Systems of care (SOCs) are comprehensive, community-based services for youth with emotional and behavioral disorders. For these youth, little is known about how trauma symptoms influence participation in SOC care coordination through the Child and Family Team (CFT) meeting. The current study assessed the extent to which exposure to potentially traumatic events (PTEs) and trauma symptoms were associated with participation in CFTs and youth and family outcomes. Participants were 464 youth (M_age = 11.02, SD = 3.72) and their caregivers. Families completed measures of youth and caregiver functioning, PTEs, and trauma symptoms at enrollment and 6-month follow-up. Care coordinators completed surveys assessing CFT characteristics following each meeting and assessments of youth functioning. Moderated multiple regression analyses tested the conditional effects of youth trauma symptoms on the relationships between CFT characteristics and youth and caregiver outcomes. Trauma symptoms moderated the relationship between the number of days to the first CFT meeting and youth impairment and the relationship between CFT meeting duration and youth impairment. Results suggest the presence of trauma and other contextual factors contributed to difficulty in initiating services and to changes in youth impairment. Implications for the provision of trauma-informed SOC services are discussed.

护理系统 (SOC) 是面向患有情绪和行为障碍的青少年的综合性、以社区为基础的服务。对于这些青少年，关于创伤症状如何影响通过儿童和家庭团队 (CFT) 会议参与 SOC 护理协调的情况知之甚少。目前的研究评估了暴露于潜在创伤事件 (PTE) 和创伤症状与参与 CFT 以及青少年和家庭结局的相关程度。参与者为 464 名青年（M_年龄= 11.02，SD= 3.72) 和他们的照顾者。家庭在入组和 6 个月随访时完成了青少年和照顾者功能、PTE 和创伤症状的测量。护理协调员在每次会议后完成了评估 CFT 特征的调查以及对青年功能的评估。适度的多元回归分析测试了青年创伤症状对 CFT 特征与青年和照顾者结果之间关系的条件影响。创伤症状缓和了第一次 CFT 会议的天数与青年障碍之间的关系以及 CFT 会议持续时间与青年障碍之间的关系。结果表明，创伤和其他背景因素的存在导致了开始服务的困难和青年损伤的变化。