CE Credit

Trauma-Informed Care for Children in Foster Care

Welcome to the training on Trauma-Informed Care for Children in Foster Care provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).

Credit hours: 1.00 CE


The goal of this course is to equip Texas Health Steps providers and other health-care professionals with strategies to implement trauma-informed practices when providing services for children and adolescents in foster care.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Describe the prevalence and impact of trauma on children in foster care.
  2. Summarize the characteristics of trauma-informed care within the medical home.
  3. Review unique considerations in the care provided to children and adolescents in Texas Department of Family Protective Service conservatorship as part of the “3 in 30” requirements.
  4. Specify how to provide trauma-informed care when providing services for children and adolescents in foster care.

Note: In this module, the term “children” refers to children and adolescents and the term “parent” includes guardians and caregivers, except when differentiation is needed. In addition, the term “foster care” is used as an umbrella to cover a variety of custodial arrangements. The term “DFPS conservatorship” denotes that the State of Texas has custody and requires that specific services be provided.

Please note this module expires on 12/10/2022.

This module was released on 12/10/2019.

Accreditation Statement


Browser Requirements

Abuse and neglect reporting in Texas:

  • Call the 24-hour toll-free DFPS abuse hotline at 800-252-5400.
  • Or make a report online on the DFPS reporting website.

Ace Questionnaire.

ACE Questionnaire, comparison of questions in the CDC-Kaiser ACE Study with those in the Philadelphia Expanded ACE Study.

American Academy of Pediatrics (AAP) Trauma Guide: Helping Foster and Adoptive Families Cope With Trauma: A Guide for Pediatricians. (2016).

American Academy of Pediatrics. (2014). Toolkit: The Medical Home Approach to Identifying and Responding to Exposure to Trauma.

American Academy of Pediatrics. (2015). Immigrant Child Health Toolkit.

Centers for Disease Control and Prevention. (2014). Guidelines for the U.S. Domestic Medical Examination for Newly Arriving Refugees.

Early Childhood Intervention (ECI) Services. Referral form for health-care providers.

ECI: Find Your Nearest Program.

National Child Traumatic Stress Network.

PCIT International [Parent-Child Interactive Therapy]. (2019). Find a Therapist.

Star Health Providers: Frequently Asked Questions.  

Texas Department of Family and Protective Services:

Texas Department of State Health Services, Texas Health Steps. Mental Health Screening Tools.

Texas Education Agency. (2019). Services for Texas Students with Disabilities Ages 3 through 5 years. Preschool Programs for Children with Disabilities (PPCD).

Texas Foster Care Association: DFPS “3 in 30” Program Information and Implementation Schedule.

Texas Youth Connection. Youth can also call the Texas Youth Hotline at 800-989-6884 or consult the Instagram feed Youth Take Flight.

Trauma Informed Care Implementation Resource Center. 

Trauma Informed Parent: ACEs. Includes an ACE test to get a score.

Traumatic Stress Institute; ARTIC Scale (Attitudes Related to Trauma-Informed Care). 

The medical definitions in this module were adapted or obtained from the American Heart Association, Centers for Disease Control and Prevention, Dictionary.com, Lexico, Mayo Clinic, National Library of Medicine, National Child Traumatic Stress Network, National Institute on Drug Abuse, and the University of Michigan.