Working towards inclusive and equitable trauma treatment guidelines: a child-centered reflection. Issue 1 (31st December 2020)

• Record Type: Journal Article
• Authors: Alisic, Eva; Roth, Jessica; Cobham, Vanessa; Conroy, Rowena; De Young, Alexandra; Hafstad, Gertrud; Hecker, Tobias; Hiller, Rachel; Kassam-Adams, Nancy; Lai, Betty; Landolt, Markus; Marsac, Meghan; Seedat, Soraya; Trickey, David
• Is Part Of: European journal of psychotraumatology. Volume 11:Issue 1(2020)
• Publication Date: 2020-12-31
• Subjects: Evidence-based intervention -- PTSD -- inequality -- youth -- clinical practice guidelines -- global mental health -- children and adolescents; intervención basada en evidencia -- TEPT -- desigualdad -- juventud -- guías de práctica clínica -- salud mental global -- niños y adolescentes; 循证干预 -- PTSD -- 公平性 -- 青年 -- 临床实践指南 -- 全球精神卫生 -- 儿童和青少年; Children's cultural background is minimally discussed in clinical guidelines; the evidence base and production process still have a strong white Western lens. Children's voice is not yet heard in the guidelines development process. Inclusion and equity should be high on our research & practice agenda.; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2020.1833657
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Clinical practice guidelines, such as those focusing on traumatic stress treatment, can play an important role in promoting inclusion and equity. Based on a review of 14 international trauma treatment guidance documents that explicitly mentioned children, we reflect on two areas in which these guidelines can become more inclusive and equitable; a) representation of children's cultural background and b) children's opportunity to have their voice heard. While a few guidelines mentioned that treatment should be tailored to children's cultural needs, there was little guidance on how this could be done. Moreover, there still appears to be a strong white Western lens across all stages of producing and evaluating the international evidence base. The available documentation also suggested that no young people under the age of 18 had been consulted in the guideline development processes. To contribute to inclusion and equity, we suggest five elements for future national guideline development endeavours. Promoting research and guideline development with, by, and for currently under-represented communities should be a high priority for our field. Our national, regional and global professional associations are in an excellent position to (continue to) stimulate conversation and action in this domain.