註釋 This study expanded on the work of Holaday and Yarbrough (1996) and explored the current availability and utilization of psychosocial and emotional support services for burn trauma patients and their families. Survey research enabled the researcher to explore available services and a variety of treatment modalities used at burn centers. A self-administered questionnaire was sent to directors at all 152 burn care facilities in the United States and Canada, as identified through the American Burn Association's Directory of Burn Care Resources in North America and Canada, 1997. This exploratory study sought information on burn treatment for adults, adolescents and children. It specifically focused on available counseling and support groups; innovative treatment approaches, including child centered therapies, hypnosis and relaxation techniques; post-hospitalization and re-entry support services; patient and family information and resources; availability of psychosocial services for cross-cultural populations; and primary staff provision of services. Information was gathered on frequency and utilization of patient assessment for post traumatic stress responses, depression and body image. Information was also gathered on psychosocial services for staff care and support. Overall findings indicated 67% of responding burn centers reported offering psychosocial services listed in this study, however significantly lower rates of utilization were documented. Findings suggested a deficit in the provision of psychological trauma assessment given frequency rates of traumatic stress symptomology documented in the professional literature. Adult and child body image assessment revealed the lowest provision rates. Nurses were reported overall as the primary provider for trauma assessment and psychosocial services. However, one-third of responding facilities indicated that staff did not receive education or training in the area of post-traumatic stress responses or issues related to staff stress or burnout. Implications for further treatment, assessment, ethnic and cultural considerations, and staff care, support and education are further discussed in the findings. 