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An estimated 60 percent of adults in the United States have experienced an adverse life event at least once in their lives, which contributes to persisting physical health, mental health and addiction problems. A trauma-informed approach equips providers with methods, tools and resources enabling them to effectively partner with patients and staff to achieve individual and community health and wellness.
Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery.
“Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last decade implementing trauma-informed approaches within behavioral health organizations. Now it’s time to transition that work to primary care,” said Linda Rosenberg, president and CEO of the National Council. “This project offers strategies primary care providers can implement to improve the overall health of individuals with histories of trauma.”
Over the next 14 months, seven primary care organizations will work with National Council experts to pilot resources, tools and processes, developed by a multidisciplinary team of health care stakeholders, designed to guide the planning, implementation and evaluation of a trauma-informed approach in primary care.
The selected participants are:
- Malama I Ke Ola – Wailuku, Hawaii
- Colorado Coalition for the Homeless – Denver, Colo.
- Richmond Behavioral Health Authority – Richmond, Va.
- Zufall Health Center – Dover, N.J.
- Peninsula Community Health Services – Bremerton, Wash.
- Oregon Health & Science University, Family Medicine at Richmond Clinic – Portland, Ore.
- Willamette Family, Inc. – Eugene, Ore.
The Practice Transformation Team
In July 2017, the National Council convened a multidisciplinary group of 11 health care stakeholders, who serve as the Practice Transformation Team for this initiative. Over the next few months, the team will develop a model for primary care providers and their behavioral health partners to effectively support patients impacted by trauma.
The process for implementing trauma-informed approaches in primary care, developed by the Practice Transformation Team, will focus on recommendations for standardized screening and assessment tools, evidence-based clinical interventions, implementation processes, relevant and replicable outcome measures and potential critical policy changes. Primary care organizations who adopt these efforts will contribute to the advancement of primary care and behavioral health integration and achievement of the Triple Aim: improving care, health and costs.
The 11 Practice Transformation Team participants include:
2015-16 Trauma-informed Primary Care Learning Community
Prior to launching the Trauma-Informed Primary Care: Fostering Resilience and Recovery initiative, the National Council implemented the Trauma-informed Primary Care Initiative, from June 2015 to March 2016. This initiative included a learning community of 14 primary care organizations.
Read more about the initiative in the Oct. 25, 2017 issue of Mental Health Weekly.
In the span of just a few months, a number of trauma-related incidents have occurred in this country — wildfires, hurricanes and mass shootings among them. Additionally, an estimated 60 percent of adults in the United States have experienced an adverse life event at least once in their lives, according to research pointed out by the National Council for Behavioral Health.
- Linda’s Corner Office: Healing Health Care: Addressing Trauma in Primary Care
- BH365: From Trauma to Resilience: One Doctor’s Journey to Transform Trauma-Informed Care
- Trauma-Informed Care in Behavioral Health Services
- Types of Trauma and Violence
- Key Ingredients for Successful Trauma-Informed Care Implementation
- Competencies Needed by Health Professionals for Addressing Exposure to Violence and Abuse in Patient Care
- Advancing Trauma-Informed Care
- Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting
Trauma-Informed Primary Care
Practice Transformation Initiative
Project Manager, Trauma Practice Area