Implementing trauma-informed care in a special education environment serving youth from historically marginalized communities with high levels of exposure to potentially traumatic events (PTEs) requires a systematic tiered approach consistent with public health guidelines. Little is known about the implementation of this framework in special education settings where youth have significant emotional and behavioral difficulties. To address this need, a consultant-community partnership was forged between a hospital providing mental health services and a therapeutic day school that serves a special education cooperative. The current case study explores the design and implementation of a three-tiered model of trauma-informed care in a special education setting. This study will address the specific practices implemented at each tier, discuss successes and challenges, and summarize future directions for research, practice, and policy.

中文翻译：

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在特殊教育环境中实施创伤知情护理：多层模型的初步探索

在特殊教育环境中实施创伤知情护理，为历史上边缘化社区中潜在创伤事件 (PTE) 暴露程度较高的青少年提供服务，需要采用符合公共卫生指南的系统性分层方法。对于该框架在青少年有严重情感和行为困难的特殊教育环境中的实施情况知之甚少。为了满足这一需求，提供心理健康服务的医院和为特殊教育合作社提供服务的治疗走读学校之间建立了顾问-社区伙伴关系。当前的案例研究探讨了特殊教育环境中创伤知情护理的三层模型的设计和实施。本研究将讨论每一层实施的具体实践，讨论成功和挑战，并总结未来的研究、实践和政策方向。