Alisic and colleagues (2020) discuss in this commentary how clinical practice guidelines for the treatment of traumatic stress can become more inclusive and equitable for children and young people. After reviewing international trauma treatment guidelines, the authors identify two areas for possible improvement: (1) increasing the representation of children’s cultural background and (2) creating opportunities for children’s voices to be heard. The authors highlight that current international guidelines offer little information on how to tailor treatment to young people’s cultural needs. Furthermore, the authors underscore that there is limited diversity across all the stages of the guideline development process (including the evidence-base itself). The narrow focus on high-income western countries and white populations poses a serious barrier to identifying and addressing ethnic and cultural issues. The authors also report that young people were not consulted and included in the development of clinical practice guidelines. Finally, they identify concrete steps to address these issues: setting up committees for the consultation and co-creation of clinical guidelines with young people and their families; involving experts from different fields (e.g. anthropology, sociology); and identifying existing culturally-relevant research and culturally-competent treatment adaptations. In sum, the authors argue that promoting research and developing treatment guidelines “with, by and for” under-represented groups should take high priority to move the fields towards greater inclusivity and equity.
Alisic, E., Roth, J., Cobham, V., Conroy, R., De Young, A., Hafstad, G., Hecker, T., Hiller, R., Kassam-Adams, N., Lai, B., Landolt, M., Marsac, M., Seedat, S. and Trickey, D., (2020). Working towards inclusive and equitable trauma treatment guidelines: a child-centered reflection. European Journal of Psychotraumatology, 11(1), p.1833657. doi: 10.1080/20008198.2020.1833657