Trauma Informed Ethics Consultation

Lanphier, Elizabeth; Anani, Uchenna E.

doi:10.1080/15265161.2021.1887963

Cited by 21 publications

(4 citation statements)

References 52 publications

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“…(2013) steps for addressing ethical challenges in pediatric integrated primary care, and the Markkula Center for Applied Ethics Framework for Ethical Decision‐Making (https://www.scu.edu/ethics/ethics-resources/a-framework-for-ethical-decision-making/). Lanphier and Anani (2022) have advocated for “trauma informed ethical consultation,” applying principles of trauma informed care to ethically challenging medical situations. Trauma informed approaches shift from blaming to understanding individuals’ behaviors derived within the context of traumatic experiences.…”

Section: Moving Forwardmentioning

confidence: 99%

Current approaches and future directions for addressing ethics in infant and early childhood mental health

Zeanah

Steier²,

Lim

et al. 2023

Infant Mental Health Journal

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In this paper, we consider whether the field of infant and early childhood mental health (IECMH) needs its own code of ethics. We begin by describing unique features of infant and early childhood mental health (IECMH) and the diverse strategies that the field has developed to address complex clinical dilemmas, among them workforce development, clinical supports, policy statements, and statements of ethical values. Because of the field's interdisciplinary nature, we also consider how various contributing professions and organizations address ethical issues. While these are important resources that can inform ethical decision‐making, we identify some of the limitations of the current approaches. We argue that it is time for the field of IECMH to take an intentional, systematic approach to directly address the complex and unique ethical dilemmas faced by infant and early childhood mental health practitioners, and we grapple with some of the challenges developing such a code might entail. We suggest several avenues for better understanding the scope of ethical issues and ethical decision‐making processes in IECMH that could be used to support developing an ethics code that is responsive to the unique and challenging world of infant and early childhood mental health.

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Section: Moving Forwardmentioning

confidence: 99%

Current approaches and future directions for addressing ethics in infant and early childhood mental health

Zeanah

Steier²,

Lim

et al. 2023

Infant Mental Health Journal

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“…Further, being trustworthy is a core component of trauma-informed principles, which are designed to support the strengths of individuals while acknowledging the diversity of their life experiences and the multifaceted impact of adversity [ 22 – 25 ]. Implementation of trauma-informed principles, which includes providing information to a wide-range of stakeholders (e.g., parents, providers, teachers, community leaders, and agency staff) about the impact of trauma and embracing trauma-aware practices to improve well-being and service delivery, is increasingly common in both public agencies (e.g., behavioral health, juvenile justice, child welfare, public schools) and communities facing acute traumas and/or chronic, cumulative adversities such as poverty, mass incarceration and minority stress [ 26 – 29 ].…”

Section: Introductionmentioning

confidence: 99%

Building trust: Leadership reflections on community empowerment and engagement in a large urban initiative

et al. 2023

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Background Trust is essential for healthy, reciprocal relationships; creating safe environments; engaging in transparent interactions; successfully negotiating power differentials; supporting equity and putting trauma informed approaches into practice. Less is known, however, about the ways that trust-building may be at the forefront of consideration during community capacity building efforts, what trust-building elements are perceived as essential for optimally engaging communities, and what practices might support these efforts. Methods The present study examines an evolving understanding of trust-building over the course of 3 years, from qualitative data derived during interviews with nine agency leads from a large and diverse urban community, who are spearheading community-based partnerships to create more trauma-informed communities and foster resiliency. Results Data reflected fourteen trust-building elements, captured by three themes: 1) Building relationships and engagement (e.g., behavioral practices such as meeting people “where they are at” and creating safe spaces), 2) Embodying core values of trustworthiness (e.g., traits such as being transparent and embodying benevolence), and 3) Sharing decision-making, championing autonomy, and addressing barriers to trust (e.g., collaborative practices such as creating a shared vision and goals and addressing systemic inequities). These trust-building elements are presented in the Community Circle of Trust-Building, which provides an accessible, visual format that can facilitate capacity building efforts within organizations and with the broader community; guide the selection of training opportunities that support healthy interpersonal relationships; and aid in the identification of relevant, supporting frameworks (e.g., health equity, trauma-informed practices, inclusive leadership models). Conclusions Community engagement and trust are essential for overall health and well-being, increasing equitable access to resources, and supporting an effective and connected citizenry. These data shed light on opportunities for trust-building and thoughtful engagement among agencies working directly with community members in large urban areas.

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“…scientists, legislators, impacted populations, patients and clinicians) and acknowledges the impacts of trauma on all aspects of research, law, health and healthcare. This approach systematically considers culture, history, power dynamics and marginalization, among other factors, that contribute to psychosocial effects of trauma on an individual ( ) and has been applied to clinical ethics consultations ( Lanphier and Anani, 2022 ). Trauma-informed policymaking : an evidence-based approach that applies trauma-informed principles to institutional policymaking, which can be applied to research institutions, hospitals, and other private and public organizations ( Bruce and Herbst, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maximizing biomedical research impacts through bioethical considerations

Tornini

Politi

Bruce

et al. 2023

Disease Models &Amp; Mechanisms

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Bioethics is the formal study of ethical judgments concerning the advances and applications of biology, medicine and related technologies. In a time of unprecedented biomedical advances, it is critical to integrate bioethical frameworks more fully into biomedical research to align these scientific advances with their intended societal needs. In this Perspective, we describe some motivations and frameworks for cross-disciplinary bioethical training for biomedical researchers, and discuss how actively considering bioethics in research and study design could maximize biomedical researchers' intended impacts in society.

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Trauma Informed Ethics Consultation

Cited by 21 publications

References 52 publications

Current approaches and future directions for addressing ethics in infant and early childhood mental health

Current approaches and future directions for addressing ethics in infant and early childhood mental health

Building trust: Leadership reflections on community empowerment and engagement in a large urban initiative

Maximizing biomedical research impacts through bioethical considerations

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