Enhancing Care Models to Capture Psychological Trauma.

Toxic levels of stress in childhood are an ongoing threat to public health. Traumatized children have special needs for health care to address their developmental, mental health, and medical problems, and mitigate risk for long-term health problems. Developmental trauma leads to increased use of medical, social, correctional, and mental health services. Longitudinal and retrospective studies link childhood trauma and adversity to academic difficulties, poor health, and low economic productivity in adulthood. Studies demonstrate a clear link among early childhood trauma, neglect, and malnutrition with somatic disease processes, such as high blood pressure, coronary heart disease, and diabetes. A wide range of care providers, from the emergency department to subspecialties, should consider enhancing their typical models of care to include the special needs of traumatized children and the adults they become. [Journal of Psychosocial Nursing and Mental Health Services, 55(4), 29-36.].