Development and Pilot Implementation of a Trauma-Informed Care Curriculum for Pediatric Residents

Schiff, Davida M.; Zuckerman, Barry; Hutton, Elizabeth; Genatossio, Carolyn Seval; Michelson, Catherine D.; Bair-Merritt, Megan

doi:10.1016/j.acap.2017.03.011

Cited by 20 publications

(27 citation statements)

References 7 publications

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“…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. [81][82][83][84] Existing programs have also discussed self-awareness and self-care in order to mitigate the impact of trauma that healthcare providers may have experienced themselves. [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.…”

Section: Implementation Of Trauma-informed Care In Healthcarementioning

confidence: 99%

“…[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.…”

Section: Implementation Of Trauma-informed Care In Healthcarementioning

confidence: 99%

“…80 Universal screening of trauma and resiliency, preferably embedded in routine intake procedures, has been adopted as an important component of TIC in healthcare and other settings, and assumes that most patients have experienced some childhood trauma and all patients possess some resiliency. 5,67,74,78,[80][81][82][83][89][90][91][92] The assessment of ACEs during routine screening within healthcare settings has resulted in finding more cases in need of trauma-informed interventions. Consequently, some institutions are investigating how they might better integrate behavioral and mental healthcare services with primary care.…”

Section: Implementation Of Trauma-informed Care In Healthcarementioning

confidence: 99%

See 2 more Smart Citations

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

Oral¹,

Coohey²,

Zarei³

et al. 2020

Turk J Pediatr

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There is building evidence that Adverse Childhood Experiences without early and proper intervention leads to subsequent short- and long-term behavioral, social, physical and mental health problems. Practitioners, researchers, and healthcare systems have been implementing trauma-informed care (TIC) in a variety of health and human services settings, resulting in improvements in clinical care and prevention of illness by identifying high risk populations. This has led to positive health outcomes including improved compliance, better access to mental health services and reduced health care costs. A systematic review was conducted of studies that focused on TIC implementation in healthcare settings, statewide TIC implementation, impact of adverse childhood experiences on health outcomes, impact of TIC on health outcomes, and evaluation of TIC implementation. A search was conducted in March 2019 to identify studies in PubMed, Medline, and other online literature. We limited our search to articles published in English after 2000. This article aims to review the components of TIC phases of implementation in healthcare settings, success stories across the nation to help the readers understand the importance of a paradigm shift to improve healthcare delivery and health outcomes and to prevent illness starting from childhood with a family centered care perspective.

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Section: Implementation Of Trauma-informed Care In Healthcarementioning

confidence: 99%

Section: Implementation Of Trauma-informed Care In Healthcarementioning

confidence: 99%

Section: Implementation Of Trauma-informed Care In Healthcarementioning

confidence: 99%

See 1 more Smart Citation

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

Oral¹,

Coohey²,

Zarei³

et al. 2020

Turk J Pediatr

View full text Add to dashboard Cite

show abstract

“…9,10 The concept of “trauma-informed care” (and similar terms) grew from this research, and while definitions and components of trauma-informed care vary, the general notion is that systems that serve children incorporate research and best practices about child trauma across all areas of the program, organization, or system. 11 -15 One key feature of trauma-informed care is trauma screening, with the goal being to identify children suffering from trauma as early as possible, provide support, and connect them with appropriate behavioral health services if needed. 11…”

Section: Introductionmentioning

confidence: 99%

Validating the Child Trauma Screen Among a Cross-Sectional Sample of Youth and Caregivers in Pediatric Primary Care

Lang

Connell

Macary

2021

Clin Pediatr (Phila)

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Pediatric primary care providers have an important role in addressing the health effects of trauma, yet routine screening is rare. This study evaluated whether the 10-item Child Trauma Screen (CTS) could identify youth experiencing posttraumatic stress disorder (PTSD) symptoms. Participants were 107 caregiver-youth pairs aged 7 to 17 years old, 55.8% male, and 76.4% Hispanic who were recruited at an urban pediatric primary care clinic. Youth and caregivers separately completed the CTS and the UCLA PTSD Reaction Index for DSM-5 (RI-5) prior to their medical visit. Half of youth experienced at least one type of trauma, and one sixth reported elevated PTSD symptoms. The CTS was highly correlated with the RI-5 on PTSD symptom severity, and correctly classified 85% of youth based on likely PTSD diagnosis. The brief CTS can accurately identify youth suffering from PTSD symptoms, and may be particularly feasible to implement in busy primary care practices.

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“… 13 Postcurricular survey responses demonstrated an increase in understanding of ACEs and TIC. 13 Additional examples beyond the scope of this review include a TIC training focused on communication for primary care physicians, 7 training in TIC for pediatric residents using the lens of caring for substance-exposed mother-infant dyads, 14 and a 1-hour TIC training across a pediatric health care network. 15 …”

Section: Introductionmentioning

confidence: 99%

Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care

2020

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Introduction: Training health professionals for the skills and capacity to respond adequately to children and adults who have been exposed to adverse childhood experiences is recognized as an essential need in health care. Accessible opportunities to educate physicians and physician-trainees are limited. Methods: Four computer-based e-modules were created focusing on addressing childhood adversity and implementing trauma-informed care in the pediatric primary care setting. These childhood adversity and trauma-informed care (CA-TIC) e-modules were designed as an individualized, self-directed experience to allow for distance learning with flexibility to be embedded into existing coursework. To foster an engaging learning environment, we narrated the modules, prioritized images, and included the opportunity for participant interaction via multiple-choice and short-answer questions. Twenty-eight pediatric residents, two medical students, four attending physicians, and one fellow at Children's National Hospital completed the e-modules. Results: Overall, participants rated the CA-TIC e-modules 4.6 (SD = 0.5) out of 5 for design and quality. Using paired t tests and Wilcoxon signed rank tests, we found statistically significant score increases from presession to postsession for participants' knowledge, attitudes, practice, and confidence related to CA-TIC. The most commonly cited learning points and practice changes included asking about trauma in practice and the seven C's of resilience. Discussion: A trauma-informed, strengths-based approach to care can assist health care providers in mitigating the link between adversity and related poor health outcomes. The CA-TIC e-modules provide an opportunity to train health professionals using an innovative, self-directed, and low-resource mechanism.

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Development and Pilot Implementation of a Trauma-Informed Care Curriculum for Pediatric Residents

Cited by 20 publications

References 7 publications

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

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

Validating the Child Trauma Screen Among a Cross-Sectional Sample of Youth and Caregivers in Pediatric Primary Care

Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care

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