At the Heart of Trauma-Informed Care
“Trauma-informed care” provides a framework to guide clinicians in responding to the epidemic of trauma. Yet few clinicians feel comfortable defining trauma-informed care or describing how it translates into practice. This reflective piece suggests four dimensions of trauma-informed care: 1) Awareness of the prevalence of trauma and its long-term effects on physical and emotional health to every encounter; 2) attitudes that recognize resilience and take into account how trauma may influence behavior and engagement in care; 3) an approach to care that prioritizes safety, choice and collaboration while working to build trust; and 4) education regarding trauma’s effects, and connection to resources to support healing. These dimensions seek to clarify the provider’s role in creating a trauma-informed health care environment and stimulate reflection on how best to serve patients affected by trauma.
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Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention. Adverse childhood experiences presentation graphics [Internet]. 2016 [cited 2018 Nov. 26]. Available from: https://www.cdc.gov/violenceprevention acestudy/ ACE_graphics.html.
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention. About the CDC-Kaiser ACE study [Internet]. 2016 [cited 2018 Nov. 26]. Available from: https://www.cdc.gov/violenceprevention/acestudy/about.html.
Basile, K.C., DeGue, S., Jones, K., Freire, K., Dills, J., Smith, S.G., Raiford, J.L. STOP SV: A Technical Package to Prevent Sexual Violence. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2016. p.7.
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