scholarly journals A Case for TIC

2018 ◽  
Vol 5 (2) ◽  
pp. 1-12
Author(s):  
Steven Anthony Thirkle ◽  
Angela Kennedy ◽  
Petia Sice
Keyword(s):  
Human Services ◽  
Human Interaction ◽  
Interpersonal Neurobiology ◽  
Trauma Informed Care ◽  
Service Relationships ◽  
Trauma Informed ◽  
Organisational Structures ◽  
Successes And Challenges ◽  
Monitoring Change

Trauma Informed Care (TIC) is an approach to human services based on the understanding that most people in contact with services are more likely to have experienced some level of trauma, adversity and loss and this understanding needs to be held by those involved so that it is may permeate service relationships and delivery. This article reviews TIC literature and introduces a case example outlining the successes and challenges of TIC implementation in practice, i.e. staff awareness, knowledge and skills, communication and quality of human interaction, wellbeing and resilience, organisational structures and artefact, measurement and monitoring for success. Insights from complexity and interpersonal neurobiology are interpreted in the context of facilitating TIC implementation, i.e. parallel safe-to-fail interventions, managing constraints and boundary conditions, monitoring change through trusted sensor networks, maintaining awareness development practices.

Parent experience of HIE and hypothermia: A call for trauma informed care

2022 ◽  
Author(s):  
Anna Elizabeth Sagaser ◽  
Betsy Pilon ◽  
Annie Goeller ◽  
Monica Lemmon ◽  
Alexa Craig
Keyword(s):  
Parental Involvement ◽  
Neonatal Intensive Care ◽  
Parent Support ◽  
Face To Face ◽  
Trauma Informed Care ◽  
Parent Experience ◽  
Parent Role ◽  
Trauma Informed ◽  
E Mail

Purpose/Background: Therapeutic hypothermia (TH) is the standard treatment for hypoxic ischemic encephalopathy (HIE). We surveyed parents of infants treated with TH about their experiences of communication and parental involvement in the Neonatal Intensive Care Unit (NICU). Methods/Approach: A 29-question anonymous survey was posted on a parent support website (https://www.hopeforhie.org) and sent to members via e-mail. Responses from open-ended questions were analyzed using thematic analysis. Results: 165 respondents completed the survey and 108 (66%) infants were treated with TH. 79 (48%) respondents were dissatisfied/neutral regarding the quality of communication in the NICU, whereas 127 (77%) were satisfied/greatly satisfied with the quality of parental involvement in the NICU. 6 themes were identified: 1) Setting for communication: Parents preferred face to face meetings with clinicians. 2) Content and clarity of language: Parents valued clear language (use of layman’s terms) and being explicitly told the medical diagnosis of HIE. 3) Immediate and Longitudinal Emotional Support: Parents required support from clinicians to process the trauma of the birth experience and hypothermia treatment. 4) Clinician time and scheduling: Parents valued the ability to join rounds and other major conversations about infant care. 5) Valuing the Parent Role: Parents desired being actively involved in rounds, care times and decision making. 6) Physical Presence and Touch: Parents valued being physically present and touching their baby; this presence was limited by COVID-related restrictions. Conclusion: We highlight stakeholder views on parent involvement and parent-clinician communication in the NICU and note significant overlap with principles of Trauma Informed Care: safety (physical and psychological), trustworthiness and transparency, peer support, collaboration and mutuality, and empowerment, voice and choice. We propose that a greater understanding and implementation of these principles may allow the medical team to more effectively communicate with and involve parents in the care of infants with HIE in the NICU.

scholarly journals Trauma-informed knowledge, awareness, practice, competence and confidence of rural health staff: A descriptive study

2021 ◽  
Vol 11 (9) ◽  
pp. 1
Author(s):  
Kaye Ervin ◽  
Carol Reid ◽  
Tegan Podubinski ◽  
Jacquie Phillips
Keyword(s):  
Rural Health ◽  
Health Care Systems ◽  
Health Staff ◽  
Trauma History ◽  
Trauma Informed Care ◽  
Service Staff ◽  
Care Systems ◽  
Trauma Informed ◽  
Survey Results

Background and objective: By adopting a trauma-informed approach to care at the organisational and clinical levels, health care systems and providers can enhance the quality of care that they deliver and improve health outcomes for individuals with a trauma history. This study aimed to explore the trauma-related knowledge, attitudes awareness, practice, competence and confidence of health service staff from three small rural health services in Victoria, Australia, and examine their self-reported capacity to respond to clients with a trauma history.Methods: Staff from each site were invited to complete a paper-based survey. The survey included demographic information and questions related to knowledge and understanding of trauma, experience of trauma-informed care and confidence engaging in, and perceived importance of, trauma-informed practices. Results: The respondents were predominately nurses. Results showed that 16% of respondents had undertaken training in trauma-informed care and 44% disagreed that they had an understanding of trauma-informed practices. There were high levels of agreement for statements related to knowledge and understanding of trauma and low levels of agreement with statements related to experience of trauma-informed care. More than 70% of respondents reported that they had little knowledge of the principals of trauma-informed care, and little experiencing with practicing trauma-informed care.Discussion and conclusions: Overall, the survey results showed that staff were trauma-aware, but supported the need for more education and training in trauma-informed practices and improved organisational approaches to support trauma-informed approaches. It is important for organisations to shift from being trauma aware to being trauma-informed, by building foundational awareness of these practices and reinforcement through continuing education.

Developing an instrument to measure organizational trauma-informed care in human services: The TICOMETER.

2017 ◽  
Vol 7 (1) ◽  
pp. 150-157 ◽  
Author(s):  
Ellen L. Bassuk ◽  
George J. Unick ◽  
Kristen Paquette ◽  
Molly K. Richard
Keyword(s):  
Human Services ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Organizational Trauma

Psychometric Evaluation of the TIC Grade, a Self-Report Measure to Assess Youth Perceptions of the Quality of Trauma-Informed Care They Received

2020 ◽  
pp. 107839032095389
Author(s):  
Nicole Boucher ◽  
Cynthia S. Darling-Fisher ◽  
Laura Sinko ◽  
Dana Beck ◽  
Josie Granner ◽  
...  
Keyword(s):  
Emerging Adults ◽  
Short Form ◽  
Psychometric Evaluation ◽  
Self Report ◽  
Clinical Practices ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Training And Support ◽  
Report Measure

Background Agencies and clinical practices are beginning to provide trauma-informed care (TIC) to their clients. However, there are no measures to assess clients’ perceptions of and satisfaction with the TIC care they have received. A 20-item questionnaire, the TIC Grade, was developed, based on the National Center for Trauma-Informed Care principles of TIC, to assess the patient or client perception of the TIC provided in settings that serve adolescents and emerging adults. Objective The goal of this project was to evaluate the psychometric properties of the TIC Grade instrument and to make recommendations for use of the full measure and its short form—an overall letter grade. Study Design The TIC Grade questionnaire was administered to youth over the age of 18 years from four community partners providing care to vulnerable young adults. Potential participants were offered questionnaires at the end of their visit. Those interested in participating left their completed anonymous questionnaire in a locked box to maintain confidentiality. Questionnaires were collected from 100 respondents; 95 were complete enough to include in analyses for psychometric evaluation. Results The findings of this project support the reliability and usability of the 20-item TIC Grade measure to assess youth’s perceptions of the quality of TIC they received. Conclusions This TIC-specific, behaviorally worded client report measure can assist service delivery organizations to assess their success at implementing TIC and to identify areas where further staff training and support are needed.

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