Trauma

Incorporating Racial Equity into Trauma-Informed Care This brief offers practical considerations to help health systems and provider practices incorporate a focus on racial equity to enhance trauma-informed care efforts. It draws from the experiences of two federally qualified health centers — the Stephen and Sandra Sheller 11th Street Family Health Services in Philadelphia and Bread for the City in Washington, D.C

Trauma-Informed Care: The Importance of Understanding the Incarcerated Women This study assessed the significance of trauma-informed care (TIC) in the recidivism rates of incarcerated women. A retrospective longitudinal survey was conducted. ACE scores were evaluated and documented through a self-reported survey. Seven years of Correctional Offender Management Profiling for Alternative Sanctions registry documentation was assessed. Descriptive statistics were utilized to define patients and evaluate patterns of recidivism after implementation of trauma-informed approaches to care. There is strong evidence associating lower recidivism rates for those who participate in TIC and trauma programs than for those who do not. This evidence supports further evaluation with a serious potential impact of reduction in recidivism and improved trajectories for incarcerated women and their families

“The Coats That We Can Take Off and the Ones We Can’t”: The Role of Trauma-Informed Care on Race and Bias During Agitation in the Emergency Department Given the insidious nature of bias in health care, it may be difficult to recognize and even more difficult to overcome while managing agitation. One method to address implicit bias in the ED that is gaining attention is the use of trauma-informed care.

Planning for Youth Emotional Health in Unruly Environments: Bringing a Trauma Informed Community Building Lens to Therapeutic Planning The paper seeks to explore two primary questions. How was TICB (Trauma Informed Community Building) integrated into practice and how did it support health outcomes for youth, if at all? Second, what are the limitations of the TICB model and is it a sustainable approach to planning for emotion in unruly environments? The article closes with a discussion of the potential contributions and limitations of TICB in engaging historical, structural (systems level) and individual trauma into youth community building.

Adverse Childhood Experiences Prevention Strategy This resource outlines CDC’s specific goals and objectives for ACEs prevention and response. The goals and objectives aim to prevent ACEs before they happen, identify those who have experienced ACEs, and respond using trauma-informed approaches in order to create the conditions for strong, thriving families and communities where all children and youth are free from harm and all people can achieve lifelong health and wellbeing.

Keeping Race at the Center of School Discipline Practices and Trauma-Informed Care: An Interprofessional Framework Using an interprofessional perspective, this framework delineates how school social workers, school psychologists, and school counselors can support their schools to integrate interprofessional, trauma-informed, and race-centered practices into a behavioral intervention. Ultimately, this article provides in-interpersonal, practice, and structural recommendations that can help practitioners engage in equitable discipline decision making.

Trauma-Informed Care and Cultural Humility in the Mental Health Care of People From Minoritized Communities This article outlines general principles of trauma-informed care and ways to enact it. Because the situations in which trauma arises, the ways in which it is conceptualized, and how patients respond to it are influenced by both culture and individual factors, a cultural humility approach is also described and recommended. Psychiatrists can navigate the complex terrain of cultures and social backgrounds in the clinical encounter and can promote healing when treating patients who have experienced trauma by adopting a trauma-informed care approach and an attitude of cultural humility.

Creating Cultures of Care: Supporting the Whole Child through Trauma-Informed Practice This brief offers a framework for how trauma-informed practice complements positive youth development, while illustrating the bridge between theory and practice. You’ll read about the work of two specific communities—one in Oregon and one in Missouri—which are engaged in collaborative, on-the-ground efforts to make healthy schools that support all young people the norm and not the exception. These communities serve as an inspiration to others across the country as they lead the way in creating healthier school environments where every child can thrive

A Trauma-Informed Exploration of the Mental Health and Community Support Experiences of Transgender and Gender-Expansive Adults This study applied a trauma-informed care (TIC) framework to explore transgender and gender-expansive (TGE) adults’ experiences with mental health and community supports. 

Making the Case for Trauma-Informed Care: Tips for Talking with Leadership This tool is aimed at supporting champions when approaching leadership about the value of adopting a trauma-informed approach in health care settings. It offers key considerations for talking with leadership, and sample language that champions can use to tailor their pitch.