Abstract
Abused and neglected children are in need of trauma-informed behavioral health care. This research explores whether the trauma perspective has infiltrated the system of care for these children. A case study was conducted of a behavioral health program that serves children in State custody in a large urban area in the US. Results reveal that trauma is not incorporated into behavioral health services in any formal or substantive way. In addition, data suggest that the Diagnostic and Statistical Manual of Mental Disorders (DSM) represents a significant barrier to the creation of trauma-informed systems. Data reveal how the DSM ignores, defeats, or co-opts the trauma perspective. These findings suggest that trauma-informed care is not easily added to the existing behavioral health system. Research and dialogue are needed about how to achieve system change so that maltreated children’s trauma histories inform and influence the services they receive.
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