Trauma Informed Care in Medicine

Raja, Sheela; Hasnain, Memoona; Hoersch, Michelle; Gove-Yin, Stephanie; Rajagopalan, Chelsea F.

doi:10.1097/fch.0000000000000071

Cited by 302 publications

(224 citation statements)

References 43 publications

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“…While this is a large number that includes a diverse range of practices and policies, we were able to identify 10 broad domains of TIC (e.g., promoting a safe agency environment, workforce development/support) that encompass all of the recommendations. Furthermore, these domains are largely consistent with those found in definitions of TIC for other service systems (Hopper et al, 2010; Raja et al, 2015). This suggests a reasonable level of conceptual coherence around the core domains of a trauma-informed juvenile justice system.…”

Section: Discussionsupporting

confidence: 80%

“…Since then, several researchers and stakeholder groups have attempted to define a TIC approach. These definitions include broad principles or domains of TIC (e.g., staff education/competence around trauma, physically and psychologically safe environment of care, client-centered service planning) and/or recommendations for specific trauma-informed practices or policies (e.g., eliminating or restricting harsh or coercive practices, mandatory trauma training for all staff, universal screening of clients for trauma exposure and related impairment) (Hopper, Bassuk, & Olivet, 2010; Raja, Hasnain, Hoersch, Gove-Yin, & Rajagopalan, 2015; Wall, Higgins, & Hunter, 2016). Although there is general agreement in the literature that TIC refers to the integration of trauma awareness and understanding throughout an organization or service system, there is currently no consensus-based definition on the particular practices or policies that comprise this approach for any service system (Hopper et al, 2010).…”

Section: Trauma-informed Carementioning

confidence: 99%

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Trauma-informed juvenile justice systems: A systematic review of definitions and core components.

Branson

Baetz

Horwitz

et al. 2017

Psychological Trauma: Theory, Research, Practice, and Policy

166

128

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Objective The US Department of Justice has called for the creation of trauma-informed juvenile justice systems in order to combat the negative impact of trauma on youth offenders and front-line staff. Definitions of trauma-informed care have been proposed for various service systems yet there is not currently a widely accepted definition for juvenile justice. The current systematic review examined published definitions of a trauma-informed juvenile justice system in an effort to identify the most commonly named core elements and specific interventions or policies. Method A systematic literature search was conducted in 10 databases to identify publications that defined trauma-informed care or recommended specific practices or policies for the juvenile justice system. Results We reviewed 950 unique records, of which 10 met criteria for inclusion. The 10 publications included 71 different recommended interventions or policies that reflected 10 core domains of trauma-informed practice. We found eight specific practice or policy recommendations with relative consensus, including staff training on trauma and trauma-specific treatment, while most recommendations were included in two or less definitions. Conclusion The extant literature offers relative consensus around the core domains of a trauma-informed juvenile justice system but much less agreement on the specific practices and policies. A logical next step is a review of the empirical research to determine which practices or policies produce positive impacts on outcomes for youth, staff, and the broader agency environment, which will help refine the core definitional elements that comprise a unified theory of trauma-informed practice for juvenile justice.

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Section: Discussionsupporting

confidence: 80%

Section: Trauma-informed Carementioning

confidence: 99%

Trauma-informed juvenile justice systems: A systematic review of definitions and core components.

Branson

Baetz

Horwitz

et al. 2017

Psychological Trauma: Theory, Research, Practice, and Policy

166

128

View full text Add to dashboard Cite

show abstract

“…TIC is an approach to engaging people with histories of trauma that recognizes the presence of trauma symptoms and acknowledges the role that trauma has played in their lives [109••]. In recent years, the term of TIC has been widely used, particularly in behavioral health service [110].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, the term of TIC has been widely used, particularly in behavioral health service [110]. Future research is needed to implement TIC in clinical trial and daily health care practice [109••]. For example, it is important to critically examine if a more empathic and sensitive communication between patients and health care providers can encourage trauma survivors more likely to follow up on medical appointments and engage in preventive care and potential cost savings for these patients.…”

Section: Discussionmentioning

confidence: 99%

The Role of Adverse Childhood Experiences in Cardiovascular Disease Risk: a Review with Emphasis on Plausible Mechanisms

et al. 2015

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Childhood adversity, characterized by abuse, neglect, and household dysfunction, is a problem that exerts a significant impact on individuals, families, and society. Growing evidence suggests that adverse childhood experiences (ACEs) are associated with health decline in adulthood, including cardiovascular disease (CVD). In the current review, we first provide an overview of the association between ACEs and CVD risk, with updates on the latest epidemiological evidence. Second, we briefly review plausible pathways by which ACEs could influence CVD risk, including traditional risk factors and novel mechanisms. Finally, we highlight the potential implications of ACEs in clinical and public health. Information gleaned from this review should help physicians and researchers in better understanding potential long-term consequences of ACEs and considering adapting current strategies in treatment or intervention for patients with ACEs.

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“…However, there is a growing body of literature on “trauma-informed care” (TIC) and the use of a “trauma-informed approach” to caring for survivors, with evidence suggesting improvements in post-traumatic symptoms and behavior problems among child survivors, patient-provider relationships [108], and broader improvements in collaboration across sectors [109, 110]. TIC is a commitment from the health care organization and all staff at all levels to reduce the risk of re-traumatizing the child when providing treatment and follow-up services [111, 112]. In this model, staff members are expected to understand the potential impact of trauma on individuals, families, and communities and be able to recognize the signs of trauma and responding appropriately.…”

Section: Discussionmentioning

confidence: 99%

Violence against children in Latin America and Caribbean countries: a comprehensive review of national health sector efforts in prevention and response

et al. 2016

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BackgroundViolence against children (VAC) remains a global problem. The health sector has an opportunity and responsibility to be part of the multi-sector collaboration to prevent and respond to VAC. This review aimed to assess the health sector’s response to VAC among Latin American & Caribbean (LAC) countries, particularly as it relates to physical violence, sexual violence, and neglect.MethodNational protocols for the identification and provision of health care to child survivors of violence, abuse and neglect were solicited in partnership with UNICEF and PAHO/WHO country offices within the LAC region. A parallel systematic review was undertaken in January 2015 to review studies published in the last 10 years that describe the regional health sector response to VAC.ResultsWe obtained health sectors guidelines/protocols related to VAC from 22 of 43 (51 %) countries and reviewed 97 published articles/reports that met the review inclusion criteria. Country protocols were presented in Spanish (n = 12), Portuguese (n = 1), and English (n = 9). Thematic areas of country protocols included: 1) identifying signs and symptoms of VAC, 2) providing patient-centered care to the victim, and 3) immediate treatment of injuries related to VAC. The systematic review revealed that health professionals are often unaware of national protocols and lack training, resources, and support to respond to cases of VAC. Further, there is limited coordination between health and social protection services.ConclusionsVAC remains an international, public health priority. Health professionals are well-positioned to identify, treat and refer cases of VAC to appropriate institutions and community-based partners. However, poor protocol dissemination and training, limited infrastructure, and inadequate human resources challenge adherence to VAC guidelines.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3562-3) contains supplementary material, which is available to authorized users.

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Trauma Informed Care in Medicine

Cited by 302 publications

References 43 publications

Trauma-informed juvenile justice systems: A systematic review of definitions and core components.

Trauma-informed juvenile justice systems: A systematic review of definitions and core components.

The Role of Adverse Childhood Experiences in Cardiovascular Disease Risk: a Review with Emphasis on Plausible Mechanisms

Violence against children in Latin America and Caribbean countries: a comprehensive review of national health sector efforts in prevention and response

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