scholarly journals Community ECHO (Extension for Community Healthcare Outcomes) Project Promotes Cross-Sector Collaboration and Evidence-Based Trauma-Informed Care

2022 ◽  
Author(s):  
Christina A. Buysse ◽  
Barbara Bentley ◽  
Linda G. Baer ◽  
Heidi M. Feldman
Keyword(s):  
Evidence Based ◽  
Healthcare Outcomes ◽  
Community Healthcare ◽  
Trauma Informed Care ◽  
Trauma Informed

scholarly journals Community ECHO (Extension for Community Healthcare Outcomes) Project Promotes Cross-Sector Collaboration and Evidence-Based Trauma-Informed Care

2021 ◽  
Author(s):  
Christina A Buysse ◽  
Barbara Bentley ◽  
Linda G Baer ◽  
Heidi M Feldman
Keyword(s):  
Best Practices ◽  
Communication Networks ◽  
Workforce Development ◽  
Low Income ◽  
Pediatric Care ◽  
Evidence Based ◽  
Healthcare Outcomes ◽  
Community Healthcare ◽  
Trauma Informed Care ◽  
Trauma Informed

Background Adverse Childhood Experiences (ACEs) are traumatic events that occur before age 18 years. ACEs, associated with negative health behaviors and chronic health disorders, disproportionately impact people from poor and marginalized communities. Toxic stress from ACEs can be prevented and treated with trauma-informed care. Inadequate training prevents the maternal and child workforce from providing evidence-based trauma-informed care. Cross-sector collaboration between pediatric care sectors is crucial to providing systems-wide trauma-informed care, but significant barriers impede cross sector communication. Training and formal cross-sector communication networks are needed to create strong systems of trauma-informed care in communities. The Stanford ACEs Aware ECHO (Extension for Community Healthcare Outcomes) program was created with 3 workforce development goals: 1) introduce the California Office of Surgeon General-led ACEs Aware Initiative to the maternal and child health workforce in 3 California counties, 2) disseminate trauma-informed evidence-based best practices, 3) bridge community silos to increase collaboration between care sectors to promote trauma-informed care systems. Methods Participants were recruited from Federally Qualified Health Centers, county public health departments, community behavioral health organizations, educational institutions, and agencies that serve low-income children and families. 100 unique participants representing 3 counties and 54 agencies joined sessions. Twelve virtual educational sessions were convened over 6 months using the Project ECHO model via Zoom technology. Sessions consisted of didactic lectures and whole-group case-based discussions. Results After completing the educational series, participants expressed commitment to increased cross-sector collaboration, and reported increased knowledge and confidence in using trauma-informed skills. After participation, a significant number of participants had also completed another recommended California ACEs Aware Initiative online training. Conclusion An ECHO series of virtual workforce development sessions on trauma-informed best practices promoted cross-sector communication and was associated with strong participant engagement and satisfaction. The educational series increased knowledge and confidence in use of evidence-based trauma-informed best practices.

Clinical Interventions in Problem-Solving Courts

2019 ◽  
pp. 33-49
Author(s):  
David DeMatteo ◽  
Kirk Heilbrun ◽  
Alice Thornewill ◽  
Shelby Arnold
Keyword(s):  
Problem Solving ◽  
Behavioral Interventions ◽  
Evidence Based ◽  
Therapeutic Communities ◽  
Evidence Based Practices ◽  
Clinical Interventions ◽  
Trauma Informed Care ◽  
Problem Solving Courts ◽  
Trauma Informed ◽  
Assessment Procedures

This chapter focuses on the clinical interventions most commonly delivered in problem-solving courts. The chapter begins with a discussion of the Risk-Needs-Responsivity Model, which provides a foundational context for the interventions used in problem-solving courts and highlights the importance of targeting offender needs—criminogenic needs—related to key outcomes (e.g., reduced recidivism, reduced relapse to drug use). The authors then discuss the various screening and risk assessment procedures used to admit offenders to problem-solving courts, the clinical interventions used in problem-solving courts (e.g., cognitive-behavioral interventions, 12-step programs, therapeutic communities, case management, trauma-informed care), and the use of evidence-based practices in problem-solving courts. The authors note the role of problem-solving courts as a watchdog for service provision and conclude with a section discussing “next steps” for expanding evidence-based interventions in problem-solving courts.

