{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T02:41:37Z","timestamp":1792377697115,"version":"4.4.0"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008309","name":"Johns Hopkins Bloomberg School of Public Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008309","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trauma and violence exposure are critical barriers to educational equity, affecting student mental health and academic achievement. Despite growing attention to trauma\u2010informed practices in schools, implementation remains uneven and often overlooks the complexity of trauma experiences or their systemic roots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Theory<\/jats:title>\n                    <jats:p>Grounded in and extending Basch's (2011) framework for prioritizing health conditions to reduce educational disparities, this paper synthesizes lessons learned and proposes a path forward for school\u2010based trauma prevention and intervention. We identify three key opportunities: (1) expanding school\u2010based trauma definitions to include chronic and identity\u2010based stressors such as racialized trauma and immigration\u2010related adversity; (2) leveraging comprehensive, school\u2010wide frameworks to support infrastructure development, cross\u2010sector partnerships, and sustainable implementation; and (3) elevating secondary traumatic stress as a core concern within trauma\u2010informed systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Schools can use public health\u2010oriented frameworks to align trauma\u2010informed practices with equity goals. Key actions include conducting inclusive needs assessments, providing culturally responsive professional development, fostering cross\u2010sector partnerships, and embedding policies that support educator wellness and prevent secondary traumatic stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By broadening definitions, centering equity, and supporting staff well\u2010being, schools can create trauma\u2010informed systems that are sustainable, responsive, and healing\u2010centered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70238","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:32:06Z","timestamp":1790692326000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Advancing School\u2010Based Efforts to Reduce Trauma and Violence Influences on Youth"],"prefix":"10.1111","volume":"96","author":[{"given":"Jerica","family":"Knox","sequence":"first","affiliation":[{"name":"School of Medicine, University of Maryland, National Center for School Mental Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6751-5071","authenticated-orcid":false,"given":"Tiffany","family":"Beason","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Maryland, National Center for School Mental Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara B.","family":"Johnson","sequence":"additional","affiliation":[{"name":"School of Medicine, Johns Hopkins University  Baltimore Maryland USA"},{"name":"Bloomberg School of Public Health, Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653\u2010023\u201000557\u20107"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6844e1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.6050"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.692402"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12541"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7226a2"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201020125\u20104"},{"key":"e_1_2_13_9_1","unstructured":"J.Lacoe \u201cToo Scared to Learn? 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