Two-generational trauma-informed assessment improves documentation and service referral frequency in a child protection program

Nationwide efforts for trauma-informed care implementation and workforce development in healthcare and related fields: a systematic review

“…Many healthcare organizations view TIC as a priority, and numerous studies have reported on the screening of patients for ACEs over the last decade although progress continues to be slow considering the vast healthcare network. [60][61][62][63][64] Healthcare organizations' commitment to TIC varies substantially and is influenced by different factors at the organizational and individual level. 65,66 Organizations and communities that have most successfully implemented TIC have reviewed and amended TIC procedures and policies, provided training to all staff and aligning staff hires with TIC training, followed recommended guidelines, and adopted refinements in TIC, such as service user involvement and ongoing staff training using system-level approaches.…”

“…Pediatricians and other childcare providers are integral to the process of implementing TIC, especially if they work in a trauma-informed system and are properly trained. 61,63,[73][74][75] Within these systems, they ideally have the support and knowledge to recognize, assess and refer traumatized children and their families from inpatient, outpatient, or rehabilitation settings to much needed services within and outside the healthcare system. 61,74,76,77 Most trauma-informed organizations begin by establishing a stakeholder group to look at the available policies, procedures, and practices to determine how they might better align with a TIC paradigm.…”

“…61,63,[73][74][75] Within these systems, they ideally have the support and knowledge to recognize, assess and refer traumatized children and their families from inpatient, outpatient, or rehabilitation settings to much needed services within and outside the healthcare system. 61,74,76,77 Most trauma-informed organizations begin by establishing a stakeholder group to look at the available policies, procedures, and practices to determine how they might better align with a TIC paradigm. 53,61,65 In some institutions, organizational leadership has implemented institution-wide training and education for their staff and administrators to ensure TIC principles are practiced across the organization.…”

“…61,74,76,77 Most trauma-informed organizations begin by establishing a stakeholder group to look at the available policies, procedures, and practices to determine how they might better align with a TIC paradigm. 53,61,65 In some institutions, organizational leadership has implemented institution-wide training and education for their staff and administrators to ensure TIC principles are practiced across the organization. 66,67,69,[72][73][74][78][79][80] Various curricula have been developed and piloted for healthcare professionals in different settings, which were designed to ultimately result in more effective patient-centered communication and intervention around ACEs.…”

“…[85][86][87][88] In other institutions, front-line providers have created 'grass-roots' training to increase TIC awareness among fellow workers and administrators in their departments, which subsequently led to an institutional paradigm shift. 50,61,67,81,83,89,90 When the leadership at all levels of an institution identify TIC as a priority, administrators may also change their hiring practices, staff training policies, and their work environments. 67 Consequently, each organization can create collaborative, safe, and patient-centered environments while proactively preventing secondary traumatic stress.…”