<p>Two thirds of children in the United States report having experienced at least one traumatic event by age 16 (SAMHSA, 2026, March 27). Unchecked, exposure to traumatic events or adverse childhood experiences (ACEs) can have acute, short-term, and long-term deleterious effects on functioning and overall wellbeing. Screening for exposure to and effects of traumatic events is widely endorsed and considered essential to the treatment of traumatized children but the extent to which it informs scheduling of assessments has not been fully investigated. Therefore, this exploratory, cross-sectional study examined trauma screenings conducted at intake retrospectively to determine the relationship between screenings of children’s exposure to traumatic events and symptoms as reported by caregivers/legal guardians and subsequent scheduling of assessment by intake workers at community agencies providing mental health services in a metropolitan city in a Midwest bordering southern state. Descriptive, bivariate, and multivariate analysis revealed the group of children that screened eligible (experienced ≥1 traumatic event and had a trauma symptomology score of ≥3) and was scheduled for an assessment (<i>n</i> = 367) were exposed to more traumatic events, rated higher on trauma symptomology, and differed on type of trauma event experienced from those Not Eligible/Not Scheduled (<i>n</i> = <i>983</i>), Eligible/Not Scheduled (<i>n</i> = <i>116</i>), Not Eligible/Scheduled (<i>n</i> = <i>71</i>, and Eligibility Undetermined/Scheduled (<i>n</i> = <i>51).</i> The type of traumatic events experienced appear to have carried greater weight in decision to schedule an assessment, especially when trauma symptomology scores were similar, low, or were not available. Being military connected was a significant predictor of being scheduled for an assessment more than experiencing traumatic events or symptoms. These findings add to our understanding of characteristics of children who are screened and are designated as needing assessment and trauma-based interventions. They provide important information about the process and resulting referrals from trauma screening of children in community based mental health services organizations. Future research should further explore the role of type of traumatic events experienced, as well as caregiver characteristics, decision-making, and integrating trauma screenings into various practice settings for a fuller understanding of the influence of trauma screenings on scheduling assessment of children referred to community based mental health services.</p>

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The Influence of Trauma Screenings on Scheduling Assessment of Children Referred to Community Based Mental Health Services

  • Bibhuti K. Sar,
  • Linda K. Bledsoe,
  • Anita P. Barbee,
  • Emma Sterrett-Hong,
  • Becky F. Antle,
  • Melissa J. King,
  • Jennifer Bobo

摘要

Two thirds of children in the United States report having experienced at least one traumatic event by age 16 (SAMHSA, 2026, March 27). Unchecked, exposure to traumatic events or adverse childhood experiences (ACEs) can have acute, short-term, and long-term deleterious effects on functioning and overall wellbeing. Screening for exposure to and effects of traumatic events is widely endorsed and considered essential to the treatment of traumatized children but the extent to which it informs scheduling of assessments has not been fully investigated. Therefore, this exploratory, cross-sectional study examined trauma screenings conducted at intake retrospectively to determine the relationship between screenings of children’s exposure to traumatic events and symptoms as reported by caregivers/legal guardians and subsequent scheduling of assessment by intake workers at community agencies providing mental health services in a metropolitan city in a Midwest bordering southern state. Descriptive, bivariate, and multivariate analysis revealed the group of children that screened eligible (experienced ≥1 traumatic event and had a trauma symptomology score of ≥3) and was scheduled for an assessment (n = 367) were exposed to more traumatic events, rated higher on trauma symptomology, and differed on type of trauma event experienced from those Not Eligible/Not Scheduled (n = 983), Eligible/Not Scheduled (n = 116), Not Eligible/Scheduled (n = 71, and Eligibility Undetermined/Scheduled (n = 51). The type of traumatic events experienced appear to have carried greater weight in decision to schedule an assessment, especially when trauma symptomology scores were similar, low, or were not available. Being military connected was a significant predictor of being scheduled for an assessment more than experiencing traumatic events or symptoms. These findings add to our understanding of characteristics of children who are screened and are designated as needing assessment and trauma-based interventions. They provide important information about the process and resulting referrals from trauma screening of children in community based mental health services organizations. Future research should further explore the role of type of traumatic events experienced, as well as caregiver characteristics, decision-making, and integrating trauma screenings into various practice settings for a fuller understanding of the influence of trauma screenings on scheduling assessment of children referred to community based mental health services.