Child and Adolescent caregivers are rarely the focus of research and/or trauma-focused or informed models when working with traumatized children (Baynard, Englund, & Rozelle, 2001; Chapman, Dube, & Anda, 2007). It has been shown that use of caregivers in the treatment of children who have suffered trauma can have a significant impact on not only the child, but also reduce the trauma symptoms of the caregivers themselves (Cohen, Mannarino, & Staron, 2006). The purpose of this study is to critically review the empirical research of trauma-focused and trauma-informed trainings and treatment models for children who have suffered some form of trauma and whose caregiver is included in the treatment. The outcomes of trauma-focused models will be examined in terms of its purpose, intervention, facilitation, adaptability and modification. Implications for further research and application are drawn.

Psykiskt trauma är vanligt hos patienter inom rättspsykiatrisk vård. Det finns idag effektiva metoder som traumamedveten omvårdnad för att vårda trauma. Det saknas forskning om hur sjuksköterskor inom denna vårdkontext upplever arbetet med trauma. Huvudsyftet med studien var att utforska sjuksköterskans arbete med trauma inom rättspsykiatrisk vård. Sju semistrukturerade intervjuer genomfördes med sjuksköterskor som arbetade inom rättspsykiatrisk vård. Intervjuerna transkriberades och analyserades med konventionell innehållsanalys med induktiv ansats. Resultatet var tre huvudteman: Sjuksköterskans arbete med trauma, Hinder i att arbeta med patientens trauma och Utvecklingsmöjligheter inom vården. Sjuksköterskor använder olika sätt att identifiera trauma och önskar mer kunskap i ämnet. Sjuksköterskor erfar hinder såsom patientens egna svårigheter och organisatoriska brister. Som slutsats konstateras att sjuksköterskor beskriver svårigheter med att arbeta omvårdnadsmässigt med trauma hos patienter inom rättspsykiatrisk vård, som bristande kunskap, bristande rutiner och bristande avdelningskulturer. Sjuksköterskorna har en vilja att upptäcka, förebygga och vårda trauma genom att förändra rutiner och lära sig mer om evidensbaserade behandlingsmetoder i vårdandet av trauma. Vidare beskrivs att den finns en medvetenhet om att delar av den rättspsykiatriska vården kan vara potentiellt traumatiserande eller retraumatiserande. Sjuksköterskorna beskriver att de har metoder för att förebygga denna risk genom att till exempel arbeta med tydlig information och lugn. / Mental trauma is common among patients in forensic psychiatric care. Today, there are such as Trauma-informed Care to There is a lack ofresearch on how nurses within forensic psychiatry experience their work with trauma. The main purpose of the study was to explore how nurses describe their work with trauma in forensic psychiatric care. Seven semi-structured interviews were conducted with nurses working in forensic psychiatric care. The interviews were transcribed and analyzed with a conventional content analysis with inductive approach. The result ended up in three main themes: How the nurse works with trauma, The difficulties in working with the patients’ trauma and Opportunities for Development in Care. Nurses use different ways to identify effective methods nurture trauma. trauma and want more knowledge of the subject. Nurses experience obstacles such as the patient's own difficulties and organizational shortcomings. In conclusion, it is stated that nurses describe difficulties in working with nursing the trauma of patients in forensic psychiatric care, such as lack of knowledge, lack of routines and lack of ward cultures. Nurses have a desire to detect, prevent and nurture trauma by changing routines and learning more about evidence-based treatment methods in the care of trauma. It is further described that there is an awareness that parts of forensic psychiatric care can be potentially traumatic or retraumatizing. The nurses describe that they have methods for preventing this risk by, for example, working with clear information and being calm.

Trauma informed care nursing education is crucial. Trauma informed care is a method of providing health care which understands the likelihood of past and present traumatic events in patients and families. The experience of past or present trauma often led to chronic diseases, substance abuse disorder, fragmented health care, fears surrounding health care, chronic stress, and other negative health consequences. The purpose of this project is to increase licensed nurses’ awareness and ability to practice trauma informed care in clinical practice, as well as promote policy initiation within the health care facilities. Method planning integrated the Knowledge to Action Cycle. A two hour, Delphi reviewed, evidenced based educational session was developed for licensed nurses in two health care facilities. After the educational session is completed, an anonymous survey will be distributed to determine the licensed nurses’ awareness of trauma informed care. A second anonymous survey will be sent four weeks later to assess changes in clinical practice based on trauma informed care education. One educational session for eleven licensed nurses working in a psychiatric facility has been completed. Two preliminary themes emerged from the first survey. The first theme was more intentional focus on integrating trauma informed care principles into practice. The second theme was an increased need for self-care. Two more educational sessions are planned for licensed nurses in an acute care hospital. Keywords: trauma informed care, nursing, education, KTA Cycle, health care, policy

