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Health care

The resources below provide information for people working in health care services who want to integrate ACE concepts and trauma-informed practices into their health care systems, clinics and practices.

We strive for these resources to be the most useful for the ACEs Connection community. If you have resources that you'd like to add, please send a message to Jane Stevens, ACEsConnection manager.

This isn't complete; it's just a start. We are looking for the best resources that will assist health care professionals to integrate trauma-informed practices into their systems, clinics and practices.

 

Sections Index (scroll down to access):

  1. Mental Health
  2. Physicians: Pediatricians - Primary Care
  3. Nurses
  4. Hospitals/Medical Centers
  5. Public Health


 

1. Mental health

Be Safe: Safe, Affirming & Fair Environments - A Michigan State University (MSU) Extension curriculum designed to help young people aged 11 to 14 and adults work in partnership to create environments that are physically and emotionally safe. While the primary audiences for Be SAFE are young people and adults involved in out-of-school time settings (such as after-school programs, 4-H, Boys and Girls Clubs, Scouts, Y’s, sports programs and faith-based programs), it also applies to middle school settings. (2013). 

Building resilient communities: Making every contact count for public mental health - 52-page report. Mental Health Foundation, United Kingdom. (Aug. 2013).

Creating Strength-Based and Trauma Sensitive Care - This training curriculum contains prepared presentations and accompanying reference lists for more than a dozen training modules. Each module was created to address specific aspects of a seclusion and restraint reduction project. Wisconsin Association of Family & Children’s Agencies. (2008).

Engaging Women Trauma Survivors in Peer Support: A Guidebook This 108-page guide was created to help make trauma‐informed peer support available to women who are trauma survivors and who receive or have received mental health and/or substance abuse services. It is designed as a resource for peer supporters in these or other settings who want to learn how to integrate trauma‐informed principles into their relationships with the women they support or into the peer support groups they are members of. The goal is to provide peer supporters – both male and female ‐ with the understanding, tools, and resources needed to engage in culturally responsive, trauma‐informed peer support relationships with women trauma survivors. The U.S. Department of Health and Human Services (HHS), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Center for Mental Health Services (CMHS) (2012).

Helping Children and Youth Who Have Experienced Traumatic Events - Four-page brief from SAMHSA. (2011).

Models for Developing Trauma-Informed Behavioral Health Systems and Trauma-Specific Systems - This 123-page report compiled by Dr. Ann Jennings is an update of the 2004 technical report describing trauma-informed and trauma-specific service models identified by state behavioral health service systems and organizations. All models in this report are designed and used specifically to address trauma in the lives of children, their parents or caregivers, and adults. National Center for Trauma-Informed Care (NCTIC) (2008).

National Center on Domestic Violence, Trauma & Mental Health - The Publications & Products section lists trauma-informed resources.

Netherlands Center for Chronic Early Childhood Traumatization (LCVT) - Several groups of Dutch stakeholders – including clinicians, patient organizations, policymakers and researchers – have joined together to develop the Landelijk Centrum voor Vroegkinderlijke Chronische Traumatiseringz (LCVT) model, under which treatment, research, training and innovation are concentrated into Tertiary Referral Centers for Early Childhood Trauma (TRTCs) in various parts of the country.

Positive Mental Health: Resilience - Newsletter topic from Child Trends, Adolescent Health Highlights. (Jan. 2013).

The Role of Consumers with Lived Experience in Mental Health Workforce Development - Workforce problems have an impact on almost every aspect of prevention and treatment across all sectors of the behavioral health field. Consumers with lived experience that are identified, recruited, hired, trained, and supported are becoming one solution to the workforce dilemma. CafÉ TAC. (2011).

Simplest Ways To Build Assets - From Helping Kids Succeed ~ Alaskan Style, www.alaskaice.org.

*Trauma-informed Approaches: Federal Activities and Initiative: Women and Trauma - This document reflects how the Federal Partners Committee on Women and Trauma’s efforts to promote, adopt, and implement trauma-informed approaches have enhanced the effectiveness of a wide range of government services and supports. Federal Partners Committee on Women and Trauma, A Working Document / Second Report. (Sept. 2013).

What About You?: A Workbook for Those Who Work with Others - This workbook is designed for people who work with others as service providers. Its purpose is to help workers take care of themselves, their relationships, and their organizations so they can continue to be healthy and effective in their work. It offers a variety of tools that can be used to reduce stress and promote self-care at home and in the workplace. National Center on Family Homelessness. (2008).

Youth Development Assets - Association of Alaska School Boards, Alaska-ICE Initiative, www.alaskaice.org.

 

 

2. Physicians 

Pediatricians

"The Affordable Care Act, Science, and Childhood Adversity: A Call for Pediatric Nurses and Physicians to Lead." O'Malley, D. (Jul/Sept 2013). Nursing Administration Quarterly: 37(3), p 216-221. doi: 0.1097/NAQ.0b013e318295f5d8. Abstract.

APA Task Force on Childhood Poverty - This brief from the Academic Pediatric Association (APA) and the American Academy of Pediatrics (AAP) describe how both have made reducing childhood poverty in the US and alleviating the effects of poverty on child health and well-being a strategic priority. (Apr. 2013).

