scholarly journals This is our lane: talking with patients about racism

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Michelle S. Diop ◽  
Christy N. Taylor ◽  
Sascha N. Murillo ◽  
Jessica A. Zeidman ◽  
Aisha K. James ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Communities Of Color ◽  
Trauma Informed Care ◽  
Structural Competency ◽  
Innovative Solutions ◽  
Trauma Informed ◽  
Provider Bias ◽  
Appropriate Education

AbstractRacism has significantly impacted communities of color for centuries. The year 2020 is a reminder that racism is an ongoing public health crisis. Healthcare institutions have an important role in dismantling racism because of their ability to implement innovative solutions that advance diversity, address social determinants of health, and promote health equity. Healthcare professionals have the unique opportunity to support patients by discussing patients’ experiences of bias and racism. Asking about discrimination, however, can be difficult because of the sensitive nature of the topic and lack of appropriate education. This review highlights the importance of addressing patients’ experiences of racism, utilizing the frameworks of trauma-informed care, structural competency, provider bias, and intersectionality. Furthermore, this review provides ways to engage in meaningful dialogue around discrimination and includes important patient-centric resources.

scholarly journals The Intertwined History of Malingering and Brain Injury: An Argument for Structural Competency in Traumatic Brain Injury

2021 ◽  
Vol 49 (3) ◽  
pp. 365-371
Author(s):  
Stephen T. Casper
Keyword(s):  
Public Health ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Injuries ◽  
Health Crisis ◽  
Sources Of Uncertainty ◽  
Public Health Crisis ◽  
Structural Competency ◽  
History Of ◽  
The Cost

AbstractEvery year millions of people suffer minor brain injuries, many of which occur in collision sports. While there has been substantial commentary and debate about the nature of this public health crisis, it is clear that the scientific and clinical arguments reflect values preferences and judgments that are often invisible in documents which combine artful language with undue focus paid to sources of uncertainty at the cost of clarity and transparency. This essay gives a brief history of these patterns and proposes a remedy.

Adverse childhood experiences and trauma informed care: treating the whole patient with a more complete osteopathic approach

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
T. Brian Marcoux
Keyword(s):  
Adverse Childhood Experiences ◽  
Medical Training ◽  
System Level ◽  
Traumatic Experiences ◽  
Childhood Experiences ◽  
Health Crisis ◽  
Trauma Informed Care ◽  
Adverse Childhood ◽  
Trauma Informed ◽  
The Impact

Abstract In 1998, a seminal study identified a strong connection between participants’ exposures to adverse childhood experiences (ACEs) and the development of risk factors for serious health conditions later in life. More than two decades later, leaders in both policy and health care professions now appreciate the impact of social determinants of health, including the enormous societal costs incurred by deleterious experiences, and recognize that treating illness begins with prevention in early childhood. The trauma informed care (TIC) model offers a treatment approach that lends consideration to the traumatic experiences that impact a given patient and allows for more complete treatment by their physician. Delivering care under the TIC model encourages trauma identification, early intervention, system level awareness and policy change, and avoiding retraumatization in the therapeutic setting. Various programs across the country seek to employ these methods at the community, state, and federal level. Several programs aimed at introducing medical students to these principles have contributed to an incorporation of TIC within the physician pipeline. In this Commentary, the author proposes an expansion of the Tenets of Osteopathic Medicine with a fifth principle—considering the implications of a patient’s past formative experiences, their present life circumstances, and their future prospects—as a vehicle for instilling TIC principles ubiquitously throughout osteopathic medical training to develop physicians who treat the whole person more completely and are better equipped to manage this public health crisis.

Seen Yet Unseen: A Case of Human Trafficking at Harris High School

2021 ◽  
pp. 155545892110551
Author(s):  
Melinda Lemke ◽  
Erin Bascug ◽  
Ahlea Howard
Keyword(s):  
New York ◽  
Human Trafficking ◽  
New York State ◽  
The United States ◽  
Communities Of Color ◽  
Trauma Informed Care ◽  
Challenges And Opportunities ◽  
Trauma Informed ◽  
Trafficking Victims ◽  
School Programming

Although anyone can become a victim, commercial exploitation and human trafficking disproportionately affect women, girls, and communities of color within the United States. Despite its prevalence, misinformation and a widespread lack of understanding on this issue create barriers to identifying and supporting trafficking victims. School staff are critically positioned to both identify and support the needs of trafficked youth. This article offers a fact-based case example of human trafficking in a small town in New York State, including one principal’s challenges and opportunities in addressing human trafficking in her school. Programming and practice frameworks that utilize trauma-informed care, cultural and linguistic responsiveness, and human rights approaches are offered as strategies for engagement with this topic.

Trauma in Rural Areas

2022 ◽  
pp. 103-122
Author(s):  
Georgia Pavlic-Roseberry ◽  
Vicki Donne
Keyword(s):  
Rural Areas ◽  
Rural Culture ◽  
Childhood Experiences ◽  
Trauma Informed Care ◽  
Adverse Experiences ◽  
Adverse Childhood ◽  
Trauma Informed ◽  
Functional Areas ◽  
The Impact ◽  
Appropriate Education

This chapter provides background on rural culture and the influence it has on the implementation of trauma-informed care. The cultural characteristics create additional obstacles to schools that are working to mitigate the adverse experiences that have debilitated many students. The poverty and drug use that families face has created a generation of children who struggle with chronic stress from the adverse childhood experiences that occur in their lives. This impedes all academic and many functional areas. Without appropriate education, teachers are often unable to reach students and misunderstand why students with multiple adverse experiences display behaviors. The authors share strategies to mitigate the impact of the adversities.

scholarly journals Creating a Trauma-Informed Community Through University-Community Partnerships:An Institute Agenda

2017 ◽  
Vol 18 (1) ◽  
pp. 39-52 ◽  
Author(s):  
John M. Keesler ◽  
Susan A. Green ◽  
Thomas H. Nochajski
Keyword(s):  
Local Community ◽  
Work Practice ◽  
Social Work Practice ◽  
Community Partnerships ◽  
Health Crisis ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Unique Approach ◽  
The Impact ◽  
University Community

The impact of trauma on wellness has been identified as a community health crisis. The alliance of universities and communities is a plausible response to address the scope of the problem given their wealth of resources. The Institute on Trauma and Trauma-informed Care (ITTIC) is an exemplar of a university-community partnership and unique approach that has fostered a common language within and between organizations to foster at the community level an awareness and understanding of trauma. The present article provides an overview of university-community partnerships and their importance to social work practice. It describes the formation of the Institute and discusses its model and contributions to the local community and abroad. The implications of ITTIC for the School, University and community are discussed. An iterative process that includes active engagement, evaluation, and reflection, is recommended for the integration and advancement of trauma-informed care through university-community partnerships.

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