There is growing consensus that outpatient health services for young people (aged 12-25 years) need to deliver trauma-informed care to ameliorate the effects of trauma, offer safe treatments, and avoid retraumatization. Trauma-informed care has become a familiar term for many professionals; however, its operating definition lacks clarity. MEDLINE, Embase, and PsycINFO were systematically searched to clarify what trauma-informed care is, and what it should achieve in these settings. We reviewed 3,381 unique records, of which 13 met criteria for inclusion. Content analysis identified 10 components of trauma-informed care as it has been operationalized in practice: seven of these occurred at the system-level (interagency collaboration; service provider training; safety; leadership, governance and agency processes; youth and family/carer choice in care; cultural and gender sensitivity; youth and family/carer participation), and three involved trauma-specific clinical practices (screening and assessment; psychoeducation; therapeutic interventions). There is a need for greater consensus regarding an operating definition of trauma-informed care and further research into outcomes for young people and their families/carers.

中文翻译：

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青少年门诊和咨询健康环境中创伤知情护理的系统回顾和综合。

越来越多的人认为，针对年轻人（12-25 岁）的门诊医疗服务需要提供创伤知情护理，以减轻创伤的影响，提供安全的治疗，并避免再次创伤。创伤知情护理已成为许多专业人士熟悉的术语。然而，其操作定义缺乏明确性。系统地搜索了 MEDLINE、Embase 和 PsycINFO，以阐明什么是创伤知情护理，以及在这些环境中应该实现什么。我们审查了 3,381 条独特的记录，其中 13 条符合纳入标准。内容分析确定了创伤知情护理在实践中的 10 个组成部分：其中七个发生在系统层面（机构间合作；服务提供者培训；安全；领导、治理和机构流程；青年和家庭/照顾者的选择；文化和性别敏感性；青年和家庭/照顾者参与），三个涉及创伤特定的临床实践（筛查和评估；心理教育；治疗干预）。需要就创伤知情护理的操作定义达成更大的共识，并进一步研究年轻人及其家人/照顾者的结果。