Trabajando hacia pautas de tratamiento del trauma inclusivas y equitativas: una reflexión centrada en el niño

Translated title of the contribution: Working towards inclusive and equitable trauma treatment guidelines: a child-centered reflection

Eva Alisic, Jessica Roth, Vanessa Cobham, Rowena Conroy, Alexandra De Young, Gertrud Hafstad, Tobias Hecker, Rachel Hiller, Nancy Kassam-Adams, Betty Lai, Markus Landolt, Meghan Marsac, Soraya Seedat, David Trickey

Research output: Contribution to journalLetterpeer-review

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.

Translated title of the contributionWorking towards inclusive and equitable trauma treatment guidelines: a child-centered reflection
Original languageSpanish
Article number1833657
JournalEuropean Journal of Psychotraumatology
Volume11
Issue number1
Early online date26 Nov 2020
DOIs
Publication statusPublished - 31 Dec 2020

Keywords

  • children and adolescents
  • clinical practice guidelines
  • Evidence-based intervention
  • global mental health
  • inequality
  • PTSD
  • youth
  • • 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

ASJC Scopus subject areas

  • Psychiatry and Mental health

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