The purpose of this qualitative phenomenological study was to investigate the perceptions of classroom-level educators regarding the application of trauma-informed instructional practices. This was achieved by evaluating educators' understanding of the influence of trauma on students, their level of familiarity with trauma-informed instructional practices, and their assessments of the effectiveness of these practices. Trauma refers to an individual's response to a single traumatic incident, a succession of traumatic events, or extended exposure to a traumatic event (SAMHSA, 2014). As awareness of the prevalence of childhood trauma has increased, it is acknowledged as a serious public health issue (Lang et al., 2015). Trauma-informed care is a strengths-based, victim-centered framework under which organizations recognize trauma, understand, and limit the potential long-term repercussions of exposure to traumatic experiences, even if an individual does not perceive trauma as influencing their behavior (Kubiak et al., 2017; Office for Victims of Crime, n.d.). Educators have a distinct advantage in identifying students' traumatic stress symptoms, which can directly affect social-emotional growth and academic achievement (Conley et al., 2014; Donisch et al., 2022). Schools play a crucial role in establishing settings that safeguard students against adverse childhood experiences (ACEs), cultivate resilience, and nurture a sense of belongingness (Conley et al., 2014; Hertz, 2020). Eight educators from one northeast Tennessee school district who provided general and special education instruction to students in PreK-12th grade participated in the study. Data collection consisted of one-on-one video conferencing interviews. The data were coded and analyzed to identify emerging themes, synthesized, and summarized (Creswell & Creswell, 2018). The following themes emerged: (a) increased awareness of trauma and ACEs, (b) desire for additional training, (c) diversity of adverse childhood experiences (ACEs) and trauma exposures, (d) perceived negative behaviors resulting from or masking trauma, (e) the significance of procedures and structure, (f) the need for supplementary resources, (g) the importance of relationship building, (h) importance of opportunities for success, (i) facilitation of individualized instruction, (j) increased empathy, (k) increased patience and self-awareness, and (l) emotional, physical, and mental stress.

Trauma, and or traumatic events affect two-thirds of individuals in the United States (Marsac et al., 2016). Individuals diagnosed with Autism Spectrum Disorder (ASD) are more vulnerable to trauma because of their social communication and emotional regulatory deficits (Kerns, 2015). With no field standard for treating clients who have trauma in the field of ABA, the present study investigated if when a practicing BCBA participates in a Trauma-Informed Care (TIC) training they will gain skill and knowledge of TIC to better treat their clients with trauma. This study utilized a CE on the CuspEmergence website created by Dr. Camile Kolu titled “Introduction to Ethics of Trauma-Informed Behavior Analysis”. Participants completed the entire training, a total of four chapters, and results indicated that through the use of a TIC training BCBA’s were able to demonstrate an increase in both skill and knowledge of TIC.

