Realizing the promise of trauma‐informed care through hospital staff support programs DOI Creative Commons
Scott A. Simpson,

Maria Gonsalves Schimpf,

Evelyn Fox

и другие.

Journal of the American College of Emergency Physicians Open, Год журнала: 2023, Номер 4(4)

Опубликована: Авг. 1, 2023

In their recent publication, Dr. Lewis-O'Connor and colleagues’ findings offer a nuanced consideration of the challenges great opportunities for trauma-informed care (TIC) models in emergency departments.1 We applaud efforts editors highlighting strong example qualitative research that offers actionable guidance supporting victims trauma, whether these are patients or staff. Although TIC is traditionally considered its benefits to patients, authors rightfully point out ubiquity secondary trauma experienced by department (ED) staff working with high-risk patients. This comes from witnessing death injury, suffering verbal physical assaults, experiencing moral distress repeated encounters confronting homelessness systemic discrimination. The describe staff's racism, sexism, homophobia, other discrimination toward patients; we must recognize our experiences affected such abuse as well. et al’s prompt address foster workforce resilience. Since March 2020, Denver Health has operated Resilience Equity through Support Training Organizational Renewal (RESTORE), multimodal program non-judgmental, services health Founded on principles caregiver support programs,2 RESTORE grown encompass suite including no-cost group sessions, drop-in center, educational programming, individual peer-delivered emotional psychological first aid. To date, RESTORE's 7 full-time have provided over 300,000 touches safety net system—testament current desire respond “both individually an organizational level trauma.” Of providing departmental data, 31% work ED—a disproportionate share organization's 6,000 employees—and ED among most common users center. As does present experience demonstrates demand directly put less focus application findings, found helpful envisioning how design programs EDs. Frequently cited barriers implementing interventions—such guided debriefs difficult episodes, education impacts protected space consider external influences social determinants patients’ care—include constraints time, expertise, cost.3 These can be overcome via staffing like RESTORE. Moreover, leadership engagement critical factor success programs. Investment leaders cost-effective approach disseminating practices.4 Medicine long underrecognized complex sequelae medical psychology recovery. And longer still impact colleagues been neglected. hope this own hearten policymakers urgently needed solutions practical, effective, at hand. nothing report. not presented published previously.

Язык: Английский

Effectiveness of Trauma-Informed Care Implementation in Health Care Settings: Systematic Review of Reviews and Realist Synthesis DOI
Ellen Goldstein, Binny Chokshi, G. J. Meléndez‐Torres

и другие.

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

Процитировано

14
The impact of adverse childhood experiences on multimorbidity: a systematic review and meta-analysis DOI Creative Commons
Dhaneesha Senaratne, Bhushan Thakkar, Blair H. Smith

и другие.

BMC Medicine, Год журнала: 2024, Номер 22(1)

Опубликована: Авг. 15, 2024

Abstract Background Adverse childhood experiences (ACEs) have been implicated in the aetiology of a range health outcomes, including multimorbidity. In this systematic review and meta-analysis, we aimed to identify, synthesise, quantify current evidence linking ACEs Methods We searched seven databases from inception 20 July 2023: APA PsycNET, CINAHL Plus, Cochrane CENTRAL, Embase, MEDLINE, Scopus, Web Science. selected studies investigating adverse events occurring during (< 18 years) an assessment multimorbidity adulthood (≥ years). Studies that only assessed or outcomes children were excluded. Risk bias was using ROBINS-E tool. Meta-analysis prevalence dose–response meta-analysis methods used for quantitative data synthesis. This pre-registered with PROSPERO (CRD42023389528). Results From 15,586 records, 25 eligible inclusion (total participants = 372,162). The exposure ≥ 1 48.1% (95% CI 33.4 63.1%). 34.5% 23.4 47.5%). Eight provided sufficient 197,981). There significant dose-dependent relationship between ACE ( p < 0.001), every additional contributing 12.9% 7.9 17.9%) increase odds However, there heterogeneity among included I 2 76.9%, Cochran Q 102, 0.001). Conclusions is first synthesise literature on multimorbidity, showing across large number participants. It consolidates enhances extensive body shows association individual long-term conditions, risky behaviours, other poor outcomes.

Язык: Английский

Процитировано

9
Bioethical and Critical Consciousness in Clinical Translational Neuroscience DOI Creative Commons
Angela Fang, Riana Elyse Anderson, Sierra Carter

и другие.

Journal of Clinical and Translational Science, Год журнала: 2025, Номер unknown, С. 1 - 27

Опубликована: Янв. 22, 2025

Clinical translational neuroscience (CTN) is positioned to generate novel discoveries for advancing treatments mental health disorders, but it held back today by the siloing of bioethical considerations from critical consciousness. In this article, we suggest that and consciousness can be paired intersect with structures power within which science clinical practice are conducted. We examine barriers adoption findings in perspective, especially context current collective attention widespread disparities access outcomes services, lack representation marginalized populations relevant sectors workforce, importance knowledge draws upon multicultural perspectives. provide 10 actionable solutions confront these CTN research, as informed existing frameworks such structural competency, adaptive calibration models, community-based participatory research. By integrating considerations, believe practitioners will better benefit cutting-edge research biological social sciences than past, alert biases equipped mitigate them, poised shepherd a robust generation future therapies practitioners.

