Trauma and Stressor-Related Disorders

Clinical Care Guidelines

Abuse
Anxiety Disorder
Bullying
PTSD

Abuse

Protecting adolescents: Ensuring Access to Care and Reporting Sexual Activity and Abuse
AAFP, AAP, ACOG, and SAHM, 2004
This position statement from various professional societies provides their guidance and principles for professional members and for broad consideration in the development of public policy in relation to sexual and reproductive health services as well as state laws concerning sexual abuse.

The Evaluation of Sexual Abuse in Children
American Academy of Pediatrics, 2005
This clinical report serves to update medical assessment of suspected sexual abuse, outlined with respect to obtaining a history, physical examination, and appropriate laboratory data. The role of the physician may include determining the need to report sexual abuse; assessment of the physical, emotional, and behavioral consequences of sexual abuse; and coordination with other professionals to provide comprehensive treatment and follow-up of victims.

Care of the Adolescent Sexual Assault Victim
American Academy of Pediatrics, 2008
This report provides new information to update physicians and focuses on assessment and care of sexual assault victims in the adolescent population.

Understanding the Behavioral and Emotional Consequences of Child Abuse
American Academy of Pediatrics, 2008
Children who have suffered early abuse or neglect may later present with significant behavior problems including emotional instability, depression, and a tendency to be aggressive or violent with others. This report provides pediatricians the tools to assist caregivers by helping them recognize the abused or neglected child’s altered responses, formulate more effective coping strategies, and mobilize available community resources.

Anxiety Disorder

Practice Parameter for the Assessment and Treatment of Children and Adolescents with Anxiety Disorders
American Academy of Child and Adolescent Psychiatry, 2007
This revised practice parameter reviews the evidence from research and clinical experience and highlights significant advancements in the assessment and treatment of anxiety disorders. It highlights the importance of early assessment and intervention, assessment of comorbid disorders, and evaluation of severity and impairment. It presents evidence to support treatment with psychotherapy, medications, and a combination of interventions in a multimodal approach.

Practice Guideline for the Treatment of Patients With Panic Disorder
American Psychiatric Association, 2010
This document represents a synthesis of current scientific knowledge and rational clinical practice regarding the treatment of patients with panic disorder. The practice guideline consists of three parts: Treatment Recommendations, Background Information and Review of Available Evidence and Future Research Needs. A quick reference guide is also available.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-V): Anxiety Disorder
American Psychiatric Association, 2013
The DSM-V is the most comprehensive, current, and critical resource for clinical practice available to today’s mental health clinicians and researchers of all orientations. The DSM-V: Anxiety Disorder can be used by health professionals, social workers, and forensic and legal specialists to diagnose and classify mental disorders.

Anxiety Guidelines
Headspace, 2004-2014
This list of authoritative guidelines provides evidence-based information about the practical treatment of anxiety disorders.

Anxiety Guidance
National Institute for Health and Care Excellence, 2015
This resource by NICE, which gives national guidance and advice to improve health and social care, provides guidance, guidelines, and advice for Anxiety disorders as well as useful pathways to care.

Bullying

Bullying and Peer Victimization
Society for Adolescent Health and Medicine, 2005
This position paper provides definitions of bullying, the scope of the problem among adolescents, as well as suggestions of interventions to reduce bullying behavior.

Prevention of Bullying Related Morbidity and Mortality
American Academy of Child and Adolescent Psychiatry, 2011
This policy statement supports concerted and coordinated efforts by health-care providers, policymakers, educators, public and community agencies, and families to develop strategies for the prevention of bullying and its related morbidity and mortality
Human Trafficking

Screening Tool for Victims of Human Trafficking
Health and Human Services, 2015
This screening tool provides sample questions health care providers can ask in screening an individual to determine if he/she is a potential victim of human trafficking.

PTSD 

Psychosocial Implications of Disaster or Terrorism on Children: A Guide for the Pediatrician
American Academy of Pediatrics, 2005
In this report, specific children’s responses are delineated, risk factors for adverse reactions are discussed, and advice is given for pediatricians to ameliorate the effects of disaster on children.

Practice Guideline for the Treatment of Patients With Acute Stress Disorder and Posttraumatic Stress Disorder
American Psychiatric Association, 2004 and 2009
This practice guideline consists of three parts: Treatment Recommendations, Background Information an Review of Available Evidence and Future Research Needs. In 2009, a supplement was published to review a number of well-designed randomized controlled trials of pharmacological and psychotherapeutic interventions for PTSD in various populations exposed to trauma. Additionally, a quick reference guide is also available.

Practice Parameters for the Assessment and Treatment of Children and Adolescents With Posttraumatic Stress Disorder
American Academy of Child and Adolescent Psychiatry, 2010
This Practice Parameter reviews the evidence from research and clinical experience and highlights significant advances in the assessment and treatment of PTSD. It highlights the importance of early identification of PTSD, the importance of gathering information from parents and children, and the assessment and treatment of comorbid disorders. It presents evidence to support trauma-focused psychotherapy, medications, and a combination of interventions in a multimodal approach.

The Lifelong Effects of Early Childhood Adversity and Toxic Stress
American Academy of Pediatrics, 2011
This technical report presents an ecobiodevelopmental framework that illustrates how early experiences and environmental influences can leave a lasting signature on the genetic predispositions that affect emerging brain architecture and long-term health. The report also examines extensive evidence of the disruptive impacts of toxic stress, offering intriguing insights into causal mechanisms that link early adversity to later impairments in learning, behavior, and both physical and mental well-being.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-V): PTSD
American Psychiatric Association, 2013
The DSM-V is the most comprehensive, current, and critical resource for clinical practice available to today’s mental health clinicians and researchers of all orientations. The DSM-V: PTSD can be used by health professionals, social workers, and forensic and legal specialists to diagnose and classify mental disorders

The goal of the AHRQ-funded project, Youth Providers 2.0 (YP2.0), is to improve the use of evidence-based practices among health care providers caring for adolescents and young adults. To accomplish this goal, SAHM will engage in a number of activities using new media to improve the dissemination of patient-centered outcomes research (PCOR) to health professionals.

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