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OTJR : occupation, participation and health2022; 43(1); 14-23; doi: 10.1177/15394492221091718

Community-Based Interventions for Childhood Trauma: A Scoping Review.

Abstract: Experiencing trauma has long-lasting effects on a child's well-being, which may affect their occupational performance. This scoping review synthesized research on community-based interventions for children who have experienced trauma to highlight occupational therapists' role in trauma-informed care. We searched PubMed and PTSDPubs, including community-based interventional trials that addressed childhood trauma and excluding studies specific to refugees, sex-trafficking, significant comorbid diagnoses, and reviews. Eleven articles met criteria. Psychotherapy-based interventions (e.g., trauma-informed cognitive behavioral therapy), play and art therapy, yoga, and equine-facilitated interventions reduced posttraumatic stress symptoms. One article measured the impact of these symptoms on a child's function. Occupational therapists working in community settings appear to be underutilized in the treatment of children who have experienced trauma. Future studies should examine occupational therapists' potential to work alongside mental health providers in the community to optimize functional outcomes for children who have experienced trauma.
Publication Date: 2022-04-29 PubMed ID: 35485320DOI: 10.1177/15394492221091718Google Scholar: Lookup
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  • Review
  • Journal Article

Summary

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This research review looks at studies on community-based interventions intended to help children suffering from trauma. The researchers argue that occupational therapists could play a greater role in helping these children.

Understanding the Research

  • The purpose of this review was to pull together research done on community-based interventions carried out for children who have experienced trauma, with a particular focus on the possible role that occupational therapists can take in trauma-informed care.
  • This review only included interventional trials that utilised community-based approaches in tackling childhood trauma. Studies that focused on refugees, sex-trafficking victims, those with significant comorbid diagnoses, and already existing reviews were excluded.

Methodology and Findings

  • The researchers conducted a search of the bibliographic databases PubMed and PTSDPubs. This process identified eleven articles that met the criteria for inclusion in the review.
  • Various types of interventions were highlighted by the reviewed studies, these included: psychotherapy sessions, particularly ones that utilized trauma-informed cognitive behavioral therapy (CBT); play therapy and art therapy; yoga; and equine-aided interventions.
  • All these interventions were found to be effective in reducing posttraumatic stress symptoms in children. Just one of the articles discussed the impact of these symptoms on a child’s ability to function.

Implications and Recommendations

  • The authors of this review have identified a gap in healthcare services for traumatized children: the potential of occupational therapists in the community-based treatment of these children is not being fully realised.
  • The researchers imply that mental health providers and occupational therapists could potentially form successful partnerships in working towards improving functional outcomes for children that have experienced trauma.
  • They suggest that future research should be conducted to investigate this possibility and the potential benefits that such collaborations could offer.

Cite This Article

APA
Mazzeo G, Bendixen R. (2022). Community-Based Interventions for Childhood Trauma: A Scoping Review. OTJR (Thorofare N J), 43(1), 14-23. https://doi.org/10.1177/15394492221091718

Publication

ISSN: 1938-2383
NlmUniqueID: 101144015
Country: United States
Language: English
Volume: 43
Issue: 1
Pages: 14-23

Researcher Affiliations

Mazzeo, Gabriella
  • University of Pittsburgh, PA, USA.
Bendixen, Roxanna
  • University of Pittsburgh, PA, USA.

MeSH Terms

  • Horses
  • Animals
  • Humans
  • Stress Disorders, Post-Traumatic / therapy
  • Stress Disorders, Post-Traumatic / psychology
  • Adverse Childhood Experiences
  • Psychotherapy
  • Mental Health
  • Cognitive Behavioral Therapy

Citations

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