I'd be grateful if anyone could forward me any material they have regarding TIC in Primary Care, please -- thisis one area in particular where New Zealand is tragically behind the times, but might benefit from some fresh ideas.
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Hi, Russell:
The National Council on Behavioral Health is coordinating a year-long trauma-informed learning community for health centers. Also, Access Community Health Centers in Madison, WI, integrated ACEs and trauma-informed practices. Catie Beck is a contact there. You can message her through ACEsConnection.
Hi, Russell:
The National Council on Behavioral Health is coordinating a year-long trauma-informed learning community for health centers. Also, Access Community Health Centers in Madison, WI, integrated ACEs and trauma-informed practices. Catie Beck is a contact there. You can message her through ACEsConnection.
Hi Russell, this Community Health Center in NY has done work on integrating TIC into primary care http://www.chcanys.org/clientu...re-Mailing-Green.pdf and The Eleventh Street Family Clinic in Philadelphia has also done a lot of work in this area. They have integrated the Sanctuary Model into their clinic practice.
Hi Russell, this Community Health Center in NY has done work on integrating TIC into primary care http://www.chcanys.org/clientu...re-Mailing-Green.pdf and The Eleventh Street Family Clinic in Philadelphia has also done a lot of work in this area. They have integrated the Sanctuary Model into their clinic practice.
The TIC in Primary Care took a while to get started, but accepted its first client yesterday The person presents as having Bipolar Disorder, and reports having experienced emotional neglect through being sent to boarding school at age 8 which was continued through to the end of his schooling. Its early days yet, but he also likely suffered other forms of abuse (sexual an physical) by other boys in the boarding school.
Hello, Happy to chat with you about my work on providing TIC trainings in Primary Care safety net (PRIMARY CARE serving publicly funded patient populations) settings here in Portland , Oregon. I have been doing this for about 5 years now and appreciate the challenges for clinic staff and have seen the embrace of this practice spread across our community. There is a spreading recognition of the value to both practitioners and patients in adopting this cultural attitude. Laurie Lockert, MS, LPC
Laurie Lockert posted:Hello, Happy to chat with you about my work on providing TIC trainings in Primary Care safety net (PRIMARY CARE serving publicly funded patient populations) settings here in Portland , Oregon. I have been doing this for about 5 years now and appreciate the challenges for clinic staff and have seen the embrace of this practice spread across our community. There is a spreading recognition of the value to both practitioners and patients in adopting this cultural attitude. Laurie Lockert, MS, LPC
Thank you very very much for this. The Primary Care provider (we call them GPs General Practitioners) with whom I've been trying to get something going is relieving someone in a close by town -- Dunedin, now home, has about 120,000 people. When she gets back, at the end of next week, I'll bring your reply to her attention, and see if she can learn some quick lessons. She's most interested in learning how best to ask, and how to respond, including how best to refer, to me -- not sure if you've seen John Read's article, but I'm attaching it to this, but it seems most suited to a hospital population.
Thank you, Russell! I will read the article!My training experience in trauma informed care in primary care has included presenting webinars nationally as well as locally for the Oregon Health Authority and serving in a national traum informed care advisory committee with Center for Health Care Strategies.
Excited to offer my experience!
The American Academy of Pediatrics Trauma Toolbox for Primary Care is a good start: https://www.aap.org/en-us/advo...OR%3a+No+local+token
Randall Ahn posted:The American Academy of Pediatrics Trauma Toolbox for Primary Care is a good start: https://www.aap.org/en-us/advo...OR%3a+No+local+token
Thanks for your reply, but again, we're looking at the effects on children, although I'm certainly very cognizant of the need to fous on prevention of long term sequelae -- looking at adults, if you can remember the outcomes examined in the original ACEs studies.
Certainly though, some pediatricians do look at this topic -- such as the article in Nature by Oral http://www.nature.com/pr/journ.../abs/pr2015197a.html
Hello Russell,
Here in the U.K. we are working with a General Practice looking at TIC and in particular the enquiring and responding aspects referred to in an earlier post. When we started our general work on the enquiry aspects we had the privilege of being advised by John Read which was extremely useful. This current project is in partnership with the University of Bangor - and again we really value the guidance from Professor Mark Bellis who is Honorary Professor in Public Health at Bangor University, Director of Policy, Research and Development for Public Health Wales, and Chair of the World Health Organization Collaborating Centre for Violence Prevention.
We are currently undertaking the background work and hope that the G.P. team will begin to enquire directly about ACE/trauma in December this year. Whilst this is early days I am happy to keep you informed of how it goes if that would be useful.
HI Leslie- Thank you for sharing your progress; wonderful that you have such valuable guidance from Professor Bellis. Please keep sharing with the ACEs Connection community as you progress so we can all glean and learn from what you develop!
Indeed, immediately upon reading your reply ("middle of the night" for me) I sent an email to a GP I'm "working" with encouraging her to do a PhD. There's me (retired psychologist) all ready to provide free counselling to trauma survivors -- but no clients!!
I "attended" a webinar yesterday "PTSD: Are we missing it?" in the substance abuse field -- and as anyone knows, "Of course we are!" (I worked for a time in the AOD field and tried to get "the system" to do something, to no avail.) So I'm having another go, from another direction. The guy presenting said he'd been able to get more GPs & AOD practitioners involved just through an hour-long training session! So my mind raced ahead -- developing a PhD proposal for this young GP (I'm weird, I know, developing a proposal in the early hours of the morning!) -- it probably won't happen, but it's a really exciting thought -- so I'll definitely be keeping you in mind!!
