Trauma-Informed Healthcare Approaches A Guide for Primary Care
Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experienc
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Trauma-Informed Healthcare Approaches
Megan R. Gerber Editor
Trauma-Informed Healthcare Approaches A Guide for Primary Care
Editor Megan R. Gerber, MD, MPH Section of General Internal Medicine Boston University School of Medicine Veterans Affairs (VA) Boston Healthcare System Boston, MA USA
ISBN 978-3-030-04341-4 ISBN 978-3-030-04342-1 (eBook) https://doi.org/10.1007/978-3-030-04342-1 Library of Congress Control Number: 2019934093 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to our patients who have taught us more about healing than any lecture or book and to our families who have been a bedrock for all of us as we have faced the difficult, tragic, unfathomable, and joyful aspects of caring for survivors of trauma. Thank you.
Preface
In recent years, trauma-informed care (TIC) has gained traction as an important set of principles that should guide optimal healthcare delivery. Our understanding of the profound impact traumatic exposure has on health is not new, but the recent #METOO movement has resulted in expanding interest in optimizing the healthcare response to interpersonal trauma. The literature contains many offerings on TIC in mental health, substance abuse, and pediatric care settings, but there has been comparably less published on TIC principles in general adult medical settings. There is a continuum from being trauma-aware to trauma-informed. Organizations may be trauma-aware and have outstanding trauma-focused care, but being trauma- informed is a process of infusing an entire organization or system with a guiding set of principles that reorders the environment to promote safety, empowerment, and
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