The Turkish Journal of Pediatrics 2020 , Vol 62 , Num 6
Nationwide efforts for trauma-informed care implementation and workforce development in healthcare and related fields: a systematic review
Resmiye Oral 1 ,Carol Coohey 2 ,Kasra Zarei 3 ,Aislinn Conrad 2 ,Anne Nielsen 4 ,Lucy Wibbenmeyer 5 ,Rachel Segal 6 ,Armeda Stevenson Wojciak 7 ,Charles Jennissen 8 ,Corinne Peek-Asa 9
1 Clinical Pediatrics, Carver College of Medicine, University of Iowa
2 School of Social Work, University of Iowa
3 Medical Student, University of Iowa
4 Stead Family Children’s Hospital, University of Iowa
5 Surgery, University of Iowa
6 Pediatric Resident, University of Iowa
7 Department of Psychological and Quantitative Foundations, University of Iowa
8 Pediatrics and Emergency Medicine, Carver College of Medicine, University of Iowa
9 College of Public Health, University of Iowa
DOI : 10.24953/turkjped.2020.06.002 There is building evidence that Adverse Childhood Experiences without early and proper intervention leads to subsequent short- and long-term behavioral, social, physical and mental health problems. Practitioners, researchers, and healthcare systems have been implementing trauma-informed care (TIC) in a variety of health and human services settings, resulting in improvements in clinical care and prevention of illness by identifying high risk populations. This has led to positive health outcomes including improved compliance, better access to mental health services and reduced health care costs. A systematic review was conducted of studies that focused on TIC implementation in healthcare settings, statewide TIC implementation, impact of adverse childhood experiences on health outcomes, impact of TIC on health outcomes, and evaluation of TIC implementation. A search was conducted in March 2019 to identify studies in PubMed, Medline, and other online literature. We limited our search to articles published in English after 2000. This article aims to review the components of TIC phases of implementation in healthcare settings, success stories across the nation to help the readers understand the importance of a paradigm shift to improve healthcare delivery and health outcomes and to prevent illness starting from childhood with a family centered care perspective. Keywords : trauma-informed care implementation and interventions, adverse childhood experiences, childhood trauma, primary-level interventions
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