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RMZ Ecoworld, Bellandur, Outer Ring Road
The More We Learn, The More We Realise That Our Health Is A Complex Consequence Of All Our Relationships, Personal And Social
- Dr Gabor Mate
Why training in Trauma-Informed Care (TIC) is essential to your practice?
Establishing a safe environment for patients is essential for their recovery and general welfare. Patients are more inclined to seek assistance when they feel respected and safe. TIC is a compassionate method of treating patients that places a strong emphasis on comprehending and recognizing the effects of trauma on people's life.
Healthcare professionals are advised to balance their attention by taking into account the patient's history and the psychological effects of their actions, rather than concentrating just on the symptoms.
Trauma-informed healthcare providers understand that an individual's past and present experiences have a big impact on their health and wellbeing.
“NOW IS THE TIME WHEN WE MUST ACKNOWLEDGE TIC AND IT’S POTENTIAL IN HEALTH CARE”
TIC is especially important in healthcare as personal history of trauma is so common. Many physical
illnesses, including cancer, autoimmune diseases, and numerous other chronic diseases, are mostly brought on by emotional stress.
The neurological system, the hormonal apparatus, and the immune system in particular are closely
linked to the brain and body systems that process emotions. Underdiagnosed and undiagnosed trauma
becomes the root cause of physical and psychological illness, behaviours that compromise health,
injury, social concerns and disability across the lifespan. (StiStillerman, A et al., 2023)
*Stillerman, A., Altman, L., Peña, G., Cua, G., Goben, A., Walden, A. L., & Atkins, M. S. (2023). Advancing trauma‐informed care in hospitals: the time is now. Perm J, 27(1), 16-20.
“DOCTORS AND STAFF CAN BE EXHAUSTED TOO”
At least 5 of the 10 leading causes of death in the US have a history of trauma (Merrick MT, Ford DC,
Ports KA, et al, 2019). Doctors see patients on a daily basis, including those who have experienced
psychological trauma. Providing care to such patients can be frustrating and consuming and often poses
a major barrier to giving them the care they deserve.
Attempting to establish a relationship with the patients and comprehending their urgent requirements,
sifting through a long list of prescriptions, diagnoses, and a complicated medical history, doctors also
have to frequently deal with difficult behavioural issues that could potentially exhaust them.
Most importantly a physician’s own history of Adverse Childhood Experiences (ACE’s) and traumatic
events (TEs) might also influence their clinical communication skills (Pereira & Castro-Vale, 2023)
*Merrick, M. T. (2019). Vital signs: estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention—25 states, 2015–2017. MMWR. Morbidity and mortality weekly report, 68. *Sá, M., Pereira, P. A., & *Castro-Vale, I. (2023, September). General Practitioners’ Own Traumatic Experiences and Their Skills in Addressing Patients’ Past History of Adversities: A Cross-Sectional Study in Portugal. In Healthcare (Vol. 11, No. 17, p. 2450). MDPI.
“I WISH MY HEALTHCARE PROVIDER UNDERSTOOD CPTSD-Anna Runkle, 2020”
Hospitals can also be a source of trauma for both patients and staff. Patients and hospital staff
may undergo re-traumatization as well as new primary or secondary trauma. For example, treatments
and care can be unpleasant and terrifying, hospitalization can frequently result in the loss of autonomy and
agency and hospital policies and practices often might reflect the authoritarian, racist, and discriminatory
institutions of the society from which they originate.
The current health care system's demands and
its long-standing emphasis on individual responsibility among its staff also fuel
compassion fatigue, moral injury, and system-induced distress amongst the staff Such critical and enduring issues
in health care necessitate a trauma-informed approach (Foster, Moses & Schotland, 2022).
Arnold-Forster, A., Moses, J. D., & Schotland, S. V. (2022). Obstacles to Physicians' Emotional Health-Lessons from History. New England Journal of Medicine, 386(1), 4-7.
