Trauma-Informed Care in a Community Clinic Serving the Uninsured: A Program Evaluation

Background: Adverse childhood experiences (ACEs) and trauma experienced in adulthood such as physical, sexual, or psychological abuse are trauma that can have lifelong effects on learning, behavior, relationships, and physical and mental health. Implementation of trauma-informed care (TIC) practices has been recommended in primary care settings as well as on-going evaluation of these programs.

Local problem: There are existing TIC components in place at Centre Volunteers in Medicine (CVIM), but members of the staff have identified gaps in the implementation of trauma-informed practice.

Methods: The CDC Framework for Program Evaluation was used with a logic model to guide a program evaluation of the organizational level of TIC at CVIM.

Intervention: Staff surveys utilizing a validated tool, chart and policy audits, and observations of behaviors and activities as outlined in the logic model were employed in this project.

Results: The screening rate for trauma of new patients was 36.66%. Three of the 17 expected policies surrounding TIC practices were found to be in place. The survey of overall organizational TIC indicated CVIM’s level of TIC as insufficient or fair/needs improvement. Of the 57 activities to be observed, 40 were found.

Conclusion: This program evaluation cannot be generalized for all TIC evaluations, but the measures used can be modified based on the unique features of each organization. This evaluation provided a comprehensive measurement of the current level of TIC at CVIM.

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Work Title Trauma-Informed Care in a Community Clinic Serving the Uninsured: A Program Evaluation
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Open Access
Creators
  1. Dana Conroy
Keyword
  1. TIC
  2. Trauma-informed approach
  3. Trauma-informed practice
  4. Trauma screening
  5. Uninsured
  6. Vulnerable
  7. Post-traumatic stress disorder
  8. PTSD
  9. Program evaluation
  10. CDC program evaluation
  11. Logic model
License No Copyright - U.S.
Work Type Project
Acknowledgments
  1. Susan B. Leight, EdD, CRNP, FNP-C, ANP-BC, FAANP, FAAN
  2. Brandi Peachey, DNP, FNP-BC, CNE
  3. Kristen Bransby, DNP, CRNP, CPNP-PC, PMHS
Publication Date March 2024
Deposited March 27, 2024

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