Creating a Communitywide System of Trauma-Informed Care

Clements, Andrea D.; Haas, Becky; Cyphers, Natalie; Hoots, Valerie; Barnet, Joseph

doi:10.1353/cpr.2020.0055

Cited by 8 publications

(8 citation statements)

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“…The reviewed literature often recommended the use of multidisciplinary or intersectoral teams that integrate a health care provider who specializes in trauma into nonhealth services. This delivery approach featured most prominently in child welfare, education and justice services, but also surfaced in health and social services 31,33,45‐47,60,76,82,101,102 . A related theme was the need for rapid referral systems that provide timely access to trauma services 7,46,62,103,104 .…”

Section: Resultsmentioning

confidence: 99%

“…This delivery approach featured most prominently in child welfare, education and justice services, but also surfaced in health and social services. 31,33,[45][46][47]60,76,82,101,102 A related theme was the need for rapid referral systems that provide timely access to trauma services. 7,46,62,103,104 Across all systems, there was discussion of provider resistance to trauma screening in the absence of a clear protocol for how to respond to positive screens and when the appropriate treatment and resources were not readily available.…”

Section: Delivery Arrangementsmentioning

confidence: 99%

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Understanding the Conceptualization and Operationalization of Trauma‐Informed Care Within and Across Systems: A Critical Interpretive Synthesis

et al. 2022

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In order to achieve successful operationalization of trauma-informed care (TIC), TIC policies must include conceptual clarity regarding the definition of both trauma and TIC. Furthermore, TIC requires clear and cohesive policies that address operational factors such as clearly delineated roles of service providers, protocol for positive trauma screens, necessary financial infrastructure, and mechanisms of intersectoral collaboration.r Additionally, policy procedures need to be considered for how TIC is provided at the program and service level as well as what TIC means at the organizational, system, and intersectoral level.Context: Increased recognition of the epidemiology of trauma and its impact on individuals within and across human service delivery systems has contributed to the development of trauma-informed care (TIC). How TIC can be conceptualized and implemented, however, remains unclear. This study seeks to review

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Section: Resultsmentioning

confidence: 99%

Section: Delivery Arrangementsmentioning

confidence: 99%

Understanding the Conceptualization and Operationalization of Trauma‐Informed Care Within and Across Systems: A Critical Interpretive Synthesis

et al. 2022

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“…Physicians are in a position within hospitals, educational institutions, and medical systems to build an entire system that is trauma-informed. 19 This can be accomplished through formal teaching and training, mentoring, and through the establishment of trauma-informed institutional structures. Nursing literature has informed the field on trauma-informed care for decades.…”

Section: Building a Trauma-informed Organizationmentioning

confidence: 99%

Trauma-informed care: recognizing and resisting re-traumatization in health care

Grossman

Cooper

Buxton

et al. 2021

Trauma Surg Acute Care Open

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Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.

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“…These meetings have raised familiarity with and created systems of TIC amongst participants. Challenges to this work include the logistics of scheduling and preparing for meetings and communication within the participant group (Clements et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Community ECHO (Extension for Community Healthcare Outcomes) Project Promotes Cross-Sector Collaboration and Evidence-Based Trauma-Informed Care

Buysse

Bentley

Baer

et al. 2022

Matern Child Health J

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Introduction Adverse Childhood Experiences (ACEs) are traumatic events that occur before 18 years. ACEs, associated with increased health-risk behaviors and chronic health disorders, disproportionately impact people from marginalized communities. Evidence shows that toxic stress from ACEs and adverse social determinants of health can be prevented and treated with trauma-informed care (TIC). The purpose of this educational program was to train a maternal and child health workforce to bring evidence-based trauma-informed care to all impacted people. Methods Participants were professionals recruited from Federally Qualified Health Centers, community behavioral health organizations, educational institutions, and agencies serving low-income children and families. 100 unique participants representing 3 counties and 54 agencies joined sessions. Twelve virtual educational sessions were convened over 6 months using the Project ECHO® model via Zoom technology. Sessions consisted of didactic lectures and case-based discussions. Results After completion of the series, participants reported high satisfaction and increased knowledge and confidence in using TIC best practice skills. After participation, a significant number of participants voluntarily completed an additional online training about the specific TIC best practices that had been taught in the ECHO. Participants rated the opportunity for interprofessional collaboration and peer support for vicarious trauma as program strengths. Discussion This project demonstrated feasibility and effectiveness in delivery of a curriculum on trauma-informed care to cross-sector, multi-agency maternal and child health workforce professionals using the Project ECHO® model. Robust interprofessional collaboration and participants’ request for more sessions demonstrate the potential for this model to effect change at a local systems level.

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Creating a Communitywide System of Trauma-Informed Care

Cited by 8 publications

References 0 publications

Understanding the Conceptualization and Operationalization of Trauma‐Informed Care Within and Across Systems: A Critical Interpretive Synthesis

Understanding the Conceptualization and Operationalization of Trauma‐Informed Care Within and Across Systems: A Critical Interpretive Synthesis

Trauma-informed care: recognizing and resisting re-traumatization in health care

Community ECHO (Extension for Community Healthcare Outcomes) Project Promotes Cross-Sector Collaboration and Evidence-Based Trauma-Informed Care

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