Conducting a Quick Screen for Trauma: Child Interview

Overview

When assessing children for trauma, it’s essential to approach the interview with sensitivity and care. A quick screening can help identify trauma exposure and its potential impacts on the child’s well-being. Here’s a structured approach for conducting a trauma screening interview with children.

Preparation

• Create a Safe Environment:
• Ensure the setting is comfortable and private.
• Use age-appropriate language and materials to help the child feel at ease.
• Build Rapport:
• Start with light conversation to build trust.
• Use a warm, friendly tone to help the child feel secure.

Structure of the Interview

Introduction

• Explain the purpose of the interview in simple terms: “I’m here to talk with you about how you’re feeling and to learn more about your experiences.”
• Assure the child that they can share as much or as little as they feel comfortable with.

General Questions

• Well-Being Check: “How have you been feeling lately?”
• Daily Functioning: “How are things going at school? Do you have fun playing with friends?”

Trauma-Specific Questions

Exposure to Traumatic Events:

• “Have you ever seen or heard something really scary or hurtful?”
• “Have you been in a situation where you felt very afraid or in danger?”

Feelings and Reactions:

• “When you think about those times, how does it make you feel?”
• “Do you ever have nightmares or bad dreams about what happened?”

Behavioral Changes:

• “Have you noticed any changes in how you feel or act since that time? Like being more angry, sad, or scared?”
• “Do you find it hard to concentrate at school or with your friends?”

Coping and Support

• Coping Mechanisms:
• “What do you do when you feel scared or upset?”
• “Who do you talk to when you’re feeling this way?”
• Support Systems:
• “Is there someone you trust that you can talk to about how you’re feeling?”

Closing the Interview

Thank the child for sharing and validate their feelings: “It’s really brave of you to talk about these things.”

Explain the next steps: “I’ll talk to some other adults about how to help you feel better.”

Documentation

Record observations and responses carefully, noting any indicators of trauma and the child's emotional state during the interview.

Conclusion

Conducting a quick screen for trauma in children requires a thoughtful, compassionate approach. By creating a safe environment and asking targeted questions, you can gather essential information while supporting the child’s emotional needs