WATCH: Recognizing Trauma and its Impact on Healthcare, Seven Counties, Kentucky (2015)
READ: Surprising Results from Pilot Program Aimed at Medi-Cal “Super-Utilizers,” California Healthline (2015)
TIC in Primary Care
Kaiser Permanente 2015-2016 Learning Community Kick-Off Tools
- Kaiser LC Kick-Off PowerPoint – June 2015
- Communicating for Buy-In
- Data Log
- Project Goals and Objectives Tool
- TIPCI Implementation Planning Guide
- TIPCI Organizational Self-Assessment
- TIPCI Scoring and Graphing Guide
- Screening and Assessment Guide
- TIPCI Performance Monitoring Tool
- Workflow Decision Support Tool
- Visioning Guide
- Frequently Asked Questions
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Screening and Assessment
- 10 Questions Some Doctors Are Afraid To Ask
- According to Jeffrey Brenner, MD, the ACE score is still the best predictor we’ve found for health spending and utilization; for smoking, alcoholism, substance abuse, many physicians do not use it. This article explores the reasons why this may be the case and why asking the 10 questions is so important.
- The Adverse Childhood Experiences (ACE) Study
- One of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life health and well-being.
- Adverse Childhood Experiences: Assessing The Impact on Health and School Engagement and the Mitigating Role of Resilience
- Using the 2011–12 National Survey of Children’s Health, this study assessed the prevalence of adverse childhood experiences and their effects on children’s development and lifelong health. They found lower rates of school engagement and higher rates of chronic disease among children with adverse childhood experiences.
- Alcohol Misuse: Screening and Behavioral Counseling Interventions in Primary Care
- US Preventive Services Task Force provides a summary of recommendations on available and appropriate alcohol screening and assessment tools.
- Handbook for Sensitive Practices
- The Health and Social Impact of Growing Up With Adverse Childhood Experiences: The Human and Economic Costs of the Status Quo
- “The Hidden Epidemic: The Impact of Early Life Trauma on Health and Disease”
- Life Events Checklist (LEC)
- A measure of exposure to potentially traumatic events developed by the National Center for Posttraumatic Stress Disorder (PTSD).
- PHQ 9
- Patient Health Questionnaire assessment tool to identify signs of depression.
- Primary Care-PTSD Screen (PC-PTSD)
- A four-item screen that was designed for use in primary care and other medical settings.
- PTSD Screening and Referral: For Health Care Providers
- The National Center for PTSD provides multiple reasons why it is important for health care providers to assess for a history of trauma exposure.
- Trauma and Posttraumatic Stress Disorder in Primary Care Patients
- This article examines the nature of trauma and posttraumatic stress disorder in 504 patients recruited from primary care settings, emphasizing the continued need to assess patients present at general medical facilities.
- Screening, Brief Intervention, and Referral to Treatment (SBIRT)
- An evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine recommendation that called for community-based screening for health risk behaviors, including substance use.
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- A Better Start Child: Maltreatment as a Public Health Priority
- Some of our nation’s most serious health concerns can be linked to trauma from abuse and neglect early in life. Preventing maltreatment can be a powerful lever to move the population toward greater health and well-being.
- Best Clinical Practices for Male Adult Survivors of Childhood Sexual Abuse: “Do No Harm.”
- On the basis of 2010 US Census figures for the male population (n = 151,781,326), there could be more than 24 million male survivors of childhood sexual abuse in the US.6 The number of potentially affected men indicates a need to educate physicians on best clinical practices for this at-risk population. Extensive research indicates that a history of childhood sexual abuse can have a major, long-term negative impact on the survivor’s health, well-being, and life expectancy.7
- Can Family Secrets Make You Sick?
- NPR Article connecting adverse life/childhood experiences to physical conditions. March 3/2015.
- “Community Resilience Cookbook”
- The Robert Wood Johnson Foundation, The Health Federation of Philadelphia, and ACESTooHigh released this education and intervention tool for communities to build resilient and trauma-informed communities.
- The Handbook on Sensitive Practice for Health Care Practitioners: Lessons from Adult Survivors of Childhood Sexual Abuse
- Presents material that will help health care practitioners practice in a manner sensitive to the needs of adult survivors of childhood sexual abuse and other types of interpersonal violence. The handbook also includes information on examinations and procedures that health care providers might consider innocuous or routine but can be distressing for survivors, because they may be reminiscent of the original trauma.
