A SCOPING REVIEW OF TRAUMA-INFORMED EARLY LEARNING AND CHILD CARE IN CANADA: A CRITICAL ANALYSIS
Abstract
Among child care policymakers, government officials, and providers alike, there is growing interest in mitigating the impacts of adversity and trauma in children’s early years. While emerging literature examines the prevalence and impacts of traumatic events on the lives of children and families, a focus on trauma-informed approaches within the early learning and child care sector remains nascent. This scoping review examines the current state of knowledge in peer-reviewed and grey literature on trauma-informed approaches in the early learning and child care sector in Canada. Critical analysis of the findings highlights a concerning gap in the empirical evidence on trauma-informed approaches, obscure and individualistic understandings of trauma, and considerable variance in how trauma-informed approaches are implemented. We call for explicit shifts toward understanding trauma as inclusive of interpersonal and structural forms of trauma and violence and a broader scope of “trauma- and violence-informed child care” (TVICC).
Downloads
Metrics
References
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Asmussen, D. K., Masterman, T., McBride, T., & Molloy, D. (2022). Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care. Early Intervention Foundation. https://www.eif.org.uk/report/trauma-informed-care-understanding-the-use-of-trauma-informed-approaches-within-childrens-social-care
Assembly of First Nations. (2017). National Meeting on Indigenous Early Learning and Child Care Framework [Summary report]. https://www.afn.ca/wp-content/uploads/2018/10/AFN-Summary-Report-July-2017-Nat-Mtg-on-Indigenous-Early-Learning-Child-Care-Framework_ENG.pdf
Atkinson, J. (2013). Trauma-informed services and trauma-specific care for Indigenous Australian children [Resource sheet no. 21]. Australian Government. https://www.aihw.gov.au/getmedia/e322914f-ac63-44f1-8c2f-4d84938fcd41/ctg-rs21.pdf.aspx?inline=true
Bond, L., & Craps, S. (2020). Trauma: The new critical idiom. Routledge, Taylor & Francis Group.
Browne, A. J., Varcoe, C., Ford-Gilboe, M., & Wathen, C. N., on behalf of the EQUIP Research Team. (2015). EQUIP healthcare: An overview of a multi-component intervention to enhance equity-oriented care in primary health care settings. International Journal for Equity in Health, 14(1), Article 152. https://doi.org/10.1186/s12939-015-0271-y
Cabanis, M., Outadi, A., & Choi, F. (2021). Early childhood trauma, substance use and complex concurrent disorders among adolescents. Current Opinion in Psychiatry, 34(4), 393–399. https://doi.org/10.1097/YCO.0000000000000718
Center on the Developing Child at Harvard University. (2016). From best practices to breakthrough impacts: A science-based approach to building a more promising future for young children and families. https://developingchild.harvard.edu/wp-content/uploads/2025/02/From_Best_Practices_to_Breakthrough_Impacts-4.pdf
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., Pachter, L. M., & Fein, J. A. (2015). Adverse childhood experiences: Expanding the concept of adversity. American Journal of Preventive Medicine, 49(3), 354–361. https://doi.org/10.1016/j.amepre.2015.02.001
Darroch, F. E., Varcoe, C., Montaner, G. G., Webb, J., & Paquette, M. (2022). Taking practical steps: A feminist participatory approach to cocreating a trauma- and violence-informed physical activity program for women. Violence Against Women, 30(2), 598–621. https://doi.org/10.1177/10778012221134821
Davidson, C. A., Kennedy, K., & Jackson, K. T. (2022). Trauma-informed approaches in the context of cancer care in Canada and the United States: A scoping review. Trauma, Violence, & Abuse, 24(5), 2983–2996.. https://doi.org/10.1177/15248380221120836
