Caring for children in child welfare systems: A trauma-informed model of integrated primary care

Lamminen, Laura M.; McLeigh, Jill D.; Roman, Heidi K. - Practice Innovations

Abstract

Children involved with the child welfare system have high rates of behavioral health concerns, chronic health conditions, and developmental disabilities. Further, as a result of the complicated relationships among the court system, child protective services, and caregivers (i.e., biological, kinship, and/or foster caregivers) and the high volume of health-, behavior-, and development-related services children in care need, the services they receive tend to be fragmented and problem driven. On top of these challenges, children involved with the child welfare system have been exposed to trauma, and often more than one form of trauma. Taken together, these factors point to the need for care that is trauma-informed and integrated whereby health care is provided by a multidisciplinary team working collaboratively. This article describes such a model, including information about its development, structure and organization, and programs. It concludes with a discussion of lessons learned and remaining challenges.