Trauma-informed care (TIC) is a widely adopted organizational approach to health and human services. The current study occurred within a residential addiction treatment agency and has two aims: To operationalize the processes, an agency can take to become trauma informed and assesses the impact of a multiyear TIC implementation project on organizational climate, procedures, staff and resident satisfaction, and client retention in treatment. Pearson w 2 tests were computed to assess variation in client satisfaction and discharge status, while climate, procedures, and staff satisfaction were assessed by effect size differences. Following TIC implementation, there were positive changes in each of the five outcomes assessed. Workplace satisfaction, climate, and procedures improved by moderate to large effect sizes, while client satisfaction and the number of planned discharges improved significantly. The current study provides support for implementing TIC. Future research may continue to examine the influence of TIC implementation.
The current study expands research on trauma-informed care by exploring the theoretical model proposed by Harris and Fallot (2001). In previous research the dimensions of trauma-informed care were found to have large correlations (Kusmaul, Wilson & Nochajski, 2015), suggesting the dimensions may share an underlying dimension. This assumption was tested in the current study through administering the trauma-informed climate scale to six human service agencies (N=641) and assessing the instrument's dimensionality using structural equation modeling. The results indicate that Harris and Fallot's dimensions are unique but strongly related, sharing an underlying dimension. Implications for theory and practice are discussed.
The results of a secondary data analysis of 3,999 administrative cases from a national abortion fund, representing patients who received pledges for financial assistance to pay for an abortion from 2010 to 2015, are presented. Case data from the fund's national call center was analyzed to assess the impact of the fund and examine sample demographics which were compared to the demographics of national abortion patients. Procedure costs, patient resources, funding pledges, additional aid, and changes over time in financial pledges for second-trimester procedures were also examined. Results indicate that the fund sample differed from national abortion patients in that fund patients were primarily single, African American, and seeking funding for second trimester abortions. Patients were also seeking to fund expensive procedures, costing an average of over $2,000; patients were receiving over $1,000 per case in pledges and other aid; and funding pledges for second trimester procedures were increasing over time. Abortion funding assistance is essential for women who are not able to afford abortion costs, and it is particularly beneficial for patients of color and those who are younger and single. Repeal of policy banning public funding of abortion would help to eliminate financial barriers that impede abortion access.
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