An Integrative Review: Translating the Experiences of Youth Psychiatry Patients to Improve Primary Healthcare Outcomes
Bibliographic record
Abstract
This integrative review aims to sensitize primary care nurse practitioners and physicians to the traumatic care experiences of youth psychiatry patients and provide recommendations for patient care using a trauma-informed approach. Two electronic, combined CINAHL and PsychInfo searches and a manual search of the references of included articles for the years 2000-2019 were completed. Using Whittemore and Knafl's integrative review method, data from 22 articles were synthesized. Traumatic care, although not widely recognized by primary care providers, was shown to result in a negative effect on admission policies, procedures, and safety measures enforced in youth psychiatry units. Traumatic care themes included coercive care, seclusion, loss of control, safety, and post-traumatic stress disorder after discharge. Trauma-informed care training was found to improve patient-provider relationships and reduce the adverse health outcomes associated with trauma exposure. Universal trauma screening is recommended in all care areas to identify traumatic experiences, enhance patient-provider relationships, and reduce adverse health outcomes associated with non-addressed traumas.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".