- Healthcare Toolbox: Your Guide to Helping Children and Families Cope with Illness and Injury
- Contains trauma related patient handouts, assessment tools, quick interventions and more.
- Healthy Moms, Happy Babies: A Train the Trainers Curriculum on Domestic Violence, Reproductive Coercion and Children Exposed Kit
- This research-informed curriculum includes PowerPoint presentations with speaker’s notes, discussion questions, video clips, role-plays, and other exercises and a supporting bibliography. Healthy Moms, Happy Babies: Train the Trainers Curriculum was created to support home visitation programs to be equipped to help women and children living in homes with domestic violence.
- Helping Foster and Adoptive Families Cope with Trauma: A Guide for Pediatricians (Academy of Pediatrics)
- The purpose of this guide is to support adoptive and foster families by strengthening the abilities of pediatricians to: identify traumatized children; educate families about toxic stress and the possible biological, behavioral, and social manifestations of early childhood trauma; and empower families to respond to their child’s behavior in a manner that acknowledges past trauma but promotes the learning of new, more adaptive reactions to stress.
- The Long Reach of Childhood Trauma
- The National Child Traumatic Stress Network
- Strives to improve access to care, treatment, and services for traumatized children and adolescents exposed to traumatic events.
- Nurses’ Views and Current Practice of Trauma-informed Pediatric Nursing Care
- Grounded in research on posttraumatic stress etiology, “trauma-informed pediatric care” integrates understanding of posttraumatic stress and specific practices to reduce posttraumatic stress into clinical care of ill or injured children.
- The Primary Care Behavioral Health Tool Kit (PCBH Toolkit)
- The PCBH Model aims to improve overall health outcomes for patients by improving access to efficient and effective behavioral health services within the primary care clinics.
- SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach
- Introduces a concept of trauma and offers a framework for how an organization, system or service sector can become trauma-informed. This document includes a definition of trauma (the three “E’s”), a definition of a trauma-informed approach (the four “R’s”), six key principles and ten implementation domains.
- SAMHSA’s TIP on Trauma-Informed Care in Behavioral Health Services
- Assists behavioral health professionals in understanding the impact and consequences for those who experience trauma. It includes patient assessments, treatment planning strategies that support recovery and information on building a trauma-informed care workforce.
- Social Policy Report Brief: How Abuse and Neglect Affect Children’s Minds and Bodies
- Policy and practice brief declaring that new studies on the neurobiological science of maltreatment show that child abuse and neglect alter children’s biological systems, including brain development. Suggests that efforts to treat child abuse and neglect should be renewed and expanded.
- Tony Salerno’s Ted Style Talk from Conference 2014
- Study: Trauma Follows Children into Adulthood, Threat to Public Health in CA
- A report by the Center for Youth Wellness (CYW), a health organization that serves children and families in San Francisco’s Bayview Hunters Point district, that demonstrates “the effects of early adversity on lifetime health are astounding,” according to CYW founder and CEO Nadine Burke Harris.
- Trauma Survivors in Medical and Dental Settings pamphlet
- Developed by the Western Massachusetts Training Consortium, this pamphlet alerts readers to the issues trauma survivors may have in medical and dental settings. It also gives concrete suggestions that help avoid common problems and promote emotional well-being.
- Trauma Toolbox for Primary Care
- This 6-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events.
- Webinar on October 6: Workforce Development
- Zero Suicide Toolkit
- Zero Suicide is a commitment to suicide prevention in health and behavioral health care systems and is also a specific set of strategies and tools
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Safe and Secure Environments
- The Sanctuary Model
- Sandy Bloom, MD – The process of “Creating Sanctuary” begins with getting everyone on the same page – surfacing, sharing, arguing about, and finally agreeing on the basic values, beliefs, guiding principles and philosophical principles that are to guide our decisions, decision-making processes, conflict resolution skills and behavior.
- Scared Sick
- Robin Karr-Morse with Meredith S. Wiley – This book explores the first years of human life and discovers that these are more important than we ever realized. In Scared Sick, Robin Karr-Morse connects psychology, neurobiology, endocrinology, immunology and genetics to demonstrate how chronic fear in infancy and early childhood— when we are most helpless—lies at the root of common diseases in adulthood.
- Seeking Safety
- Lisa M. Najavits – an evidence based model for treating trauma and addiction.
- Webinar on December 15: Safe and Secure Environments
- Hope Beyond Hurt Poster
- Trauma Matters Infographic
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Data Collection and Performance Improvement
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See also Resources by Domain
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