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In this chapter, screening and assessments within specific and non-specific trauma-informed services will be discussed as integral to both the identification of trauma incidences and as an integral component of trauma therapy. The first part of this chapter will examine how those working in non-specific trauma services can use screening instruments to help identify and make referrals to trauma specific organisations. As outlined already, non-specific trauma services are those who are committed to working from a trauma-informed lens and come into contact with those more likely to have trauma experiences; however, they are not services specifically set up to work with trauma. Some of the challenges and risks when using such assessment are delineated, with helpful tips for their effective use. A table containing some of the brief screening measures found in the extant literature is provided, all of which are psychometrically sound. Moving forward, I explore some of the literature around the assessment process for those seeking trauma specific therapy in services. In doing so, this chapter demonstrates that safety, trust, choice, empowerment and culture considerations from the trauma-informed literature can operate throughout the screening and assessment processes and that ethical imperatives should always be front and centre of the practitioners mind.

This chapter examines the associations between gender, social support, and health outcomes for individuals living with HIV disease. We include social integration and social isolation as structural measures of social support as well as perceived social support and social conflict as functional measures of social support. We include both mental health and physical health outcomes, which are too often studied in isolation of each other.

Data are from the Coping with HIV/AIDS in the Southeast (CHASE) study; this study reports on baseline data from 611 participants collected from 2001 to 2002. We first examined differences by gender and race, and then used blocked linear regression to determine the additive effects of the social support variables on both mental and physical health outcomes while controlling for potential confounders.

There were notable differences in the significance and strength of social support variables in health outcome models for men and women. Unlike men, social conflict was the strongest predictor of greater psychological distress and poorer physical health-related quality of life among women.

While the results from this study contribute to a greater understanding of gender differences in the relationships between social support and health outcomes, the data used for this study are limited to those living with HIV/AIDS in the Southeast.

Our findings suggest that social conflict may be more detrimental for the health of women than men.

The London bombings on 7 July 2005 highlighted the prevailing terrorist threat to the UK. The present study addressed the psychological response of a community (n=294) indirectly exposed to the attacks to discern the broader impact and effects of terrorism. Qualitative content analysis was used to develop a profile of emotions and responses to the attacks. This was supplemented by the use of linguistic analysis demonstrating the enormous heterogeneity and complexity of responses to terrorism. In light of previous work on the wider impact of terrorism, the present study highlighted a relatively restrained impact of terrorism. Notwithstanding this observation, responses were marked by negative emotions, with increased use of references to others than for self. Responses also highlighted the use of psychological distancing more among white than Asian respondents, and the importance of religion, both as a supportive factor and perceived cause of the attacks, with references more prevalent among Asian respondents. Although the ubiquitous nature of negative emotions also slightly heightened reports of perceived risk, the ability of respondents to use methods of social orientation helped their ability to recover, and may be crucial in helping harness unified community‐based responses to terrorism.

The purpose of the present study is to examine associations between post‐traumatic stress disorder (PTSD) symptoms and salivary cortisol parameters.

PTSD symptoms and cortisol responses were measured in a random sample of 100 police officers. The impact of event scale (IES) categorized into subclinical, mild, moderate and severe levels was employed to measure PTSD symptoms. Cortisol was analyzed from saliva samples over a period of three days and included an awakening response, high protein lunch challenge, whole day (diurnal), and a dexamethasone suppression test (DST).

Officers in moderate and severe PTSD symptom categories had higher mean awakening cortisol values. A significant sample‐time by PTSD interaction (p=0.008) was found for awakening cortisol responses. Officers in the severe PTSD symptom category showed a blunted response to the cortisol protein meal challenge compared to those in lower PTSD categories. Diurnal cortisol levels suggested an increasing trend across subclinical to severe PTSD categories respectively (p=0.15 test for trend). DST ratios were lower in moderate and severe PTSD symptom categories (6.86 and 8.03 respectively) than in the subclinical and mild categories (9.32 and 10.43 respectively).

