Trauma-informed care in practice: Observed use of psychosocial care practices with children and families in a large pediatric hospital.

2019 ◽  
Vol 16 (1) ◽  
pp. 16-28 ◽  
Author(s):  
Katrina M. Moss ◽  
Karyn L. Healy ◽  
Jenny Ziviani ◽  
Peter Newcombe ◽  
Vanessa E. Cobham ◽  
...  
Keyword(s):  
Psychosocial Care ◽  
Pediatric Hospital ◽  
Children And Families ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Care Practices

Trauma-Informed Care and LGBTQ Youth: Considerations for Advancing Practice With Youth With Trauma Experiences

2018 ◽  
Vol 99 (2) ◽  
pp. 160-169 ◽  
Author(s):  
Adam McCormick ◽  
Karey Scheyd ◽  
Samuel Terrazas
Keyword(s):  
Dating Violence ◽  
Stress Responses ◽  
Traumatic Stress ◽  
Traumatic Experiences ◽  
Children And Families ◽  
Multiple Forms ◽  
Lgbtq Youth ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Child Traumatic Stress

LGBTQ youth are disproportionately impacted by multiple forms of childhood trauma, including physical abuse, sexual abuse, dating violence, sexual assault, and peer violence. The emerging practices of trauma-informed care and trauma-specific interventions have made significant contributions to the manner in which systems respond to the needs of traumatized youth. However, these youth are largely excluded from many trauma-informed conversations. This article seeks to use the Concepts for Understanding Traumatic Stress Responses in Children and Families, developed by the National Child Traumatic Stress Network, to address the traumatic experiences and responses of LGBTQ youth.

scholarly journals Low provider and staff self-care in a large safety-net HIV clinic in the Southern United States: Implications for the adoption of trauma-informed care

2019 ◽  
Vol 7 ◽  
pp. 205031211987141 ◽  
Author(s):  
Jessica M Sales ◽  
Kaitlin Piper ◽  
Clara Riddick ◽  
Betelihem Getachew ◽  
Jonathan Colasanti ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Self Care ◽  
Safety Net ◽  
Team Meetings ◽  
Care Services ◽  
Trauma Informed Care ◽  
Complex Patients ◽  
Trauma Informed ◽  
Care Practices ◽  
Multi Disciplinary Team

Objective: This mixed-methods needs assessment study examined self-care practices among providers, staff, and administrators at an HIV clinic and identified barriers and facilitators to strengthening self-care services in this setting. Methods: Surveys (n = 31) and qualitative interviews (n = 23) were conducted with staff, providers, and administrators at a large, safety-net HIV clinic. Results: Surveys indicated an overall absence of formal self-care services including resources to manage stress, opportunities to debrief, and formal mechanisms to voice concerns. Based on interviews with staff and providers, deficiencies in self-care services included support for dealing with complex patients, formal mechanisms for feedback, and time for self-care. Administrators recognized the need for more support, acknowledged that opportunities for employees to voice concerns were lacking, and felt that implementing multi-disciplinary team meetings could improve morale and reduce stress and burnout. Conclusion: This assessment revealed a need to enhance self-care in safety-net HIV services. Adoption of trauma-informed care, which includes activities to strengthen self-care, could reduce workplace burnout.

Introduction to the special issue: Trauma-informed care for children and families.

2019 ◽  
Vol 16 (1) ◽  
pp. 1-6 ◽  
Author(s):  
J. J. Cutuli ◽  
Melissa A. Alderfer ◽  
Meghan L. Marsac
Keyword(s):  
Children And Families ◽  
Special Issue ◽  
Trauma Informed Care ◽  
Trauma Informed

Training Pediatric Primary Care Residents in Trauma-Informed Care: A Feasibility Trial

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1239-1249
Author(s):  
Aubrey R. Dueweke ◽  
Rochelle F. Hanson ◽  
Elizabeth Wallis ◽  
Emily Fanguy ◽  
Carla Newman
Keyword(s):  
Primary Care ◽  
Perceived Competence ◽  
Perceived Barriers ◽  
Feasibility Trial ◽  
Pediatric Residents ◽  
Paired Samples ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Care Practices ◽  
Residents Attitudes

This study examined the feasibility and outcomes of a training designed to enhance pediatric residents’ trauma-informed practices in primary care. Paired samples t tests examined changes in 33 residents’ attitudes, perceived competence, and perceived barriers toward trauma-informed care after a 2-hour training. Fisher’s exact tests measured changes in residents’ screening and referral behaviors. A subsample (n = 9) of residents were interviewed about the training. Residents reported increases in favorable attitudes ( P = .065) and perceived competence ( P < .001) and decreases in perceived barriers ( P = .001 to .521) to implementing trauma-informed care practices. Chart reviews revealed a significant increase in completed trauma screens (0% to 8.0%, P < .001) but no difference in referrals for psychology/psychiatry services (1.9% to 4.2%, P = .200). Residents reported finding the training helpful. Although residents were willing and understood the utility of assessing for trauma, they faced substantial barriers.

Trauma-Informed Care

2013 ◽  
Author(s):  
Charles Wilson ◽  
Donna M. Pence ◽  
Lisa Conradi
Keyword(s):  
Vietnam War ◽  
Trauma Treatment ◽  
Children And Families ◽  
Post Traumatic Stress ◽  
Comprehensive Description ◽  
Organizational Policies ◽  
The Past ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Post Traumatic

The concepts of trauma and trauma-informed care have evolved greatly over the past 30 years. Following the Vietnam War, professional understanding of post-traumatic stress disorder (PTSD) increased. The greater understanding of trauma and its effects on war veterans has extended to informing our comprehension of trauma in the civilian world and with children and families who have experienced abuse, neglect, and other traumatic events. This elevated insight has led to the development of evidence-based models of trauma treatment along with changes in organizational policies and practices designed to facilitate resilience and recovery. This paper highlights the concept of trauma-informed care by providing an overview of trauma and its effects, then providing a comprehensive description of our understanding of trauma-informed care across child- and family-serving systems.

Trauma-Informed Care in the Childcare and Family Placement Process: Miracle Foundation’s Approach Within Alternative Care in India

2020 ◽  
Vol 7 (1) ◽  
pp. 65-73
Author(s):  
Audria Choudhury
Keyword(s):  
Health Resources ◽  
Systematic Change ◽  
Children And Families ◽  
Government Officials ◽  
Alternative Care ◽  
Team Members ◽  
Train The Trainer ◽  
Institutional Settings ◽  
Trauma Informed Care ◽  
Trauma Informed

Trauma-informed care (TIC) is critical in institutional settings to address not only the trauma of experiences that lead children to be enrolled into alternative care, such as childcare institutions (CCIs), but also the inherent trauma that comes from a child being separated from her or his family. This article looks at how Miracle Foundation applies principles of TIC at every stage: from intake and care at a CCI while awaiting placement, to preparing children and families for transition, and finally to supporting post-placement. Following a brief background of the trauma surrounding institutional settings and its damage on children’s development drawn from existing literature, the article defines the principles of TIC: safety, choice, collaboration, trustworthiness and empowerment. The narrative then illustrates how these principles are applied with children, families and CCI staff through capacity building, access to counselling and mental health resources and dedicated guidance by Miracle team members throughout the childcare and placement process. Training government officials through a train-the-trainer model equips them to practise a strength-based approach with children and families. This also positions us for a systematic change when it comes to developing all members of the social workforce through system strengthening.

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