WHAT IS THE CURRENT STATE OF OCCUPATIONAL THERAPY PRACTICE WITH CHILDREN AND ADOLESCENTS WITH COMPLEX TRAUMA?

Abstract

There has been a recent increase in the understanding of the effects of complex trauma on children and adolescents. Occupational therapists are using their knowledge of sensory based interventions with this population. A scoping review was conducted to determine the extent of use of sensory based interventions. It was found that evidence on their efficacy is promising but limited. A qualitative study examined the current state of occupational therapy practice with complex trauma. Nine experienced occupational therapists were asked about their practice with this population. Findings indicated a variety of assessments and interventions being used, with a focus on sensory based interventions to address issues with regulation impacting daily functioning. Additionally, the need to include the caregiver in treatment and address attachment concerns was identified. Addressing barriers to treatment and more trauma education was highlighted together with the need to network with other occupational therapists and collaborate with other disciplines.