Health and Health System Design, Icahn School of Medicine at Mount Sinai, New York, NY, USA

^c Department of Mental Health and Behavioural Sciences, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya

^d Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya

^e Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA

^f Department of Psychiatry, Huntsman Mental Health Institute, University of Utah School of Medicine, Salt Lake City, UT, USA

^g Department of Public Health and Caring Science, Child Health and Parenting (CHAP), Uppsala University, Uppsala, Sweden

^∗ Corresponding author. Icahn School of Medicine at Mount Sinai, Department of Psychiatry, 1 Gustave L. Levy Place, Box 1230, New York, NY 10029. Icahn School of Medicine at Mount Sinai Department of Psychiatry 1 Gustave L. Levy Place Box 1230 New York NY 10029

Résumé

Children with traumatic stress are more likely to seek and receive care from pediatricians than mental health specialists. Therefore, it is vital that pediatricians are equipped with the knowledge and tools to identify and support these children using trauma-informed approaches to care. In this article, we describe approaches to trauma screening, highlighting the Care Process Model for Pediatric Traumatic Stress as a flexible, evidence-based example of a comprehensive approach to screening and responding to trauma in pediatric primary care. Child and adolescent psychiatrists can play a critical role in supporting pediatricians caring for children with traumatic stress.

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Keywords : Trauma, Traumatic stress, Trauma-informed care, Children, Pediatric primary care, Child and adolescent psychiatry