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Trauma in Schools: An Examination of Trauma Screening and Linkage to Behavioral Health Care in School‐Based Health Centers
Author(s) -
Nadeem Erum,
FloydRodríguez Vanessa,
Torre Gabriela,
Greswold Whitney
Publication year - 2021
Publication title -
journal of school health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.851
H-Index - 86
eISSN - 1746-1561
pISSN - 0022-4391
DOI - 10.1111/josh.13014
Subject(s) - medicine , medical record , health care , family medicine , occupational safety and health , audit , management , pathology , economics , radiology , economic growth
BACKGROUND This study examined trauma screening and behavioral health linkage rates in school‐based health centers (SBHCs). METHODS Participants included 4161 English‐ and Spanish‐speaking patients between the ages of 12 and 22 across 8 urban SBHCs 2 years. Screening rates at medical visits and linkage to additional behavioral health screening and services were assessed via electronic medical records and a chart audit. RESULTS Medical providers administered the Primary Care‐PTSD screen to 66.3% of patients in year 1 and 46.7% of patients in year 2. Rates of positive trauma screens were 27.5% and 32.1%, respectively, with more girls screening positive than boys. Few (year 1; 8.1%; year 2: 9.6%) adolescents received additional trauma screening by a behavioral health clinician. However, the majority were linked to services (year 1: 66%; year 2: 74%). Lack of documentation (year 1: 24%; year 2: 33%) was a common gap in the charts of patients who did not receive a second stage trauma screening. Demographic differences in screening rates were minimal. CONCLUSION The current study supports the feasibility of traumatic stress screening and linkage within an integrated care setting. Process improvement efforts should, however, address communication gaps around trauma assessment and its integration into ongoing care.