Brochures - Preventing Child Neglect - Preventing Child Emotional Abuse - Preventing Child Physical Abuse. Prevent Child Abuse America. (2013).

Early Brain & Biological Development and Addictions, UME Podcast Series - This podcast series includes a set of episodes on core concepts of early childhood development which illustrate how childhood experiences shape brain development to either provide a strong foundation for lifelong health and wellbeing or confer vulnerability to disease. The early childhood development episodes also address interventions and treatments that help ensure children have the best possible start in life. The podcast series also includes a set of episodes that  focus on the neurodevelopmental origins of addiction. These podcasts provide a definition of addiction as a brain disorder, and describes effective strategies to help prevent, intervene, and treat addiction. The goal of the podcast series is to give you both the background knowledge on brain development and addiction, and the reflective skills to apply this knowledge to your practice. Developed by: The Association of Faculties of Medicine of Canada. (2012).

Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health - As trusted authorities in child health and development, pediatric providers must now complement the early identification of developmental concerns with a greater focus on those interventions and community investments that reduce external threats to healthy brain growth. AAP Policy Statement (2011).

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected - This clinical report updates a 2005 report from the American Academy of Pediatrics on the evaluation of sexual abuse in children. American Academy of Pediatrics. (2013).

*Facts About Animal Abuse & Domestic Violence - Brochure from the American Humane Assn. (ca 2013).

Helping Foster and Adoptive Families Cope With Trauma: A Guide for Pediatricians - The AAP has developed materials for pediatricians on how to support adoptive and foster families. (Apr. 2013).

Is the United States Bad for Children's Health? Risk and Resilience Among Young Children of Immigrants - A summary of past research on the health of children of immigrants. Special focus on children from the immigrants of Mexico. Migration Policy Institute. (Jul. 2013).

The Lifelong Effects of Early Childhood Adversity and Toxic Stress - This backgrounder presents an ecobiodevelopmental framework that illustrates how early experiences and environmental influences can leave a lasting signature on the genetic predispositions that affect emerging brain architecture and long-term health. underscores the need for new thinking about the focus and boundaries of pediatric practice. It calls for pediatricians to serve as both front-line guardians of healthy child development and strategically positioned, community leaders to inform new science-based strategies that build strong foundations for educational achievement, economic productivity, responsible citizenship, and lifelong health. American Academy of Pediatrics (AAP) Technical Report (2012).

Medical cards for survivors of trauma to share with their healthcare providers - Great resource from epower & associates. (2012).

Pediatricians Take On Toxic Stress - This article is one in a planned multi-part series of journalistic stories commissioned by the Center, “Tackling Toxic Stress.” Center on the Developing Child at Harvard University. (2013).

Promoting Children’s Health and Resiliency: A Strengthening Families Approach - This document will provide pediatricians and other health care providers with prevention and intervention resources. Center for the Study of Social Policy. (2013).

Toxic Stress and Trauma-Informed Pediatric Care - a Massachusetts Child Psychiatry Access Project document providing definitions, signs, care, and treatments for pediatricians. (2012).

Trauma-Informed Medical Home: Fostering Strengths & Resilience - PPT - Great presentation by Michele A. Lorand, MD FAAP. This resource covers approaches for all patients, including children.

*What Every Clinician Should Know about the Link between Pet Abuse & Family Violence - Discussion for clinicians/professionals who come into contact with children and their families—for including questions about animals in the family as a routine part of assessing the health of families and well-being of children. American Psychological Assn. (ca Jul. 2013).

WHO releases guidance on mental health care after trauma - New clinical protocol and guidelines to enable effective mental health care for adults and children exposed to trauma and loss. (Aug. 2013).

 

Primary Care

Brochures - Preventing Child Neglect - Preventing Child Emotional Abuse - Preventing Child Physical Abuse. Prevent Child Abuse America. (2013).

Early Brain & Biological Development and Addictions, UME Podcast Series - This podcast series includes a set of episodes on core concepts of early childhood development which illustrate how childhood experiences shape brain development to either provide a strong foundation for lifelong health and wellbeing or confer vulnerability to disease. The early childhood development episodes also address interventions and treatments that help ensure children have the best possible start in life. The podcast series also includes a set of episodes that  focus on the neurodevelopmental origins of addiction. These podcasts provide a definition of addiction as a brain disorder, and describes effective strategies to help prevent, intervene, and treat addiction. The goal of the podcast series is to give you both the background knowledge on brain development and addiction, and the reflective skills to apply this knowledge to your practice. Developed by: The Association of Faculties of Medicine of Canada. (2012).

*Facts About Animal Abuse & Domestic Violence - Brochure from the American Humane Assn. (ca 2013).

Handbook on Sensitive Practice for Health Care Practitioners: Lessons from Adult Survivors of Childhood Sexual Abuse- This handbook presents information that will help health care practitioners practise in a manner that is sensitive to the needs of adult survivors of childhood sexual abuse and other types of interpersonal violence. It is intended for health care practitioners and students of all health disciplines who have no specialized training in mental health, psychiatry, or psychotherapy and have limited experience working with adult survivors of childhood sexual abuse. Th handbook is not meant to encourage health care providers to step outside their scope of practice, nor is it a substitute for the specialized training required to provide intensive psychotherapy or counselling for survivors. Schachter, et al. (2009). Ottawa: Public Health Agency of Canada.

