An Overview of Trauma-Informed Care

Sciolla, Andrés F

doi:10.1007/978-3-319-54509-7_14

Cited by 3 publications

(3 citation statements)

References 133 publications

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“…28 As far as we know, there is no evidence on the efficacy of a collaborative model on the complex, difficult-to-treat depression subtype, which includes the recognition by primary care teams of clinical and functional variables associated with exposure to adversity and trauma. 13,29,30 This project seeks to test a clinical approach that includes a comprehensive, multidisciplinary clinical evaluation, and promotes the synergy of the entire health team, so that patients with difficult-to-treat depression, with neurobiological and psychological vulnerabilities associated with a history of biographical adversity, receive consistent treatment over time. It also entails close collaboration between the primary and secondary health system levels, which may reduce emotional distress in the treating professionals themselves.…”

Section: Discussionmentioning

confidence: 99%

Effect of a collaborative multidimensional approach versus usual care on the resolution of adult depression in primary care in Chile: study protocol for a single blinded cluster randomized controlled trial

et al. 2022

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Background: Major depression (MD) is a prevalent and disabling condition in Chile. Most MD cases are treated at the primary care level. In Chilean primary care, the authors have gathered evidence of a prevalent complex depression subtype associated with a worse prognosis and characterized by interpersonal difficulties, suicidality and trauma history. This MD presentation suggests the need for a multidimensional, trauma-informed and interprofessional approach. The present study protocol describes the context, hypotheses and methods for a cluster randomized control trial (RCT) comparing a collaborative multidimensional approach and usual care in treatment outcomes of MD in primary care in Chile. Methods: This is a two-arm, single-blinded, cluster RCT to compare the efficacy of a collaborative multidimensional approach for depression (CMAD) versus usual care to treat MD in primary care clinics in Chile. In total, 394 depressed adults from 18 to 65 years of age in twelve clinics located in Chile’s Maule Region will be consented to participate in the study. Patients and care teams from each clinic will be randomized to the intervention or to the control arm. Interprofessional teams in the intervention arm will attend 27 hours of didactic and active learning sessions focused on clinical competences to effectively engage, treat and follow up patients with complex presentation of MD. Team in the control arm will receive 27 didactic sessions on current clinical guidelines for MD, professionals in both arms will receive 27 hours of continued education. Discussion: To improve treatment outcomes of MD in Chile, primary care teams should develop clinical competencies relevant to complex, difficult-to-treat types of MD within collaborative and trauma-informed approaches.

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Section: Discussionmentioning

confidence: 99%

Effect of a collaborative multidimensional approach versus usual care on the resolution of adult depression in primary care in Chile: study protocol for a single blinded cluster randomized controlled trial

et al. 2022

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“…A Trauma‐Informed Care (TIC) approach is useful when working with Latinx LGBTQ+ communities. TIC acknowledges that traumatic experiences can stem from systemic oppression, discrimination, and personal life events (Sciolla, 2017). Our emphasis on TIC should not be misconstrued as communicating that there is a single story of Latinx LGBTQ+ experience, or that the experience of trauma is all‐encompassing and all‐defining.…”

Section: Cultural Contextmentioning

confidence: 99%

Queered approach for Latinx LGBTQ+ culturally responsive evaluation practice

García,

Perez‐Bill,

Felt

et al. 2024

New Drctns Evaluation

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Evaluation with Latinx LGBTQ+ communities calls for a culturally responsive and equity‐based approach that appreciates the rich diversity of experiences within the grouping “Latinx LGBTQ+.” Recent advancements in Latino Critical Race Theory (LatCrit) in Evaluation and LGBTQ+ Evaluation, as well as rich historical genealogies of feminisms of color within Queer Theory offer valuable insights for evaluators working with Latinx LGBTQ+ communities. This article encourages embracing a “queered” approach to LatCrit, which meaningfully delves into the complexities of these experiences and attunes itself to the experiences and nuances of trauma. A Queered LatCrit emphasizes the importance of creating a safe and empowering context that acknowledges historical trauma and oppression, while simultaneously refusing deficit‐based frames and engaging the strengths and assets of in‐betweenness. Touching on historical, cultural, and methodological considerations, we argue for evaluations that recognize the unique challenges faced by Latinx LGBTQ+ communities while calling for evaluation practices rooted in culturally responsive, empowerment, and transformative traditions.

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“…Outside of the U.S., some countries incarcerate or execute persons who express gender or sexual diversity. Taken together, LGBTQ+ clients are likely to endure a range of traumagenic experiences that have potential health and mental health impacts, highlighting the need for TIC (Sciolla, 2017).…”

Section: Understanding and Defining Traumamentioning

confidence: 99%

Trauma-informed and affirmative mental health practices with LGBTQ+ clients.

Levenson¹,

Craig²,

Austin³

2023

Psychological Services

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People with diverse sexual orientations, gender identities, and gender expression are at greater risk for trauma, discrimination, and victimization than heterosexual and cisgender populations. Trauma-informed care (TIC) provides a framework for providing lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) mental health services. Substance Abuse and Mental Health Services Administration (SAMH-SA)'s principles of TIC guide practitioners to create safety, trust, transparency, collaboration, and empowerment in helping relationships, and to ensure that services have cultural and gender relevance. This article first explores the role of trauma in contributing to behavioral health concerns presented by LGBTQ+ clients. The application of TIC to mental health counseling and social services for LGBTQ+ clients will then be described, with specific suggestions for translating TIC principles into affirmative practice. Through the lens of trauma, clinicians can improve clinical case conceptualization and effective treatment strategies for LGBTQ+ clients.

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An Overview of Trauma-Informed Care

Cited by 3 publications

References 133 publications

Effect of a collaborative multidimensional approach versus usual care on the resolution of adult depression in primary care in Chile: study protocol for a single blinded cluster randomized controlled trial

Effect of a collaborative multidimensional approach versus usual care on the resolution of adult depression in primary care in Chile: study protocol for a single blinded cluster randomized controlled trial

Queered approach for Latinx LGBTQ+ culturally responsive evaluation practice

Trauma-informed and affirmative mental health practices with LGBTQ+ clients.

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