Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine

ABSTRACTThe experience of psychological trauma is common and has become even more prevalent during the COVID-19 pandemic for both health care workers and the general population [1–3]. Traumatic experiences can have varied and lasting physical and mental health effects on patients, beyond what we are...

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Main Authors: Audria Greenwald, Amber Kelly, Tina Mathew, Listy Thomas
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Medical Education Online
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2023.2178366
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author Audria Greenwald
Amber Kelly
Tina Mathew
Listy Thomas
author_facet Audria Greenwald
Amber Kelly
Tina Mathew
Listy Thomas
author_sort Audria Greenwald
collection DOAJ
description ABSTRACTThe experience of psychological trauma is common and has become even more prevalent during the COVID-19 pandemic for both health care workers and the general population [1–3]. Traumatic experiences can have varied and lasting physical and mental health effects on patients, beyond what we are privy to in the acute environment of the emergency department. The effects of these prior traumatic experiences can be exacerbated by interaction with the healthcare system, and yet emergency medicine physicians have no standardized methods for working with patients in a trauma-informed way. The systematic implementation of trauma-informed care (TIC) practice requires the cooperation of multiple domains within the health care system, including focus on the physical environment, direct care, and administrative practices. Here we provide recommendations specific to emergency medicine for the development and implementation of TIC in the regular patient-clinician interaction, situated within the context of the TIC framework as outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) [4].
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spelling doaj.art-9db6ee7eb24c426fb886b5ddef31d9052024-05-27T18:36:12ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2178366Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicineAudria Greenwald0Amber Kelly1Tina Mathew2Listy Thomas3Department of Medical Sciences, Frank H. Netter School of Medicine at Quinnipiac University, North Haven, CT, USADepartment of Social Work, Quinnipiac University School for Health Sciences, North Haven, CT, USADepartment of Emergency Medicine, Weill Cornell Medicine New York, NY, USADepartment of Medical Sciences, Frank H. Netter School of Medicine at Quinnipiac University, North Haven, CT, USAABSTRACTThe experience of psychological trauma is common and has become even more prevalent during the COVID-19 pandemic for both health care workers and the general population [1–3]. Traumatic experiences can have varied and lasting physical and mental health effects on patients, beyond what we are privy to in the acute environment of the emergency department. The effects of these prior traumatic experiences can be exacerbated by interaction with the healthcare system, and yet emergency medicine physicians have no standardized methods for working with patients in a trauma-informed way. The systematic implementation of trauma-informed care (TIC) practice requires the cooperation of multiple domains within the health care system, including focus on the physical environment, direct care, and administrative practices. Here we provide recommendations specific to emergency medicine for the development and implementation of TIC in the regular patient-clinician interaction, situated within the context of the TIC framework as outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) [4].https://www.tandfonline.com/doi/10.1080/10872981.2023.2178366Trauma-informed careemergency medicinepsychological traumamedical traumapatient-centered care
spellingShingle Audria Greenwald
Amber Kelly
Tina Mathew
Listy Thomas
Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine
Medical Education Online
Trauma-informed care
emergency medicine
psychological trauma
medical trauma
patient-centered care
title Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine
title_full Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine
title_fullStr Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine
title_full_unstemmed Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine
title_short Trauma-informed care in the emergency department: concepts and recommendations for integrating practices into emergency medicine
title_sort trauma informed care in the emergency department concepts and recommendations for integrating practices into emergency medicine
topic Trauma-informed care
emergency medicine
psychological trauma
medical trauma
patient-centered care
url https://www.tandfonline.com/doi/10.1080/10872981.2023.2178366
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