Overview of Integrative Family and Systems Treatment (I-FAST)

2020 ◽  
pp. 49-70
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Goal Setting ◽  
Trauma Treatment ◽  
Evidence Based ◽  
Family Assessment ◽  
Culturally Competent ◽  
Detailed Case ◽  
Trauma Informed Care ◽  
Trauma Informed

This chapter outlines integrative family and systems treatment (I-FAST). Theoretical and philosophical perspectives in which I-FAST is organized around are described. Treatment steps are outlined. Family assessment and goal setting procedures are described. How these procedures are used for in-session and between-session tasks, framing and reframing, and the use of questions as intervention procedures within I-FAST are described. The chapter also discusses how to integrate intervention procedures from any evidence-based trauma treatment into I-FAST and how I-FAST is culturally competent and consistent with trauma-informed care is discussed. Finally, a detailed case example showing the application of I-FAST is offered.

Trauma-Informed Care

2017 ◽  
Author(s):  
Paula Panzer ◽  
Stephanie Smit-Dillard
Keyword(s):  
Behavioral Health ◽  
Psychiatric Care ◽  
Systems Of Care ◽  
Well Being ◽  
Evidence Based ◽  
Public Practice ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Community Trauma

Many people seeking psychiatric care have been exposed to interpersonal and/or community trauma; those experiences have direct bearing on their presenting concerns. Understanding that trauma can pervasively impact well-being, it is critical for psychiatric practitioners to routinely address trauma exposure, coping strategies, and related symptoms so that interventions are experienced as collaborative, safe, and effective. This chapter discusses practical approaches addressing the role of trauma in health and behavioral health symptoms, and it introduces evidence-based interventions for assessing and treating trauma-related disorders in public practice. Trauma-informed systems of care that limit undue harm while attending to the needs of practitioners are also discussed.

Evidence-Based Practice: Implementing Trauma-Informed Care of Children and Adolescents in the Inpatient Psychiatric Setting

2020 ◽  
pp. 107839032098004
Author(s):  
Renae Hale ◽  
M. Cecilia Wendler
Keyword(s):  
Children And Adolescents ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Specific Patient ◽  
Inpatient Psychiatric Care ◽  
Psychiatric Setting ◽  
Trauma Informed Care ◽  
Iowa Model ◽  
Trauma Informed ◽  
Viable Approach

Background: At our inpatient psychiatric hospital, which cares for children and adolescents, internal data of use of seclusions and holds as crisis interventions for immediate behavioral health issues demonstrated that we were using these too often. Aims: Benchmarking indicated that we were at the 75% in use of these measures, and it became an organizational goal to reduce the use of these strategies in order to reduce the risk of retraumatization to an already traumatized child. Methods: We used the Iowa Model for Evidence Based Practice–Revised to initiate an evidence-based practice project introducing and hardwiring Trauma Informed Care to the staff and institution. This involved implementing six core strategies specifically designed to reduce the use of crisis interventions. Results: Data obtained at 6 months revealed a 40% reduction in the use of holds and seclusions, and at 12 months, this change was sustained and even improved, reducing the use of these approaches by another 9%. Furthermore, the culture in the institution was changed, and Trauma Informed Care became the norm. Conclusions: Evidence-based practice is a viable approach to change the culture and improve patient outcomes in inpatient psychiatric care of children and adolescents. Further investigation is warranted to determine the specific patient and staff experiences of being cared for, and caring within, the context of trauma-informed care.

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