Davies, A. (2023). Building resilience: Constructing ECE knowledge of trauma-informed practice in early learning settings. Canadian Child Care Federation. https://cccf-fcsge.ca/ece-resources/topics/challenging-child-behaviours-stress/building-resilience-child-trauma-informed/
Dye, H. (2018). The impact and long-term effects of childhood trauma. Journal of Human Behavior in the Social Environment, 28(3), 381–392. https://doi.org/10.1080/10911359.2018.1435328
Dym Bartlett, J. (2021). Trauma-informed practices in early childhood education. Zero to Three, 41(3), 24–34. https://www.zerotothree.org/resource/journal/trauma-informed-practices-in-early-childhood-education/
Dym Bartlett, J. D., & Smith, S. (2019). The role of early care and education in addressing early childhood trauma. American Journal of Community Psychology, 64(3–4), 359–372. https://doi.org/10.1002/ajcp.12380
Dym Bartlett, J. D., Smith, S. A., & Bringewatt, E. (2017). Helping young children who have experienced trauma: Policies and strategies for early care and education. https://doi.org/10.13140/RG.2.2.20745.24165
England-Mason, G., Casey, R., Ferro, M., MacMillan, H. L., Tonmyr, L., & Gonzalez, A. (2018). Child maltreatment and adult multimorbidity: Results from the Canadian Community Health Survey. Canadian Journal of Public Health, 109(4), 561–572. https://doi.org/10.17269/s41997-018-0069-y
Fanon, F. (2008). Black skin, white masks (New ed.; R. Philcox, Trans.). Grove Press.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2015). A revised inventory of Adverse Childhood Experiences. Child Abuse & Neglect, 48, 13–21. https://doi.org/10.1016/j.chiabu.2015.07.011
Fosu, R. (2024). Towards a critical decolonial turn/theory: Beyond the binary of the West versus Africa. Africa Spectrum, 60(1). https://doi.org/10.1177/00020397241285042
Fredrickson, R. (2019). Trauma-informed care for infant and early childhood abuse. Journal of Aggression, Maltreatment & Trauma, 28(4), 389–406. https://doi.org/10.1080/10926771.2019.1601143
Gerlach, A., Gordon, J., & Elliott, D. (2021). Exploring structural constraints & opportunities in a hard to reach system using a lens of trauma- and violence-informed care: Early child development & intervention with Indigenous families and children in British Columbia. University of Victoria.
Gerlach, A., & Varcoe, C. (2020). Orienting child- and family-centered care toward equity. Journal of Child Health Care, 25(3), 457–467. https://doi.org/10.1177/1367493520953354
Gerlach, A. J., Browne, A. J., Sinha, V., & Elliott, D. (2017). Navigating structural violence with Indigenous families: The contested terrain of early childhood intervention and the child welfare system in Canada. The International Indigenous Policy Journal, 8(3), Article 7526. https://doi.org/10.18584/iipj.2017.8.3.6
Gerlach, A. J., & Gignac, J. (2019). Exploring continuities between family engagement and well-being in Aboriginal Head Start Programs in Canada: A qualitative inquiry. Infants & Young Children, 32(1), 60–74. https://doi.org/10.1097/IYC.0000000000000133
Gerlach, A. J., & McFadden, A. (2022). Re-envisioning an early years system of care towards equity in Canada: A critical, rapid review. International Journal of Environmental Research and Public Health, 19(15), Article 9594. https://doi.org/10.3390/ijerph19159594
Inuit Tapiriit Kanatami, Pauktuutit Inuit Women of Canada, & Tungasuvvingat Inuit. (2017). Inuit submission to Employment and Social Development Canada regarding National Indigenous Early Learning and Childcare framework. https://www.itk.ca/wp-content/uploads/2018/04/National-Indigenous-Early-Learning-and-Child-Care-Report.pdf
Jenkins, N. D. M., & Robinson, A. T. (2022). How do adverse childhood experiences get under the skin to promote cardiovascular disease? A focus on vascular health. Function, 3(4), Article zqac032. https://doi.org/10.1093/function/zqac032