Communities of color in particular have experienced a traumatic history of structural violence, interpersonal racism, segregation, and oppression. The unjust history of structural violence and the deleterious treatment of people and cultures in the U.S., that in part stems from neoliberal policies and rationality, continues to plague communities and people within the food system. Many people and communities are working to actualize the social-ethical ideal of a non-violent 'beloved community' to counter this unjust history and expand the boundaries of what is possible for individuals and society. Historical and systemic injustices ramify the adverse experiences and trauma affecting vulnerable people's lives. The effects and pervasiveness of individual and collective trauma at a global scale has highlighted a serious need for broader-scale awareness and adoption of a trauma-informed care approach by community food work organizations, practitioners, and social change leaders. A trauma-informed care approach was developed as a health care framework based on the importance of adverse childhood events to poor distal health and mental health outcomes. Without a deeper understanding of how extensive the collective impact of such trauma and injustice is on people and the food system; community food work researchers and practitioners may reify uninformed responses that result in continued trauma and injustice. However, there are few examples of community food work organizations using a trauma-informed care approach as an organizational change process to promote community transformation and resilience. This research examined and specifically analyzed how a community food work organization that is engaged in mutual aid and social-ecological activism embodies trauma-informed care; engenders an agential change space; and grapples with the aspirations and tensions of being an organization seeking to ameliorate the effects of anthropogenic trauma and expand the boundaries of what is possible individually and collectively. A narrative inquiry methodology was used to critically explore and study the perceptions and thoughts of 17 study participants of how a trauma-informed approach to care is embodied and agential change space provided as mutual aid and community food work. The seventeen study participants' narratives were coded and analyzed using the Principles of a Trauma-Informed Care Framework defined by SAMHSA (2014), Bowen and Murshid (2016), and Hecht et al (2018). The narrative inquiry of seventeen narratives demonstrated that an integrated trauma-informed care approach as an organizational change process is essential to the formation of agential change space and has wide-reaching applicability to mutual aid efforts and community food work pedagogy and praxis, especially as organizations and practitioners confront ongoing systemic trauma and injustices that have resulted from structural violence and continue to persist due to the dominant hegemonic neoliberal framing that exists in relation to race, gender, and socioeconomic class. / Doctor of Philosophy / Communities of color in particular have experienced a traumatic history of structural violence, interpersonal racism, segregation, and oppression. The unjust history of structural violence and the deleterious treatment of people and cultures in the U.S., that in part stems from neoliberal policies and rationality, continues to plague communities and the food system. Many people and communities are working to actualize the social-ethical ideal of a non-violent 'beloved community' to counter this unjust history and expand the boundaries of what is possible individually and collectively. Without a deeper understanding of how extensive the collective impact of such trauma and injustice is on people and the food system; community food work researchers and practitioners may reify uninformed responses that result in continued trauma and injustice. However, there are few examples of community food work organizations using a trauma-informed care approach as an organizational change process to promote food system transformation. This research examined the ecotonal nature of community food work and specifically analyzed how a community food work organization that is engaged in mutual aid and social-ecological activism embodies trauma-informed care; engenders an agential change space; and grapples with the aspirations and tensions of being an organization seeking to ameliorate the effects of anthropogenic trauma and expand the boundaries of what is possible individually and collectively. A case study and narrative inquiry methodology was used to critically explore perceptions and thoughts of 17 study participants and stakeholders of meaningful support as embodying a trauma-informed care approach and participative interaction as engendering agential change space as mutual aid and community food work. The seventeen study participants' narratives were coded and analyzed using the Principles of a Trauma-Informed Care Framework defined by SAMHSA (2014), Bowen and Murshid (2016), and Hecht et al. (2018). The narrative inquiry of seventeen narratives demonstrated that an integrated trauma-informed care approach as an organizational change process is essential to the formation of agential change space and has wide-reaching applicability to mutual aid efforts and community food work as pedagogy and praxis, especially as organizations and practitioners confront ongoing systemic trauma and injustices that have resulted from structural violence and continue to persist due to the dominant hegemonic neoliberal framing that exists in relation to race, gender, and socioeconomic class.

The gun violence epidemic is a deeply complex crisis in America’s cities and urban settings. Despite concerted efforts by government agencies, law enforcement, community organizations, and advocacy groups, gun violence remains a persistent and pervasive problem in the city of Philadelphia. The aims of this writing include a comprehensive analysis of the factors contributing to gun violence in Philadelphia and identification of multi-disciplinary strategies for prevention and intervention. By evaluating existing efforts in Philadelphia, including community-based programs, law enforcement initiatives, and policy reforms, as well as the generation of a theoretical multidisciplinary framework and proposal for gun violence mitigation, this study aims to contribute to the ongoing discourse on gun violence prevention and to inform evidence-based policy and practice in Philadelphia and beyond. / Urban Bioethics

This study aims to evaluate the implementation of Trauma-Informed Care (TIC) trainings in Johnson City, Tennessee, and the surrounding Appalachian area. Previous TIC trainees were sent an email survey asking them if they had followed through with their plan to implement the training at their place of work or in other areas of their lives. The response rate for this study was 2%, possibly due to extraneous variables such as the Coronavirus Pandemic and the lag time between the initial training and survey follow-up. The responses that were analyzed indicated promise for the practical implementation of TIC concepts at the companies involved in the training initiative. Additional research is needed in order to further analyze TIC implementation.

Rape culture permeates the landscape of post-secondary education throughout Canada. In recent years, student-survivors and advocates have been influential in the creation of provincial legislation mandating colleges and universities to develop stand-alone sexualized violence policies. In British Columbia these policies are to be institutionally reviewed every three years, but there is no clear legislative direction as to how these reviews should be conducted, or how survivors and advocates voices will be included. My thesis examines the impacts of campus sexualized violence and the integral role that student-survivors and their stories play in transforming rape culture. Through the voices of nine University of Victoria student-survivors and five community-based service providers, I demonstrate that student-survivors and those who support them act as both change-agents and subject matter-experts regarding campus rape culture; as such, their inclusion in policy development and review is essential. However, my thesis also demonstrates that student-survivors and advocates navigate an increasingly corporatized post-secondary environment, whereby the stories of student-survivors are considered dangerous to the campus brand and reputation. In taking seriously the trauma associated with sexualized violence and the consequences of the corporate campus, my thesis offers a Trauma Informed Consultation Guideline. This guideline provides a trauma-informed and community based approach to consulting student-survivors in policy review with the intention of creating safer opportunities for story to inform future policy directions. / Graduate

