Effectiveness of Trauma-Informed Care Implementation in Health Care Settings: Systematic Review of Reviews and Realist Synthesis

The Permanente Journal, Год журнала: 2024, Номер 28(1), С. 135 - 150

Опубликована: Март 6, 2024

Given the ubiquity of traumatic exposures and profound impact trauma on health, a trauma-informed care (TIC) approach in health is critical. TIC seeks to promote safety within prevent retraumatization. The lack systems-level data has been major barrier implementation. This study aimed understand mechanisms outcomes effective implementing across systems using systematic review reviews realist synthesis.

Язык: Английский

---

Facilitators and Barriers to Pediatric Nurse Practitioner Practice in the United States: A Systematic Review

Journal of Pediatric Health Care, Год журнала: 2024, Номер 38(4), С. 520 - 543

Опубликована: Янв. 29, 2024

Язык: Английский

---

Evaluating trauma awareness in health care: Insights from the AAST and Trauma Prevention Coalition Survey

Journal of Trauma and Acute Care Surgery, Год журнала: 2025, Номер unknown

Опубликована: Фев. 13, 2025

BACKGROUND Trauma-informed care (TIC) is a framework designed to understand and address the impacts of trauma, ensuring physical, psychological, emotional safety for all involved. It seeks prevent retraumatization promote sense control empowerment across diverse populations. METHOD This Trauma Prevention Coalition survey study assessed TIC implementation among members from 13 16 participating organizations, focusing on prevalence, awareness, training gaps. RESULTS Out 948 participants, 91% (n = 861) were affiliated with trauma centers. In adult centers: 19.3% Level I, 9.4% II, 5.4% III, 3.1% IV, 1.2% V. addition, nonadult centers, 2.5% worked in centers serving both pediatric patients. 18.6% 13.0% 1% 67.0% nonpediatric principles integrated into core values 35.5% while 64.5% had not adopted them. Only 17.0% plans, 57.7% lacking or unaware such plans. Bivariate regression analysis indicated that integration decreased nontrauma compared I but increased III. I. Pediatric showed higher rate (71.6%) (39.4%, p < 0.01). CONCLUSION adoption varies significantly center levels, prevalence The underscores need comprehensive within systems. LEVEL OF EVIDENCE Therapeutic/care management;

Язык: Английский

---

Trauma-informed care as a rights-based “standard of care”: A critical review

Child Abuse & Neglect, Год журнала: 2020, Номер 119, С. 104762 - 104762

Опубликована: Окт. 10, 2020

Язык: Английский

---

Advancing equity in challenging times: A qualitative study of telehealth expansion and changing patient–provider relationships in primary care settings during the COVID-19 pandemic

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

The patient-provider relationship is critical for achieving high-quality care and better health outcomes. During the COVID-19 pandemic, primary practices rapidly transitioned to telehealth. While telehealth provided access services many, not all patients could optimally utilize it, raising concerns about its potential exacerbate inequities in relationships. We investigated technical workforce-related barriers accessing impacts on relationships vulnerable populations.

Язык: Английский

---

Trauma-Informed Speech-Language Pathology

Topics in Language Disorders, Год журнала: 2025, Номер 45(1), С. 4 - 17

Опубликована: Янв. 1, 2025

Speech-language pathologists (SLPs) often engage with individuals histories of trauma. Rather than providing trauma treatment, SLPs are instead positioned to in universal precaution for trauma: assuming that is more likely not be part any individual’s story and intentionally responding ways do create additional harm. increasingly being encouraged recognize the high prevalence trauma, can impact communication behavior, practice trauma-informed care (TIC) their work. Yet, application TIC SLP still emerging both research practice. The purpose this conceptual article begin operationalize four levels as related practice: (1) awareness, (2) approach, (3) trauma-sensitive practices, (4) interprofessional collaboration trauma-specific treatment providers. Recommendations continued discussion provided.

