Only the minority of youth exposed to traumatic events receive mental health care, as trauma-informed clinical services are lacking or are poorly accessible. In order to bridge this gap, the Outpatient Trauma Clinic (OTC) was founded, an easily accessible early, short-time intervention, with onward referral to follow-up treatment. This report presents the OTC’s interventional approach and first outcome data. Using a retrospective naturalistic design, we analyzed trauma- and intervention-related data of the sample (n = 377, 55.4% female, mean age 10.95, SD = 4.69). Following drop-out analyses, predictors for treatment outcome were identified by logistic regression. The majority (81.9%) was suffering from posttraumatic stress disorder (PTSD) or adjustment disorders. Around one forth dropped out of treatment; these cases showed higher avoidance symptoms at presentation. In 91%, psychological symptoms improved. Experience of multiple traumatic events was the strongest predictor for poor treatment outcome (B = −0.823, SE = 0.313, OR = 0.439, 95% CI 0.238–0.811). Around two thirds were connected to follow-up treatment. The OTC realized a high retention rate, initial improvement of symptoms and referral to subsequent longer-term psychotherapeutic treatment in the majority. Further dissemination of comparable early intervention models is needed, in order to improve mental health care for this vulnerable group.

中文翻译：

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对儿童和青少年人际暴力受害者的早期干预模式的评估

只有少数暴露于创伤事件的青年接受心理健康护理，因为缺乏或难以获得创伤知情临床服务。为了弥合这一差距，门诊创伤诊所 (OTC) 成立，这是一个易于访问的早期、短期干预措施，可继续转诊进行后续治疗。本报告介绍了 OTC 的介入方法和初步结果数据。使用回顾性自然主义设计，我们分析了样本的创伤和干预相关数据（n= 377，55.4% 女性，平均年龄 10.95，SD = 4.69）。在退出分析之后，通过逻辑回归确定治疗结果的预测因子。大多数 (81.9%) 患有创伤后应激障碍 (PTSD) 或适应障碍。大约四分之一退出治疗；这些病例在就诊时表现出较高的回避症状。91% 的患者心理症状有所改善。多次创伤事件的经历是治疗结果不佳的最强预测因子（B = -0.823，SE = 0.313，OR = 0.439，95% CI 0.238–0.811）。大约三分之二与后续治疗有关。在大多数情况下，OTC 实现了高保留率、症状的初步改善和转诊到随后的长期心理治疗。需要进一步传播可比较的早期干预模型，