Healthcare providers routinely treat children and families from many different backgrounds. While a universal biological response to trauma exists, enthocultural factors affect children's and families':

• Vulnerability to trauma and traumatic stress
• Expression of distress and trauma symptoms
• Response to trauma treatment
• Help-seeking behaviors
• Communication with and between family members
• Willingness to disclose psychosocial information to providers

Considering the cultural background of patients helps providers implement trauma-informed care in a manner that considers a child and family's unique cultural beliefs, values, and practices. The Center for Pediatric Traumatic Stress developed a cultural considerations component to the D-E-F protocol to give nurses and doctors tips in providing trauma-informed care in a culturally sensitive manner.

As a healthcare provider, do you alter the care you provide based on your patient's cultural background?