Trauma-Informed Care

Trauma-informed Care (TIC) is an interdisciplinary approach in which clients who have undergone traumatic experiences are given care that embraces them, as noted by Grossman et al. (2021). Its focus is on the realization of trauma, acknowledgment, and application of this knowledge in the assessment and management of clients and organizations to prevent re-traumatization. Prominent features of this approach include patient safety, including physical, psychological, and emotional safety, patient trust, patient-centered control, and patient involvement: Trauma-Informed Care.

Effects of Adverse Childhood Experiences (ACEs)

According to Hustedde (2021), complete adverse childhood experiences (ACEs) are situations that can substantially influence the psychological, behavioral, and health aspects of individuals, including abuse, neglect, or household dysfunction. Psychologically, people with ACEs have high risks of anxiety, depression, and post-traumatic stress disorder (PTSD). Behaviorally, it may manifest in some risky behaviors, for instance, substance use, self-harm, or aggression. From a physiological perspective, ACEs are linked with diseases such as heart disease, diabetes, and autoimmune diseases because of the long-term effects that the stress responses and, subsequently, inflammation have on the body.

Notably, ACEs affect brain development and social interactions, which may lead to problems with behavior, relationships, and academic or career performance (Hustedde, 2021). Therefore, addressing these impacts in the initial stages is essential to prevent or closely manage their effects on long-term health.

Methods to Build Resilience in Children

Another critical factor is that resilience enhancement helps children reduce the impact of adverse childhood experiences. Several methods can be employed.

Fostering Positive Relationships

Regular bonding with caregivers, mentors, or peers who create a safe and trusting environment enables the children to develop trust. Aspiring to create supportive relationships, individuals gain validation of their feelings and get to see how they can effectively deal with the obstacles in their lives.

Promoting Emotional Regulation Skills

Evaluating feelings and training children to respond appropriately to them improves emotional intelligence and resistance, according to Ramamurthy et al. (2023). Mindfulness, relaxation, and cognitive and behavioral methodologies are some of the ways through which children can be taught how to manage stress effectively.

Creating Stable and Supportive Environments

Some benefits of formula and routine include: Such routines give a child the feeling of safety and reduce uncertainties. Resources that include education, therapy, and other recreational and physical activities enhance their coping mechanisms.

These approaches empower children to foster strategies to cope with adversities and overcome those whilst preventing the lasting impacts of trauma.

Integration of Trauma-Informed Care in Practice as a PMHNP

As a Psychiatric Mental Health Nurse Practitioner (PMHNP), integrating trauma-informed care into practice involves several key strategies.

Creating a Safe Clinical Environment

Waddell-Henowitch et al. (2024) identified strategies in which the clinical environment should provide physical and emotional safety while noticing patients’ trauma triggers. This includes practical and efficient customer relations, courteous and considerate communication, and individualized patient care mapping.

Comprehensive Assessments

Assessing whether a patient has a history of trauma and how it affected their mental state. This means engaging in the use of standardized screening instruments and working in coordination with other professionals.

Empowering Patients

Implementing methods that enable patients to be involved in creating their treatment plans increases their perception of control and empowers them (Waddell-Henowitch et al., 2024). By confirming their experiences and focusing on the positive aspects, PMHNPs assist in rebuilding self-esteem and reserve.

Ongoing Education

Maintaining awareness of the current research on treating trauma and using evidence to support culturally appropriate care. Ongoing continuing professional development strengthens the fabric of responding to different patient requirements.

Integrating TIC into PMHNP practice enhances individuals’ quality of life and helps to enhance the quality of the health care delivery system.

Conclusion

Trauma-informed care is a core competency framework that helps us understand how trauma impacts health. In this way, knowing the severe consequences of ACEs, using resilience promotion interventions, and practicing according to TIC, doctors, and different healthcare staff can significantly improve the quality of the help and support during treating trauma victims and patients with complicated health histories. It promotes this same healing and defines a person as someone who can reach a given potential.

References

Grossman, S., Cooper, Z., Buxton, H., Hendrickson, S., Lewis-O’Connor, A., Stevens, J., Wong, L.-Y., & Bonne, S. (2021). Trauma-informed care: Recognizing and Resisting re-traumatization in Health Care. Trauma Surgery & Acute Care Open, 6(1), 1–5. https://doi.org/10.1136/tsaco-2021-000815

Hustedde, C. (2021). Adverse Childhood Experiences. Primary Care: Clinics in Office Practice, 48(3), 493–504. https://doi.org/10.1016/j.pop.2021.05.005

Ramamurthy, C., Zuo, P., Armstrong, G., & Andriessen, K. (2023). The impact of storytelling on building resilience in children: A systematic review. Journal of Psychiatric and Mental Health Nursing, 31(4), 525–542. https://doi.org/10.1111/jpm.13008

Waddell-Henowitch, C., McPhail, D., Kelly, C., & Ferris, S. (2024). Method Matters: Integrating Trauma-Informed Principles into Psychiatric and Mental Health Nursing Research. Issues in Mental Health Nursing, 34(2), 1–10. https://doi.org/10.1080/01612840.2024.2367756

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Trauma-Informed Care

1. What is Trauma informed Care?
2. What can be some of the effects of adverse childhood experiences (ACEs) on psychological, behavioral, and health outcomes.
3. Patients with a history of adverse childhood experiences are at risk of developing negative psychological, behavioral, and health outcomes.  Identify at least three methods to build and strengthen a child’s resilience and help lessen the consequences of ACEs.
4. How do you see yourself integrating trauma informed care into your practice as a PMHNP?

Use at least three articles from peer reviewed journals