Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Psychopathology in children exposed to trauma: detection and intervention needed to reduce downstream burden

Andrea Danese, Katie A. McLaughlin, Muthanna Samara, Carla Smith Stover

BMJ · 2020

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Summary

This review by Danese and colleagues examines the disparity between research demonstrating effective trauma assessment and intervention approaches and their delayed implementation in clinical settings for vulnerable children. The authors highlight the substantial downstream burden on individuals and society resulting from this gap, and call for systemic improvements in specialist training, clinical capacity, and equitable access to evidence-based care.

UK applicability

The findings are likely applicable to the United Kingdom's NHS and child mental health services, where similar implementation gaps and capacity constraints are documented. The recommendations for increased specialist training and clinical resources align with ongoing policy discussions around children's mental health provision in UK healthcare.

Key measures

Implementation gaps between research and clinical practice; clinical capacity and access to care metrics; training requirements

Outcomes reported

The paper examines the gap between research evidence on childhood trauma and psychopathology and the clinical implementation of assessment and evidence-based interventions in practice. It reports on the substantial individual and societal costs of this implementation lag and advocates for increased specialist training, clinical capacity, and access to care.

Theme
Policy, governance & rights
Subject
Other / interdisciplinary
Study type
Commentary
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.1136/bmj.m3073
Catalogue ID
SNmojmgm6q-s99zt7

Topic tags

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