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Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement

Trauma is pervasive in the USA, but disproportionately present in individuals and communities burdened by poverty, violence, and exposure to the criminal justice system. Engagement in clinical care, especially community-based primary care, is particularly important in the immediate period following...

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Autores principales: Chaudhri, Simran, Zweig, Kimberly Caramanica, Hebbar, Preetha, Angell, Sonia, Vasan, Ashwin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544694/
https://www.ncbi.nlm.nih.gov/pubmed/30912031
http://dx.doi.org/10.1007/s11606-018-4783-1
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author Chaudhri, Simran
Zweig, Kimberly Caramanica
Hebbar, Preetha
Angell, Sonia
Vasan, Ashwin
author_facet Chaudhri, Simran
Zweig, Kimberly Caramanica
Hebbar, Preetha
Angell, Sonia
Vasan, Ashwin
author_sort Chaudhri, Simran
collection PubMed
description Trauma is pervasive in the USA, but disproportionately present in individuals and communities burdened by poverty, violence, and exposure to the criminal justice system. Engagement in clinical care, especially community-based primary care, is particularly important in the immediate period following community reentry from incarceration, where opportunities to engage clients in services are essential for improved health and reduced recidivism. Trauma-informed care offers an important and innovative opportunity for healthcare systems and primary care providers to improve quality of care and the patient experience, thereby increasing longitudinal engagement of marginalized and hard-to-reach patient populations like persons with criminal justice system exposure. Trauma-informed care implementation includes educating providers and transforming practices to incorporate safety, trust, peer support, collaboration, empowerment, and cultural perspectives into everyday operations and care delivery. While comprehensive trauma-informed care involves transformation on a system level, trauma-informed approaches can also be adopted by the individual provider to improve the clinical consultation. By recognizing the role of trauma and its impact on an individual’s physical, emotional, and behavioral health, providers and clients can build mutual trust, focus on individual growth, and begin to foster healing.
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spelling pubmed-65446942019-06-19 Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement Chaudhri, Simran Zweig, Kimberly Caramanica Hebbar, Preetha Angell, Sonia Vasan, Ashwin J Gen Intern Med Perspective Trauma is pervasive in the USA, but disproportionately present in individuals and communities burdened by poverty, violence, and exposure to the criminal justice system. Engagement in clinical care, especially community-based primary care, is particularly important in the immediate period following community reentry from incarceration, where opportunities to engage clients in services are essential for improved health and reduced recidivism. Trauma-informed care offers an important and innovative opportunity for healthcare systems and primary care providers to improve quality of care and the patient experience, thereby increasing longitudinal engagement of marginalized and hard-to-reach patient populations like persons with criminal justice system exposure. Trauma-informed care implementation includes educating providers and transforming practices to incorporate safety, trust, peer support, collaboration, empowerment, and cultural perspectives into everyday operations and care delivery. While comprehensive trauma-informed care involves transformation on a system level, trauma-informed approaches can also be adopted by the individual provider to improve the clinical consultation. By recognizing the role of trauma and its impact on an individual’s physical, emotional, and behavioral health, providers and clients can build mutual trust, focus on individual growth, and begin to foster healing. Springer US 2019-03-25 2019-06 /pmc/articles/PMC6544694/ /pubmed/30912031 http://dx.doi.org/10.1007/s11606-018-4783-1 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Perspective
Chaudhri, Simran
Zweig, Kimberly Caramanica
Hebbar, Preetha
Angell, Sonia
Vasan, Ashwin
Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement
title Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement
title_full Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement
title_fullStr Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement
title_full_unstemmed Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement
title_short Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement
title_sort trauma-informed care: a strategy to improve primary healthcare engagement for persons with criminal justice system involvement
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544694/
https://www.ncbi.nlm.nih.gov/pubmed/30912031
http://dx.doi.org/10.1007/s11606-018-4783-1
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