Jivraj, S., Bakshi, S., & Posocco, S. (2020). Decolonial trajectories: Praxes and challenges. Interventions, 22, 451–463. https://doi.org/10.1080/1369801X.2020.1753558
Johansen, J. D., & Varvin, S. (2019). I tell my mother that … sometimes he didn’t love us — Young adults’ experiences of childhood in refugee families: A qualitative approach. Childhood, 26(2), 221–235. https://doi.org/10.1177/0907568219828804
Kahan, D., Lamanna, D., Rajakulendran, T., Noble, A., & Stergiopoulos, V. (2020). Implementing a trauma-informed intervention for homeless female survivors of gender-based violence: Lessons learned in a large Canadian urban centre. Health & Social Care in the Community, 28(3), 823–832. https://doi.org/10.1111/hsc.12913
Kelly-Irving, M., & Delpierre, C. (2019). A critique of the adverse childhood experiences framework in epidemiology and public health: Uses and misuses. Social Policy and Society, 18(3), 445–456. https://doi.org/10.1017/S1474746419000101
Khodarahmi, N. (2019). Educators of young children and knowledge of trauma-informed practice. [Master’s thesis, University of British Columbia]. https://doi.org/10.14288/1.0378396
Kingston, L. (2015). The destruction of identity: Cultural genocide and Indigenous peoples. Journal of Human Rights, 14(1), 63–83. https://doi.org/10.1080/14754835.2014.886951
Kirmayer, L. J., Gone, J. P., & Moses, J. (2014). Rethinking historical trauma. Transcultural Psychiatry, 51(3), 299–319. https://doi.org/10.1177/1363461514536358
Lalonde, D., Tabibi, J., & Baker, L. (2020). Trauma- and violence- informed approaches: Supporting children exposed to intimate partner violence [Learning Network newsletter, Issue 31]. Centre for Research & Education on Violence Against Women & Children. https://www.vawlearningnetwork.ca/our-work/issuebased_newsletters/issue-31/
Lamb, C. S. (2020). Constructing early childhood services as culturally credible trauma-recovery environments: Participatory barriers and enablers for refugee families. European Early Childhood Education Research Journal, 28(1), 129–148. https://doi.org/10.1080/1350293X.2020.1707368
LaVallie, C., & Yurach, W. S. (2022). Braiding trauma-and-violence informed care practice guidelines into competencies for social workers working in rural and remote locations. In B. Jeffery &
N. Vovik (Eds.), Rural and northen social work practice: Canadian perpectives (Ch. 6). Saskatchewan Open Education Resources. https://opentextbooks.uregina.ca/ruralandnorthernsocialworkpractice/chapter/68/
Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), Article 69. https://doi.org/10.1186/1748-5908-5-69
Levine, S., Varcoe, C., & Browne, A. J. (2021). “We went as a team closer to the truth”: Impacts of interprofessional education on trauma- and violence- informed care for staff in primary care settings. Journal of Interprofessional Care, 35(1), 46–54. https://doi.org/10.1080/13561820.2019.1708871
McKenzie, H. A., Varcoe, C., Browne, A. J., & Day, L. (2016). Disrupting the continuities among residential schools, the Sixties Scoop, and child welfare: An analysis of colonial and neocolonial discourses. The International Indigenous Policy Journal, 7(2), Article 2. https://doi.org/10.18584/iipj.2016.7.2.4
Mignolo, W. D., & Walsh, C. E. (2018). On decoloniality: Concepts, analytics, praxis. Duke University Press. https://doi.org/10.1215/9780822371779
Moosa-Mitha, M. (2021). Trauma and healing in early childhood years within refugee newcomer populations: A decolonial analysis. Prepared for the Office of the Representative of Children & Youth. https://dspace.library.uvic.ca/server/api/core/bitstreams/177d7574-9d86-4b77-8ed5-7f0470be4d87/content
Moosa-Mitha, M., & Wallace, B. (2020). Lessons learnt on designing a community-based participatory research study on trauma: A qualitative study with Arabic speaking refugee newcomers and their service providers. The Canadian Journal of Action Research, 21(2), Article 2. https://doi.org/10.33524/cjar.v21i2.494