The sample was not representative of all police in the USA. These results suggest that associations between psychological trauma symptoms and dysregulation of cortisol patterns may exist and could possibly affect future health outcomes in police officers.

Exposure to trauma and disaster events emphasizes the need to further investigate the health impact of PTSD on police personnel as well as other first responder groups.

This article will not only be of interest to those in the police service but to the general public. The present study may serve to provide a guide for larger police population investigations on PTSD and physiological impact.

The purpose of this paper is to describe and discuss assessment of post-traumatic stress disorder (PTSD) in adults with intellectual disabilities. Existing research in this area encompasses case studies, and includes, for the most part, persons with mild intellectual disabilities.

The aim of this study is to investigate symptom presentation and subsequent identification of PTSD in persons with more severe intellectual disabilities; i.e. persons with moderate or severe intellectual disabilities. Five patients in a specialised psychiatric inpatient unit for patients with intellectual disabilities were included. Information about the patients was collected through case files and interviews with key informants: family, milieu therapists, and caregivers in community settings, and observations through inpatient admission. The authors of this paper followed a training programme for trauma therapists in addition to the inpatient treatment of the five patients. The five patients all met criteria for PTSD according to the Diagnostic Manual – Intellectual Disability.

Previously, it was not suspected that the five patients suffered from PTSD, although they had experienced terrifying incidents. All patients displayed severe changes in behaviour, which may have overshadowed symptoms of PTSD. PTSD in persons with more severe intellectual disabilities may be interpreted as challenging behaviour, or other psychiatric disorders such as psychosis.

The limitation of the study is the small number of participants.

Practical implication is linked to clinical practice related to identification of PTSD in persons with intellectual disabilities.

The paper may encourage more research into how PTSD can be identified in persons with moderate and severe intellectual disabilities. The case reports may help clinicians to look for traumatic experiences in persons with intellectual disabilities who have experienced terrifying incidents.

The purpose of this study is to explore mental health difficulties, including risk and protective factors, which may impact on symptom severity after exposure to crisis situations (war, terrorism and/or natural disasters), among first responders from uniformed services.

Peer-reviewed journal articles published in English between January 2012 and March 2022 were searched in ProQuest, Wiley, Google Scholar and PubMed databases. In total, 12 articles were obtained from an original screening of 94,058 articles. Full article texts were screened for content and quality by two reviewers, with high agreeability.

Post-traumatic stress disorder and depression were the most common diagnoses. Risk factors identified were pre-deployment factors of overweight, low cognitive ability and social support, existing emotional difficulties, negative childhood experiences and stressful life events; during crisis situations factors of higher frequency and subjective severity of combat, increased rates of combat stress reaction, high levels of concerns for life and family, more stressful mission position, threat of death/severe injury and high rate of killing the enemy; and post-deployment factors, such as low social support and physical health, lack of coping mechanisms and use of avoidance strategies and social stigma. Protective factors increasing resilience and lessening symptom severity were reported as pre-deployment cognitive ability, high social support, stable physical health, effective coping, post-traumatic growth and high levels of perceived adequacy in pre-deployment preparation and training. In addition to main findings, data about author(s), publication type, population, age, type of crisis and evaluation measures were extracted. Key findings and related theories, gaps in literature and recommendations are discussed.

As yet, however, research into the factors that could serve as risk and/or protective factors are not clearly indicated in terms of post-crisis recovery. As per the authors’ knowledge, this study is an initial approach to considering this area.

Bringing together anthropological and sociological conceptions of “the everyday” with the new social studies of childhood, this paper seeks to challenge the predominance of the trauma paradigm in understanding the impact of the 1994 Rwandan genocide upon children and youth.

In focus group and ethnographic research conducted with Rwandan children and young people aged between 12 and 25, the challenges identified were primarily within their everyday lives, relationships and environments.

