Building Trauma Informed Service Delivery Environments

Decent Essays
Much of the literature in this review points to provider training and awareness as a cornerstone to building trauma informed service delivery environments. Several studies found that development of TIC culture was only possible when staff were confident and competent in the knowledge of the prevalence and impact of trauma on patients, and the understanding of their responsibilities in mitigating retraumatization (Elliot et al. 2005; Gatz et al. 2007; National Center for Trauma-Informed Care 2011). However, training in TIC is not routinely incorporated in nursing or medical education, and clinicians vary in their comfort level with addressing trauma exposure in their patients. For example, Zatzick et al. (2005) found that 86% of emergency physicians incorrectly believed injury severity to be a risk factor for PTS symptoms. Other studies have found that many providers report discomfort discussing trauma and its health effects (Shulberg & Burns, 1988; Von Korff et al. 1988), in part because providers didn’t want to “open Pandora’s box” by addressing trauma when not adequately trained to respond to it. In addition to lacking confidence in their ability to address traumatic exposure, many providers may be triggered by own trauma histories (Moses, Huntington, & D’Ambrosio, 2004). More work is needed to identify the degree to which providers’ own trauma exposure may influence their ability to competently provide trauma informed care, and how compassion fatigue or secondary trauma
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