Poole, N., Talbot, C., & Nathoo, T. (2017). Healing families, helping systems: A trauma-informed practice guide for working with children, youth and families. British Columbia Ministry of Children & Family Development. https://www2.gov.bc.ca/assets/gov/health/child-teen-mental-health/trauma-informed_practice_guide.pdf
Quijano, A. (2007). Coloniality and modernity/rationality. Cultural Studies, 21(2–3), 168–178. https://doi.org/10.1080/09502380601164353
Rousseau, C., Measham, T., & Nadeau, L. (2013). Addressing trauma in collaborative mental health care for refugee children. Clinical Child Psychology and Psychiatry, 18(1), 121–136. https://doi.org/10.1177/1359104512444117
SAMHSA’s Trauma and Justice Strategic Initiative. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach [HHS pub. no. (SMA) 14-4884]. ]. U.S. Department of Health and Human Services. https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/docs/samhsa_trauma_concept_paper.pdf
Thompson, R. A., & Haskins, R. (2014). Early stress gets under the skin: Promising initiatives to help children facing chronic adversity. Future of Children, 24(1). https://calio.dspacedirect.org/handle/11212/1990
Toombs, E., Lund, J., & Mushquash, C. J. (2022). Adverse childhood experiences (ACEs) are increasing in Indigenous populations in Canada: Now what? Canadian Psychology / Psychologie Canadienne, 63(4), 576–588. https://doi.org/10.1037/cap0000331
United Way of Central Carolinas. (2019). Creating a trauma-informed early childhood system: Review and the literature and summary of findings. https://unitedwaygreaterclt.org/wp-content/uploads/2023/01/Creating-a-Trauma-Informed-Early-Childhood-System.pdf
Varcoe, C., Wathen, N., Ford-Gilboe, M., Smye, V., & Browne, A. J. (2016). Briefing note—Trauma- and violence-informed care.
Wathen, C. N., Schmitt, B., & MacGregor, J. C. D. (2023). Measuring trauma- (and violence-) informed care: A scoping review. Trauma, Violence, & Abuse, 24(1), 261–277. https://doi.org/10.1177/15248380211029399
White, S., & Wastell, D. (2017). The rise and rise of prevention science in UK family welfare: Surveillance gets under the skin. Families, Relationships and Societies, 6(3), 427–445. https://doi.org/10.1332/204674315X14479283041843
Authors contributing to the International Journal of Child, Youth and Family Studies agree to release their articles under the Creative Commons Attribution-Noncommercial 4.0 Unported license. This licence allows anyone to share their work (copy, distribute, transmit) and to adapt it for non-commercial purposes provided that appropriate attribution is given, and that in the event of reuse or distribution, the terms of this license are made clear.
Authors retain copyright of their work and grant the journal right of first publication.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Rights Granted After Publication
After publication, authors may reuse portions or the full article without obtaining formal permission for inclusion within their thesis or dissertation.
Permission for these reuses is granted on the following conditions:
- that full acknowledgement is made of the original publication stating the specific material reused [pages, figure numbers, etc.], [Title] by/edited by [Author/editor], [year of publication], reproduced by permission of International Journal of Child, Youth & Family Studies [link to IJCYFS website];
- In the case of joint-authored works, it is the responsibility of the author to obtain permission from co-authors for the work to be reuse/republished;
- that reuse on personal websites and institutional or subject-based repositories includes a link to the work as published in the International Journal of Child, Youth & Family Studies; and that the material is not distributed under any kind of Open Access style licences (e.g. Creative Commons) which may affect the Licence between the author and IJCYFS.