Emergency department screening for risk for post-traumatic stress disorder among injured children.
OBJECTIVE
To discuss the successes and challenges associated with the implementation of a post-traumatic stress disorder (PTSD) screening tool in two pediatric emergency departments (ED).


METHODS
The STEPP screening tool has been developed previously on an inpatient population of motor vehicle trauma patients. It was applied here to the general ED population at two different pediatric trauma centers. Nurse screeners were trained and a convenience sample of patients with unintentional injuries who met study criteria were screened in the ED. Feedback from nurse screeners was obtained.


RESULTS
The process of implementing a screening tool to identify patients and their families significantly at risk for PTSD symptomatology presented some barriers, but overall acceptability of the process was high for both the emergency department staff and the patient. Recommendations for others considering implementation of screening programs in the ED are offered.


CONCLUSIONS
Future research using screening protocols in the ED should, in their design, attempt to capitalize on the successes identified in the current protocol and circumvent barriers also encountered.
Ward-Begnoche
W L
WL
Department of Pediatrics, University of Arkansas for Medical Sciences, College of Medicine and Arkansas Children's Hospital, Little Rock, Arkansas 72202-3591, USA. wardbegnochewendyl@uams.edu
Aitken
M E
ME
Liggin
R
R
Mullins
S H
SH
Kassam-Adams
N
N
Marks
A
A
Winston
F K
FK
D000063:Accidents, Traffic / Q000523:psychology*; D002648:Child; D004635:Emergency Medicine / Q000193:education; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005246:Feedback; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D014193:Trauma Centers