My study examines trauma informed practice (TIP) policies in BC, Canada. My chosen methodology, what is the problem represented to be (WPR) (Bacchi 2009), makes politics visible in policies. I am interested in the effects of trauma policies on women who experience male violence. How does discourse produce certain effects and constitute specific subjects within these texts? I extend a politicized analysis of TIP policies, specifically, an in-depth feminist post structural analysis. I advance an understanding of the effects of policy, particularly for women who have experienced male violence and who receive services under the TIP guidelines. I note the absence of an intersectional analysis and the lack of attention paid to power relations, specifically associated with the provision of care within the health care system, the construction of the traumatized female subject and the absence of a social justice lens in TIP policies. My study addresses the meanings, and resulting practices arising from the TIP policy and its impacts on women's lived experiences. My feminist post structural analysis provides a critique of TIP policies glaringly absent from the literature. I examine available literature, which evaluates TIP. My analysis deepens the understanding of the policy's inherent assumptions by revealing the problem of trauma, as represented in TIP policies. I explore the emergence of the dominant concept of trauma in the completion of a genealogy of trauma. I uncover the commonly accepted trauma ethos, a set of principles and beliefs about violence against women that has set the path for a trauma discourse in BC's guidelines, policies, and programs. I explore my interest in iv the ontology of trauma, the nature of trauma itself and the way of being when trauma has occurred. While exploring this interest through a genealogy of trauma, I identify five historical figures; the traumatized female figure, the assaulted woman figure, the wounded veteran figure, the colonized Indigenous woman figure and the emancipated woman figure. My study explores how women are obscured and invisible in policies intended to address violence against women. I demonstrate that this invisibility results in gender-neutral policies-if there is no gender-based violence- we, therefore, do not have to think of gender-based treatment. The patriarchal erasure of women from trauma policies continually repositions what the problem is represented to be. These policies constitute women as the less valued subjects, fundamentally damaged and flawed. Trauma policies shape women as people who can damage staff; assuming they are a source of trauma infection; they can infect staff with their trauma resulting in vicarious traumatization of staff. Trauma policies characterize the traumatized female subject as fundamentally different from the staff or the professional expert. Only certain kinds of women can be traumatized, the mentally ill and substance-using women. My study exposes the presupposition embedded in policies that only certain women are violated, and other women are unlike them. This trauma discourse is grounded in racism, colonialism and sexism, built on stereotypical patriarchal representations of women, resulting in the stigmatization of women who experience male violence. / Graduate / 2022-08-25

Trauma exposure is endemic, and this study seeks to address childhood trauma in a compassionate and restorative manner. Adverse Childhood Experiences (ACEs) are serious childhood traumas that manifest as toxic stress which can damage the developing brain of a child and affect overall health. The implications are expressed dualistically: academic performance of youth is subdued & diminished, and behavioral interactions can range from unreceptive to erratic and aggressive. Trauma exposure is a predictor of adverse outcomes, which range from higher rates of suspension, expulsion, and incarceration, to dire outcomes, such as lower life expectancy and quality of life. Streamlining trauma-informed curriculum and restorative behavioral responses will ensure that resilient and nurturing classrooms mediate and heal our nation’s youth. Instead of disproven and punitive, zero-tolerance consequences, schools must familiarize themselves with the effects of trauma, anticipate traumatic reactions, and respond accordingly. This study reveals how trauma-informed care informs trauma-informed curriculum and trauma-sensitive schools. A consistent and effective response to childhood trauma exposure is the missing link in our nation’s educational system.

The purpose of this quantitative study was to further the understanding on how access to trauma-informed professional learning changed research-based practices in classroom and school-wide settings in K-12 schools. The guiding question for this quantitative study was: How has trauma-informed professional learning influenced changes in research-based practices in school-wide and classroom settings in K-12 schools? This research assessed the perceptions of elementary, middle, and high school teachers in one school district to investigate access to trauma-informed professional learning and potential changes in research-based practices in school-wide and classroom settings. Participants were teachers, in Northeast Tennessee, employed in urban schools implementing trauma-informed practices. Six research questions guided the study and quantitative data were analyzed using one-sample t-tests. Additionally, this researcher analyzed themes gleaned from the four-open ended questions at the end of the survey. The findings indicated that the means of all measures were significantly higher than the midpoint in elementary, middle, and high schools. The findings also indicated that trauma-informed professional learning supports the development of school-wide and classroom research-based practices and application of trauma-informed strategies in K-12 schools.

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