Язык: Английский

Процитировано

1
U.S. Physicians’ Training and Experience in Providing Trauma-Informed Care in Clinical Settings DOI Open Access
M. Lelinneth B. Novilla, K Bird, Carl L. Hanson

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(2), С. 232 - 232

Опубликована: Фев. 16, 2024

Trauma-informed care (TIC) is a comprehensive approach that focuses on the whole individual. It acknowledges experiences and symptoms of trauma their impact health. TIC prioritizes physical emotional safety through relationship trust supports patient choice empowerment. provides safe respectful healing environment considers specific needs while promoting greater sense well-being, engagement, partnership in treatment process. Given prevalence trauma, this descriptive cross-sectional study examined attitudes perspectives U.S. physicians (N = 179; 67% males; 84% White; 43% aged 56–65) providing trauma-informed using an anonymous 29-item online survey administered by Reaction Data. Findings showed 16% (n 18) estimated >50% patients have history trauma. Commonly perceived barriers to were resource/time/administrative constraints, provider stress, limited awareness right refer who experienced inadequate emphasis medical education/training. Expanding physicians’ knowledge base training organizational policy/support crucial enhancing competence, particularly caring for with complex whose social determinants increase risk exposure adverse carry lasting psychological effects.

Язык: Английский

Процитировано

7
Evaluating the Effectiveness of Trauma-Informed Care Frameworks in Provider Education and the Care of Traumatized Patients DOI

Brian Chin,

Quratulain Amin,

Nickolas Hernandez

и другие.

Journal of Surgical Research, Год журнала: 2024, Номер 296, С. 621 - 635

Опубликована: Фев. 13, 2024

Язык: Английский

Процитировано

4
Incorporating Trauma-Informed Practices in Nutrition Education DOI Creative Commons
Marissa McElrone, Pramod Gupta,

M. Elizabeth Miller

и другие.

Journal of Nutrition Education and Behavior, Год журнала: 2025, Номер 57(1), С. 3 - 4

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0
A journey towards a trauma informed and responsive Justice system: the perspectives and experiences of senior Justice workers DOI Creative Commons
Nicola Cogan,

Dwight Tse,

Marcia Finlayson

и другие.

European journal of psychotraumatology, Год журнала: 2025, Номер 16(1)

Опубликована: Янв. 6, 2025

There is a risk of re-traumatisation for survivors trauma who engage with the Justice system, given their high propensity to encounter situations that trigger traumatic responses. While growing body research has explored experience informed practice (TIP) from service user perspectives, little incorporated views and experiences practitioners working in system terms implementation TIP setting.

Язык: Английский

Процитировано

0
Trauma-Informed Immunization Practices: A New and Transformative Approach to Vaccine Hesitancy and a Call to Action DOI

Caroline M. Poland,

Tamar Ratishvili, Gregory A. Poland

и другие.

Mayo Clinic Proceedings, Год журнала: 2025, Номер 100(2), С. 192 - 196

Опубликована: Фев. 1, 2025

Язык: Английский

Процитировано

0
Mental health staff’s experiences of implementing trauma-informed care in the NHS DOI

Pattaramon Worawichayawongsa,

Stephen Ollis,

Alex Kyriakopoulos

и другие.

Mental Health Review Journal, Год журнала: 2025, Номер unknown

Опубликована: Фев. 5, 2025

Purpose The NHS long-term plan outlined that mental health services in the UK will be based on trauma-informed approach next 10 years. Staff leadership roles those face a responsibility to lead implementation of TIC; however, little is known about experiences these staff attempting create change. Therefore, this study aims gain an understanding (MHS)’s implementing care (TIC) NHS. Design/methodology/approach In total, 14 (MHS), comprising ten psychologists and four multidisciplinary clinicians, were recruited through purposive snowball sampling. Semi-structured individual interviews conducted via Microsoft Teams provide qualitative data. Interviews transcribed verbatim analysed using Braun Clarke’s (2006) reflexive thematic analysis. Findings Five themes found: 1) having visionary outlook high expectations for change, 2) professional growth personal development, 3) affirmation role’s importance impact, 4) psychological discomfort 5) ways coping. Participants strongly believed TIC should standard practice all health-care staff, noting led their growth. While they found satisfaction influencing others value TIC, experienced negative emotions when efforts unsuccessful used various strategies overcome barriers manage discomfort. Originality/value To best authors’ knowledge, first explore MHS Support recommendations role are made future research identified.

Язык: Английский

Процитировано

0
Harnessing Information Technology to Address ACEs and PACEs DOI
Ahmad Yunus, Siti Nurleli Rusmiyati,

Amin Al Haadi Shafie

и другие.

IGI Global eBooks, Год журнала: 2025, Номер unknown, С. 199 - 238

Опубликована: Фев. 21, 2025

This chapter examines Adverse Childhood Experiences (ACEs), Protective and Compensatory (PACEs), their management in school counseling. Research highlights ACEs' detrimental effects on development, emphasizing the need for PACEs to mitigate these impacts. School counselors play a vital role during 0-18 developmental period, primarily shaped by home environments. Integrating technology into counseling addresses gaps like fragmented records across educational phases enhances ACEs identification intervention. The serves as guide counselors, educators, parents, communities collaboratively support schools providing services attuned PACEs.

Язык: Английский

Процитировано

0