Building on the assertion that “we have great resilience to keep going” the resiliency and agency of children and young people in negotiating an ongoing nexus between violence and peace is emphasized.

This is not to deny the horrendous nature of the genocide, or that there are some children with enduring severe psychological problems. However, the trauma paradigm is only one way of capturing the legacies of the genocide and can give rise to a misplaced emphasis on passivity and vulnerability. The framework of the everyday provides a holistic paradigm for policies and programmes addressing the situation of children and young people post‐conflict and builds upon their resources and competencies.

This paper offers a more complex and nuanced understanding of trauma, resilience and the legacies of genocide for children and young people.

Although proximal row carpectomy, wrist arthrodesis and even total wrist arthroplasty were developed to treat wrist disease using bone and cartilage of the wrist, severe and complicated bone defects caused by ferocious trauma and bone tumors remain a stubborn problem for surgeons. Development and application of the three-dimensional (3D) printing technology may provide possible solutions.

Computed tomography (CT) data of three cases with severe bone defects caused by either trauma or bone tumor were collected and converted into three-dimensional models. Prostheses were designed individually according to the residual anatomical structure of the wrist based on the models. Both the models and prostheses were produced using 3D printing technology. A preoperative design was prepared according to the models and prostheses. Then arthroplasty was performed after preoperative simulation with printed models and prostheses.

The diameter of the stem and radial medullary cavity, the direction and location of the prosthesis, and other components were checked during the preoperative design and simulation process phases. The three cases with 3D printed wrist all regained reconstruction of normal anatomy and part of the function after surgery. The average increasing Cooney score rate of Cases 2 and 3 was 133.34 ± 23.57 per cent, and that of Case 1 reached 85 per cent. The average declining rate of the Gartland and Werley Score in Cases 2 and 3 was 65.21 ± 18.89 per cent, and that of Case 1 dropped to 5 per cent in the last follow-up. The scores indicated that patients experienced pain relief and function regain. In addition, the degree of patient satisfaction improved.

3D printed wrist arthroplasty may provide an effective method for severe and complicated cases without sacrificing other bones. Personal customization can offer better anatomy and function than arthrodesis or other traditional surgical techniques.

The study aims to explore the current experiences of Ukrainian adolescents affected by the Russia-Ukraine war. The study focused on the changes in adolescents’ lives caused by the war, adolescents’ emotional reactions to the disruptions caused by the war, coping strategies employed by adolescents in dealing with disruptions and the role of information technology in supporting new realities and coping strategies of adolescents.

This study relied on semi-structured interviews conducted on Zoom with 27 Ukrainian adolescents ages 10-18. Participants were recruited using the snowball sample and came from various regions of Ukraine. The interview notes and partial transcripts were analyzed using thematic analysis to identify the common and unique patterns in participant responses.

The interview data revealed the signs of traumatic experiences and various stages and methods of coping with them. Participants’ resilience was supported by external factors, including families, communities, continuous schooling, ability to talk to friends, information technology, as well as internal skills, including social competence, problem-solving, critical consciousness, autonomy and a sense of purpose. Participants shared specific recommendations for improving information platforms and online content, e.g. making them more accessible and affordable for Ukrainian users, improving content curation and personalization, creating and promoting Ukrainian content and others.

Research relied on convenience sample of participants who had access to information communication technology (ICT), were aware and had an ability to participate. Field work is needed to reach out to participants without access to ICT.

This study contains broad recommendations for improving information technologies for the use of Ukrainian adolescents.

This research offers three timely account of the first-hand experiences of Ukrainian adolescents affected by the Russia-Ukraine war and can inform future work aimed at improving life conditions for teen population.

This study relied on first-hand reports of Ukrainian adolescents’ experiences, feelings and coping strategies during the first three months of Russia-Ukraine war. The study applied war trauma and resilience frameworks to interpret the findings and translate some of the findings into practical recommendations for the information science community.