210 Appendix G—Pediatric Management Handouts SPLINT First Response to Trauma: SPLINT the Problem Saying trauma/stress may be the cause: It is important to state that trauma and/or stress is one consideration of what is causing the problem to allow further exploration of the topic. P roblem-solving: Explore with the family what is the most distressing part of the concern and what would be the most helpful to address fi rst. We can ask what strategies they have tried, how they have tried them, and whether they were successful. We might also want to ask how people from the family’s culture usually respond to the concern in question. Language: Provide vocabulary for the child and family to talk about the concern. Investigating further: What more do we need to know to understand the concern, safety, and urgency and to begin to develop the best response? Normalizing: When a child has experienced trauma or adversities, it is important to explain to the caregiver that the child is having a normal reaction to an abnormal set of circumstances. T herapy, treatment, or guidance: Reassuring the child and family that there are ways to treat the issue and that we expect improvement promotes confi dent expectation of recovery. CTAR BOOK.indb 210 5/16/21 2:54 PM
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