Implementing Trauma Informed Care in Human Services: An Ecological Scoping Review

Abstract

Trauma and toxic stress are growing public health concerns with increasing risks to morbidity and mortality. Trauma informed care is an organizational response that challenges providers to adapt principled based approaches that seek to reduce adverse effects of care and support healing. However, there is a scarcity of empirical evidence on how trauma informed care is implemented in systems. A preferred reporting items for systematic reviews and meta-analysis-compliant scoping review based on Arksey, and O’Malley’s five steps model was conducted. Four databases, PubMed, Scopus, Embase and PsychINFO were searched for English articles published since 2000. Studies were included if they reported on trauma informed care delivered by services that support adults and there was some reference to implementation or organizational implications. Of 1099 articles retrieved, 22 met the inclusion criteria. Findings suggest that trauma informed care is being implemented in a range of human services, including at the city/state level. While implementation research is still at an early stage in this field, the findings elucidate several challenges when implementing this approach across systems of care. An ecological lens is used to present findings at the macro, mezzo, and micro level, and these are further discussed with reference to practice, policy, and research.

Relationships Between Childhood Bullying/Domestic Violence Experience and Insomnia among Employees in Japan

“…TIC is a framework for acquiring trauma knowledge and responses and supporting appropriate responses for traumatized individuals. TIC is offered in the community as well as in medical institutions ( Mahon, 2022 ) and can be applied in occupational health settings ( Rosemberg et al, 2017 ), as cognitive behavioral therapy that includes TIC has been reported to improve insomnia in PTSD ( Carlson et al, 2022 ), TIC could be practiced in occupational health settings to improve insomnia in workers with ACEs.…”

Semantic Uses of Emotional Intelligence in K-12 Teacher Roles: Discussing Concepts Across Social Cognitive Context

“…It is, at its foundation, tied to language modeling insofar as individuals communicate their place within a larger community and vice versa. For example, EST has been used to discuss trauma-informed practices in educational contexts [27][28][29][30] and, by extension, its relevance for analyzing public health issues [25]. It has been used to analyze how individual students in certain group affiliations interact with schools [31,32].…”

“…Systematic programs are needed to assist teachers in their emotional labor. More research is needed to design and test trauma-informed support programs that may be implemented school-wide [30,71].…”

Attitudes Related to Trauma-Informed Care by Healthcare Workers Handling Rape Victims at Orogbum Government Health Center Port Harcourt and Model Primary Health Care Center, Eliozu Port Harcourt, Nigeria.

“…There is a growing awareness that many persons who use human services may have previously experienced trauma and that to respond to such incidents, service delivery approaches may need to change (Mahon, 2022). Trauma-informed (TI) approach consists of various organizational cultures and practices that evaluate the occurrences and in uence of trauma on patients and the strategies employed by those healthcare services and professionals to avert further victimization (Emsley et al, 2022).…”