# Trauma‐informed care in early intervention: Providers’ barriers, boundaries, and needs

## TL;DR

This study explores how early intervention providers face challenges in delivering trauma-informed care to young children and their families.

## Contribution

The study identifies systemic barriers and provider needs for implementing trauma-informed care in early intervention services.

## Key findings

- EI providers lack training and role clarity in trauma-informed care.
- Systemic issues like gatekeeping and poor family-provider dynamics hinder TIC implementation.
- Provider well-being and comfort are critical for effective trauma-informed care.

## Abstract

Young children who receive early intervention (EI) services are at increased likelihood of having experienced trauma, as trauma is most common in the birth‐to‐three age range, especially for children with disabilities. Little is known about EI services for trauma‐impacted children and families. Previous research suggested that EI providers are unprepared to support trauma. Thus, we conducted qualitative interviews with 14 EI providers in one US state to understand the barriers and needs related to trauma‐informed care (TIC). We organized our findings so that each theme is nested in a system from social ecological theory. The six themes included macrosystem (the system is unequipped, lack of role clarity), exosystem (providers need specific training), mesosystem (gatekeeping, family‐provider dynamics), and microsystem (EI providers’ well‐being and comfort). Implications include the need for a top‐down approach to TIC in EI and clarification of the roles of various EI disciplines in implementing TIC.