My experience introducing trauma informed care to primary care is that the key to gaining their support is through the concept of "whats in it for me?" We can all relate!
By identifying the highest risk folks , connecting them to specialists (behaviorists and addiction specialists, maybe consult with pharmacists) , that will actually free the Provider's time up to see more people, and be supported treating the high risk patient population. It brings better care to the patient, frees up Provider time, and creates an overall better experience for everyone.
Lesley Banner posted:Hello Russell,
Here in the U.K. we are working with a General Practice looking at TIC and in particular the enquiring and responding aspects referred to in an earlier post. When we started our general work on the enquiry aspects we had the privilege of being advised by John Read which was extremely useful. This current project is in partnership with the University of Bangor - and again we really value the guidance from Professor Mark Bellis who is Honorary Professor in Public Health at Bangor University, Director of Policy, Research and Development for Public Health Wales, and Chair of the World Health Organization Collaborating Centre for Violence Prevention.
We are currently undertaking the background work and hope that the G.P. team will begin to enquire directly about ACE/trauma in December this year. Whilst this is early days I am happy to keep you informed of how it goes if that would be useful.
Did you understand from my earlier reply how much I absolutely love!!! this. Just as an absolute aside, did you know that when I was searching for a PhD supervisor several years ago (with no success) one o the people I spoke to was the head of Public Health at the University of Otago -- who'd done his research on smoking -- said he didn't know it (ACEs) was such a problem! Me? I'd worship the ground Prof Bellis walks on. I'll be in touch!!!
Hi,
sometimes it really is true that "it ain't what you know, it's who you know that's most important"
yet if I didn't know what I know I might not be in such a good position to make the most of who I know. This work has gained an unexpected opportunity recently. There's a new "health hub" starting up in March of next year https://www.odt.co.nz/news/dun...E2%80%99s-vulnerable
and I know someone who's part of an agency given the contract for recruiting, and paying, the staff for the place -- and she's very hopeful we'll be able to work with the doctors to get an ACEs service set up -- see the attached discussion paper.
So, yes, please, if you could send me the link to the radio broadcast recording, that'd be great, together with any resources you could suggest for providing info to the doctors. The Australian Adult Survivors of Childhood Abuse (now called the Blue Knot) Foundation has got a video online for doctors -- so any and all materials could be useful to me.
Along with 5 other organizations, we are participating in a CHCS/RWJ collaborative around this, and have begun to implement trauma informed care and universal ACES screening within our hospital based primary care network caring for 300,000 patients annually in the Bronx, NY.
Rahil Briggs posted:Along with 5 other organizations, we are participating in a CHCS/RWJ collaborative around this, and have begun to implement trauma informed care and universal ACES screening within our hospital based primary care network caring for 300,000 patients annually in the Bronx, NY.
Does anyone know of a "checklist" to see how a new "health hub" is doing in terms of providing "trauma informed care". There's a new health centre opening up in my home town of Dunedin, New Zealand, for the city's vulnerable and I'm in contact with someone who's probably able to ensure I'm able to provide a peer support recovery service in conjunction with the doctors working there.
https://www.odt.co.nz/news/dun...E2%80%99s-vulnerable
Can anyone recommend a TIC training for primary care sites in the U.S.? The NCBH has continued its offering of a collaborative, now lasting 16 months, but we're outside of Kaiser Permanente's catchment area. Specifically, I'd like a curriculum that includes in-person trainings.
Hi,
Great question. We are actually doing an in-person training on TIC in primary care Sept 28. I have attached our flyer. Please let me know if you have any questions.
Dana
Russell Wilson posted:I'd be grateful if anyone could forward me any material they have regarding TIC in Primary Care, please -- thisis one area in particular where New Zealand is tragically behind the times, but might benefit from some fresh ideas.
good morning, attached you will find the trauma informed care toolkit we developed for inpatients and outpatients for families with children. we find it a bit cumbersome for primary care setting not supported by social work or behavioral health clinicians. but this may be a start for you to consider. secondly Montefiore hospital pediatrics department implemented TIC in their primary care heavily supported by their behavioral health clinicians team. you may reach dana Crawford, michellina german, or rachil briggs. this team is coming to the university of iowa hospitals to give us 8 grand rounds in various departments. we will have more information after November based on what we learn from each other. best.
I will send another message with the toolkit for adults without children for those of you serving adult patients.
Russell Wilson posted:I'd be grateful if anyone could forward me any material they have regarding TIC in Primary Care, please -- thisis one area in particular where New Zealand is tragically behind the times, but might benefit from some fresh ideas.
toolkit for adults
Moving from Trauma-Informed to Trauma-Responsive provides program administrators and clinical directors with key resources needed to train staff and make organizational changes to become trauma-responsive. This comprehensive training program involves all staff, ensuring clients are served with a trauma-responsive approach.
This training program describes the ten-step process of becoming trauma-responsive:
Developed by leading trauma experts Stephanie S. Covington, PhD, and Sandra L. Bloom, MD, this program is an excellent primer to assist organizations in becoming trauma-responsive prior to implementing an in-depth trauma curriculum.
