Provides information about how traumatic events often generate secondary adversities such as family separations, financial hardship, relocations to a new residence and school, social stigma, ongoing treatment for injuries, physical rehabilitation, and legal proceedings. These changes can tax the coping resources of the child, family, and broader community and can create challenges to adjustment and recovery. Children’s exposure to trauma reminders and loss reminders can serve as additional sources of distress. Secondary adversities, trauma reminders, and loss reminders may produce significant fluctuations in trauma survivors’ posttrauma emotional and behavioral functioning.