It’s Just Good Medicine: Trauma-Informed Primary Care - Webinar recording and presentation slides. SAMHSA. (Aug. 6, 2013).

Predictors of PTSD in Primary Care - PowerPoint by Jane Liebschutz, MD MPH, Boston University Schools of Medicine and Public Health Boston Medical Center. (2013).

Recognizing and treating PTSD in primary care - An article for physicians from The Clincial Advisor. (2013).

Survivors of Childhood Sexual Abuse: A guide for primary care providers - This website provides information and resources for family practice providers regarding the care they provide survivors of childhood sex abuse. (2009).

Trauma Survivors in Medical and Dental Settings pamphlet - Three-page brief from The Western Massachusetts Training Consortium. (2013).

*What Every Clinician Should Know about the Link between Pet Abuse & Family Violence - Discussion for clinicians/professionals who come into contact with children and their families—for including questions about animals in the family as a routine part of assessing the health of families and well-being of children. American Psychological Assn. (ca Jul. 2013).

WHO releases guidance on mental health care after trauma - New clinical protocol and guidelines to enable effective mental health care for adults and children exposed to trauma and loss. (Aug. 2013).

 

 

3. Nurses

"The Affordable Care Act, Science, and Childhood Adversity: A Call for Pediatric Nurses and Physicians to Lead." O'Malley, D. (Jul/Sept 2013). Nursing Administration Quarterly: 37(3), p 216-221. doi: 0.1097/NAQ.0b013e318295f5d8. Abstract.

Bright Start for South Dakota Children - Provides new moms with home visitations using the Nurse-Family Partnership model program.

Enhancing Veteran-centered care: A Guide for Nurses in Non-VA Settings - Click 'Open' or 'Save' for full text. Johnson, et al. American Journal of Nursing. (2012).

Evaluation of Maternal & Child Home Visitation Programs: Lessons from Pennsylvania - Drawing from lessons learned through PolicyLab’s evaluation of the Pennsylvania Nurse-Family Partnership (NFP) program, this Evidence to Action brief highlights four key program evaluation concepts to guide maternal and child home visitation administrators engaged in planning realworld program evaluation. (Win. 2013).

Idaho Maternal, Infant, and Early Childhood Home Visiting (MIECHV) - Newsletter that aims to improve communication between home visiting programs and stakeholders. (Mar. 2013). Website.

Long-term health outcomes of childhood sexual abuse - Here we examine the influence of childhood sexual abuse on the long-term health and the nursing care of adult survivors. Wilson & Severson. (Oct. 2012).

Nurse-Family Partnerships - A maternal health program introduces vulnerable first-time parents to caring maternal and child health nurses. This program allows nurses to deliver the support first-time moms need to have a healthy pregnancy, become knowledgeable and responsible parents, and provide their babies with the best possible start in life. The relationship between mother and nurse provides the foundation for strong families, and lives are forever changed – for the better. Sadly, here's a study to the contrary.

Possibilities for addressing child abuse in systematized nursing consultations - Apostólico, et al. (Apr. 2013). Revista da Escola de Enfermagem da USP; vol.47 no.2 SÃo Paulo.

Trauma Informed Care in Sexual Assault Nursing Practice - Presentation from the The Wyoming Office of the Attorney General Division of Victim Services. (2013).

 

 

4. Hospitals/Medical Centers

Hospital Crisis Intervention Project - A project of Connections for Abused Women and their Children housed at Chicago's John Stroger Hospital. The goals of HCIP are: 1) To provide quality on-site crisis intervention and counseling to domestic violence victims at the moment they look for medical care; 2) To train healthcare providers to identify, assess and effectively refer victims of abuse; and 3) To improve the healthcare system’s response to domestic violence victims through trainings, outreach and representing client interests as a member of public committees and task forces. 

Trauma Informed Care - The National Network of Hospital-based Violence Intervention Programs (NNHVIP) brings together the best and most exciting programs to share knowledge, develop best practices, collaborate on research, affect policy change, and more. Whether you are just thinking about starting a program, a new and emerging program, or have an established program; NNHVIP is here to help you reach your goals. 

 

5. Public health

Healthy Generations: Life Course: Nurturing Early Growth and Development - The Center for Leadership Education in Maternal and Child Public Health, Univ. of Minnesota. (Spring 2013).

New Directions in Child Abuse and Neglect Research - Links to infographic, report brief, and full report. Institute of Medicine. (Sept. 2013).

Public health clinic adds child trauma to smoking, alcohol, HIV screening - Article by Jane Stevens on voluntary childhood trauma screening implemented by a Jefferson County Public Health clinic in Port Townsend, WA. (Mar. 2012).

Tackling Toxic Stress - A multi-part series of journalistic articles by Center on the Developing Child
at Harvard University. (2013).

 

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