Working towards inclusive and equitable trauma treatment guidelines: a child-centered reflection.

Journal: European journal of psychotraumatology

Volume: 11

Issue: 1

Year of Publication: 

Affiliated Institutions:  University of Melbourne, Melbourne, Australia. University of Basel, Basel, Switzerland. University of Queensland, Brisbane, Australia. NKVTS, Oslo, Norway. University of Bielefeld, Bielefeld, Germany. University of Bath, Bath, UK. University of Pennsylvania, Philadelphia, PA, USA. Boston College, Boston, MA, USA. University of Zurich, Zurich, Switzerland. University of Kentucky, Lexington, KY, USA. Stellenbosch University, Stellenbosch, South Africa. Anna Freud Centre, London, UK.

Abstract summary 

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.

Authors & Co-authors:  Alisic Eva E Roth Jessica J Cobham Vanessa V Conroy Rowena R De Young Alexandra A Hafstad Gertrud G Hecker Tobias T Hiller Rachel R Kassam-Adams Nancy N Lai Betty B Landolt Markus M Marsac Meghan M Seedat Soraya S Trickey David D

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Akl, E. A., Welch, V., Pottie, K., Eslava-Schmalbach, J., Darzi, A., Sola, I., … Stanev, R. (2017). GRADE equity guidelines 2: Considering health equity in GRADE guideline development: Equity extension of the guideline development checklist. Journal of Clinical Epidemiology, 90, 68–4.
Authors :  14
Identifiers
Doi : 1833657
SSN : 2000-8066
Study Population
Male,Female
Mesh Terms
Other Terms
Evidence-based intervention;PTSD;children and adolescents;clinical practice guidelines;global mental health;inequality;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.
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States