Managing the Psychological Impact of Medical Trauma

Hall, Michelle Flaum; Hall, Scott E.

doi:10.1891/9780826128942

Cited by 16 publications

(17 citation statements)

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“…We generated the initial codes and then reviewed and revised them. We drew on the healthcare-induced trauma literature and, in particular, the conceptual framework adapted from Hall and Hall ( 2013 ). The codes were then reviewed and patterns in the codes were identified as themes and those themes were reviewed and defined (Braun & Clarke, 2006 ).…”

Section: Methodsmentioning

confidence: 99%

“…Healthcare-induced trauma, also referred to as medical trauma, is defined as trauma that occurs as a result of a medical event that either subjectively or objectively results in pain, injury, or fear of death; can have ongoing implications for daily functioning and adherence to healthcare; and can impact recovery from the health crisis. Hall and Hall ( 2013 ) identified three overarching characteristics of the medical setting which contribute to the development of trauma: healthcare, the environment, and the patient’s mental health and the resources available to them. They posit that it is the combination of these three factors that determine how the experience impacts the patient and suggest interventions in each area that could mitigate the effects of the experience.…”

Section: Introductionmentioning

confidence: 99%

“…They posit that it is the combination of these three factors that determine how the experience impacts the patient and suggest interventions in each area that could mitigate the effects of the experience. Previous research on healthcare-induced trauma has focused on people’s reactions to specific medical events or conditions like myocardial infarction, HIV diagnosis, obstetrical complications, and intensive care scenarios (Hall & Hall, 2013 ; Jackson et al, 2007 ; Lerwick, 2016 ; Tedstone & Tarrier, 2003 ). While healthcare-induced trauma generally happens during hospitalizations, we propose that it can also occur in outpatient clinic settings when patients experience extreme stress related to health problems and healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…In this analysis, we build on the Hall and Hall ( 2013 ) framework (see Fig. 1 ) and highlight the ways in which this trauma is produced not just by events or diagnosis, but by the particular institutional context of correctional healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

“…

Fig. 1 Hall and Hall ( 2013 ) Conceptual Framework Adapted for Use in Populations Released from Correctional Facilities …”

Section: Introductionmentioning

confidence: 99%

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Healthcare-induced trauma in correctional facilities: a qualitative exploration

Elumn¹,

Keating

Smoyer

et al. 2021

Health Justice

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Background While incarcerated people are known to experience trauma at higher rates than the general population, little is known about how the correctional health system contributes to trauma rates. Methods We conducted 20 semi-structured qualitative interviews with men who were recently released from a correctional system to understand their experiences with healthcare systems and medical staff during incarceration. Using reflexive thematic analysis within a critical realist framework, we coded and analyzed the data iteratively to refine and unify emerging themes. Results The unanticipated concept of healthcare-induced trauma emerged and was revealed in three overall themes: (1) healthcare leading to fear of serious illness or death, (2) healthcare leading to fear of people, including healthcare providers, correctional staff, and other incarcerated people, and (3) the correctional institutional, social, and physical environment leads to fear of place. Conclusions Healthcare in correctional settings has the potential to induce trauma, even when the medical conditions addressed are not life-threatening. Future research should examine the factors contributing to the development of healthcare-induced trauma in correctional settings and develop interventions to prevent and address this phenomenon.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…

Fig. 1 Hall and Hall ( 2013 ) Conceptual Framework Adapted for Use in Populations Released from Correctional Facilities …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Healthcare-induced trauma in correctional facilities: a qualitative exploration

Elumn¹,

Keating

Smoyer

et al. 2021

Health Justice

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The needs of clients coming to counselling following second harm: A Q methodology study

Kenward

Whiffin

Townend

2021

Couns and Psychother Res

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Second harm is the added psychological distress from an inadequate response by healthcare providers in response to medical errors or neglect. This inadequate response may require patients to seek counselling. The counselling needs of patients who have experienced second harm have received limited research attention. This Q methodology study addresses this gap in knowledge in order to further inform counselling practice. Methods Participants sorted 42 pre‐determined statements online followed by interviews to establish the rationale for the sorting pattern choices. Data from the online sort were analysed using factor analysis to establish the viewpoints expressed. The interview data added to the interpretation of the viewpoints. Findings Through a factor analysis, two ‘viewpoints’ and 11 counselling needs were identified. Nine of these needs were generic to the counselling relationship and two specific to second harm. This study concluded that people seeking counselling following second harm have needs beyond those expected from a general counselling relationship. These included not being blamed for what happened and a need for the counsellor to be able to demonstrate that they are able to understand the impact of harm. Implications for practice The needs identified in this study as being generic can give counsellors confidence in working with clients that have experienced second harm, knowing that many of the needs identified are not unique. Counsellors can also be confident that those needs that are unique can be understood through extending their knowledge of the topic and listening to those that have been harmed.

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It takes more than rainbows: Supporting sexual and gender minority patients with trauma‐informed cancer care

Sinko,

Ghazal,

Fauer

et al. 2023

Cancer

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Background/PurposeThe American Society of Clinical Oncology has called for an increased priority to improve cancer care for sexual and gender minority (SGM) populations because of heightened risk of receiving disparate treatment and having suboptimal experiences, including perceived discrimination. We demonstrate how integrating trauma‐informed care (TIC) principles across the cancer continuum is a key strategy to improving care delivery and outcomes among SGM populations.MethodThis empirically informed perspective expands on the concepts generated through the American Society of Clinical Oncology position statement and uses the Substance Abuse and Mental Health Services Association’s “Four Rs” Toward Trauma Informed Care: Realize, Recognize, Response, and Resist Traumatization.ResultsRecommendations for each component of TIC include: (1) Realize: Implement SGM cultural humility training, including modules on SGM‐specific trauma, discrimination, harassment, and violence; (2) Recognize: Routinely screen for emotional distress using methods to ensure privacy, and/or normalize mental health screenings to cancer patients; (3) Respond: Create and widely disseminate policies and patients’ rights that prohibit discrimination and ensure access to gender‐neutral clinical environments; and (4) Resist Traumatization: Establish and respond to quality metrics (e.g., standardized patients, patient satisfaction surveys) that are informed by a community advisory board with the purpose of ensuring and maintaining quality care.Conclusions and ImplicationsIntegrating TIC principles into cancer care for SGM populations is crucial to address disparities in treatment and clinical outcomes. Our recommendations offer practical approaches for oncology teams to implement TIC care and ensure equitable and inclusive cancer care for patients and their families.

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Managing the Psychological Impact of Medical Trauma

Cited by 16 publications

References 0 publications

Healthcare-induced trauma in correctional facilities: a qualitative exploration

Healthcare-induced trauma in correctional facilities: a qualitative exploration

The needs of clients coming to counselling following second harm: A Q methodology study

It takes more than rainbows: Supporting sexual and gender minority patients with trauma‐informed cancer care

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