Issues & Solutions

Trauma-Informed Care

Patients exit the examination rooms at HOPE Clinic, a full time Federally Qualified Health Center (FQHC) providing over 13,000 patient visits a year which includes the uninsured, underinsured, those with limited English proficiency, and the low-income. A unique characteristic of HOPE Clinic is its capacity to provide services in 14 different languages, including: Mandarin, Cantonese, Vietnamese, Korean, Burmese, Arabic, and Spanish.

What is Trauma-Informed Care?

  • The seminal research on trauma’s effects on children was the CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study
  • The ACE study, conducted between 1995 and 1997, surveyed more than 17,000 people on their childhood experiences and current health status and behaviors.
  • A growing body of research has since developed on Adverse Childhood Experiences (ACEs).

Defining Trauma-Informed Care

Trauma-informed care is defined less by specific measures than by general principles. According to the National Child Traumatic Stress Network, a trauma-informed child and family service system is one in which agencies, programs, and service providers:

  • Routinely screen for trauma exposure and related symptoms
  • Use evidence-based, culturally responsive assessment and treatment for traumatic stress and associated mental health symptoms
  • Make resources available to children, families, and providers on trauma exposure, its impact, and treatment
  • Engage in efforts to strengthen the resilience and protective factors of children and families impacted by and vulnerable to trauma
  • Address parent and caregiver trauma and its impact on the family system
  • Emphasize continuity of care and collaboration across child-service systems; and
  • Maintain an environment of care for staff that addresses, minimizes, and treats secondary traumatic stress, and that increases staff wellness.

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