Язык: Английский

---

Recovery-oriented and trauma-informed care for people with mental disorders to promote human rights and quality of mental health care: a scoping review

BMC Psychiatry, Год журнала: 2025, Номер 25(1)

Опубликована: Фев. 13, 2025

In several countries, the growing emphasis on human rights and ratification of Convention Rights Persons with Disabilities (CRPD) have highlighted need for changes in culture, attitudes practices mental health services. New approaches, such as recovery-oriented care (ROC) trauma-informed (TIC) emphasize users' needs experiences promote autonomy rights. To provide an overview literature their relevance to promotion quality care. We conducted a scoping review by searching following databases: PubMed, Scopus, PsycINFO. performed qualitative synthesis aimed at reviewing: (1) current conceptualisations recovery care; (2) (3) conceptualizations trauma TIC (4) (5) relationship between ROC TIC, particular focus shared goal promoting alternatives coercion, and/or oriented coercion. According prevailing conceptual frameworks, share many underlying principles should be regarded complementary. Both approaches affirm conceptualization service users persons, foster rely involvement designing monitoring A wider consensus tools methodologies is needed support implementation allow comparison among practices. Recovery-oriented models can contribute non-coercive practices, which show promising results but warrant further empirical study. may shift towards rights-based successful uptake Local international work test these contribution improving world-wide. Future research outcomes all involved stakeholders' include perspectives both staff members different contexts.

Язык: Английский

---

A cross-sectional needs assessment for a trauma-informed care curriculum for multidisciplinary healthcare providers

BMC Health Services Research, Год журнала: 2025, Номер 25(1)

Опубликована: Март 24, 2025

Trauma-informed care (TIC) is a framework that recognizes the pervasive impact of trauma, aiming to enhance both patient outcomes and provider well-being. Given high prevalence trauma among individuals seeking healthcare, it essential for healthcare providers (HCPs) be informed. However, standardized TIC curricula training staff are lacking. This study assessed perceptions towards multidisciplinary HCPs, patients, leadership at two urban hospitals in Canada. mixed-methods prospective cross-sectional employed Kern's six-step approach curriculum development. A needs assessment was conducted via an online questionnaire HCPs semi-structed interviews with from three participant groups: staff. The knowledge, skills, attitudes regarding TIC. Semi-structured explored perspectives on TIC, including priorities potential implementation barriers. Findings informed development virtual curriculum, iterative feedback collected refine assess its acceptability. Among 106 HCP respondents Medical Doctors, Social Workers Registered Nurses, 96 (90.6%) identified as women, 97 (91.5%) direct care. Despite 93 (87.7%) having prior education, 77 (72.6%) reported low confidence applying knowledge clinical practice. Key perceived challenges included time constraints lack standardization across disciplines. multimedia, self-paced course preferred solution. Thematic analysis 28 participants (10 10 8 staff) revealed six major themes: interactions, implementation, needs, system level barriers, preferences, systems improvements. Participants underscored risk re-traumatization patients settings without emphasized need universal all strong interest supports translation into practice incorporates focus cultural humility. Integrating insights key stakeholders this phase resulted inclusive diverse voices viewpoints strengthened understanding contextual factors will support effective implementation.

Язык: Английский

---

Trauma, Mental Health Workforce Shortages, and Health Equity: A Crisis in Public Health

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(4), С. 620 - 620

Опубликована: Апрель 16, 2025

The global mental health workforce is facing a severe crisis marked by burnout, secondary trauma, compassion fatigue, and shortages, with disproportionate effects on marginalized communities. This paper introduces the Integrated Workforce Trauma Resilience (IWTR) Model, comprehensive framework to understand address these interconnected challenges. study employs conceptual, documentary analysis approach examine challenges faced workers, particularly shortages. By synthesizing existing qualitative quantitative studies, research identifies recurring themes provides recommendations for policy reform improve sustainability equity. Using thematic synthesis of 75 peer-reviewed articles, conceptual papers, reports published between 2020 2025, alongside foundational theoretical works, IWTR Model integrates five perspectives: trauma-informed care, Conservation Resources Theory, Intersectionality Job Demands–Resources Organizational Justice Theory. three dimensions: impact trauma professionals, organizational systemic factors influencing retention, strategies build resilience through education. findings reveal how inequities interact undermine stability access care. emphasizes that individual-level interventions will be insufficient without addressing structural issues, such as workload inequities, lack leadership diversity, underfunding. model offers roadmap reforms strengthen resilience, advance equity in care systems.

Язык: Английский

---

Trauma-informed physiotherapy and the principles of safety, trustworthiness, choice, collaboration, and empowerment: a qualitative study

Physiotherapy Theory and Practice, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Фев. 19, 2024

Introduction Trauma is common and may lead to lasting adverse effects on health. Trauma-informed practice does not treat trauma but uses a strengths-based approach encourage engagement in services.

Язык: Английский

---