Intimate partner violence (IPV), substance use, and HIV are syndemic and have compounding risks that contribute to the collective physical and mental health burden among women in the United States. These syndemic factors may contribute to the significant gender-related disparities in substance use disorder (SUD) treatment. IPV is a source of stress and trauma for women, with known interactions with SUD; however, SUD services generally lack trauma-informed treatment modalities to address IPV-related health impacts. The goal of this dissertation was to improve the understanding of the associations between IPV, substance use behaviors, and SUD treatment utilization, and to inform the response to women’s needs related to IPV experiences and substance use within healthcare settings. We employed a mixed-methods approach to understand the interplay of IPV with subsequent substance use behaviors and utilization of SUD services, along with identifying differences by HIV status. We used quantitative methods to evaluate the association of specific forms of IPV (psychological, physical, and sexual) with subsequent substance use (Chapter 2) and SUD service utilization (Chapter 3), and qualitative methods to explore women’s perspectives on how IPV experiences influenced their substance use behaviors and SUD treatment and recovery (Chapter 4). The study in Chapter 2 found that incident IPV experiences were associated with increased risk of subsequent substance use, with physical IPV being more consistently associated than other IPV forms. The study in Chapter 3 found recent IPV experiences to be associated with increased SUD service utilization, whereas lifetime IPV experiences were associated with decreased utilization. Both quantitative studies highlight the complex relationship between IPV and substance use and SUD service utilization. This relationship varies by IPV form, with the syndemic interaction of IPV and HIV exacerbating adverse outcomes. In Chapter 4, qualitative findings explained mechanisms of IPV’s contribution to substance use behaviors and impediment of SUD service engagement and recovery. The interviews also highlighted the value of mental health and IPV supportive services, along with SUD treatment, for a successful SUD recovery. Overall, the findings of this dissertation emphasize the importance of using a trauma-informed approach to address IPV to facilitate women’s SUD recovery. / 2026-05-16T00:00:00Z

The Centers for Disease Control and Prevention defines intimate partner violence (IPV) as abuse or aggression including physical and sexual violence, stalking, and psychological aggression in romantic relationships between current and former spouses and dating partners. In the United States alone, about 41% of women and 26% of men experience IPV incidences during their lifetimes, emphasizing the importance of IPV screening by healthcare providers across all specialties. Learning how to mitigate the past experiences of IPV survivors in healthcare settings requires a trauma-informed lens that starts in and includes those in the medical education classroom. Establishing a trauma-informed educational framework requires recognizing the risk of generating secondary traumatic stress in learners while mitigating the risk of retraumatization among unknown IPV survivors within the classroom. This thesis provides insights into a workshop that involved the participation of fourth-year medical students at an academic medical center that used a multidisciplinary approach to teaching about intimate partner violence. / Urban Bioethics

No description available.

No description available.

<p dir="ltr">For many, spiritual beliefs and religious affiliation exist as a protective factor, providing significant emotional, psychological, and social support (Ibrahim & Dykeman, 2011). However, for others, abuse within the power structures of religion can also inflict great harm—particularly within marginalized communities—resulting in religious trauma. The LGBTQIA+ community has historically experienced marginalization and discrimination within various religious contexts and doctrines, becoming a group particularly vulnerable to religious trauma (Simmons et al., 2017; Swindle, 2017). This type of trauma has often been overlooked in the therapy room and within the broader Marriage and Family Therapy field. This thesis addresses this gap through the creation of an introductory training for therapists on religious trauma that many in LGBTQIA+ community experience. Grounded in religious trauma research and trauma-informed client care, the training seeks to enhance therapists' capacity to navigate these complex terrains with empathetic and informed care (Ellis et al., 2022). The aim is to create a therapeutic landscape where healing and self-compassion become more accessible to LGBTQIA+ individuals impacted by religious trauma.</p>

No description available.

No description available.