Trauma-Informed Care for Unaccompanied Children: Lessons Learned for Practice and Policy Development

• Published in: Psychological trauma 2024-08, Vol.16 (S2), p.S456-S459
• Main Authors: Elmore Borbon, Diane, Tant Blackmon, Elizabeth, Fairbank, John A.
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Female; Government Policy Making; Human; Humans; Immigration; Male; Mental Health Services; Mental Health Services - standards; Policy Making; Psychological Trauma - therapy; Qualitative Research; Refugees - psychology; Trauma; Trauma-Informed Care; United States
• ISSN: 1942-9681; 1942-969X; 1942-969X
• DOI: 10.1037/tra0001565

Introduction: The number of unaccompanied children (UC) arriving in the United States has increased significantly in recent years. UC often encounter traumatic events in their home country, during their migration journey, and upon resettlement. This article describes a congressionally-funded initiative to provide trauma-informed mental health services to UC and children separated from their parents upon arrival in the United States. It also identifies facilitators and barriers to working with UC and offers lessons learned to help inform future practice and policy development aimed at assisting this vulnerable population. Method: Data were derived from qualitative interviews and a survey administered to grantees. Results: In total, grantees served 1,195 youth and families across 11 states, including UC, asylees, and new immigrants during the period of December 2018 through September 2019. Youth and families served spoke 16 languages and originated from diverse nations. Services provided included direct services to youth and families; training for providers and community members; partnerships and collaborations; and resource/product development or adaptations. Discussion: Lessons learned and recommendations derived from this initiative can assist others interested in promoting trauma-informed practice and policies for migrant children and their families. Clinical Impact StatementUnaccompanied children (UC) who arrive in the United States without a parent or legal guardian or are separated from their caregiver upon arrival are at risk of experiencing traumatic events. Such trauma exposure among youth can have lasting effects on physical health, mental health, and well-being. This article describes a federally-funded initiative carried out by grantees of the National Child Traumatic Stress Network to provide trauma-informed services, training, partnerships, and resource development focused on the UC population. Lessons learned and recommendations derived from this initiative can assist others interested in promoting trauma-informed practice and policies for migrant children and their families.