Integrating Trauma-informed Care with Pernet Family Health ...
Get Psyched About Trauma · Trauma and Family Medicine •70% of medical appointments in primary...
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Get Psyched About Trauma Kara Irwin, M.Sc., R.Psych. Image from: giphy.com
Transcript of Get Psyched About Trauma · Trauma and Family Medicine •70% of medical appointments in primary...
Get Psyched About TraumaKara Irwin, M.Sc., R.Psych.
Image from: giphy.com
Presenter Disclosure • Relationships with financial sponsors:
‐ Grants/Research support: N/A‐ Speakers Bureau/Honoraria: N/A‐ Consulting Fees: N/A‐ Patents: N/A‐ Other: I am an employee of Alberta Health Services.‐ I am owner Irwin Psychological Services.‐ I received a scholarship from Alberta Innovates.‐ The Alberta College of Family Physicians has provided support in the form of a speaker fee and/or expenses.
Image from: giphy.com
Conflict of Interest Disclosure
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Objectives• Understand current ACEs research as it applies to family medicine
• Understand the theory and principles of trauma informed care
• Understand the difference between trauma informed care and treatment as usual
• Understand integration of trauma informed care into family medicine
• Large scale cross‐sectional study
• Middle class Americans with high quality health insurance
• Assessed number of categories of abuse and family dysfunction in childhood or adolescence
American Journal of Preventative Medicine, 1998; 14(4), 245‐258.
Key Findings• Only 1/3 had no adverse experiences
• If endorsed 1 category, 87% likelihood will at least one more category present
• Women 50% more likely to have experienced 5+ categories
• 20% of those with 4+ events have attempted suicide
• Dose response relationship ACEs and risk factors for leading causes ofdeath, mental health diagnoses, addiction, and chronic disease
Research at a Glance
Trauma and Family Medicine• 70% of medical appointments in primary care stem from psychosocial issues
• Family physicians are main providers of mental health, addiction, and chronic disease management
• Primary providers are in a unique and powerful position to promote wellness and healing in vulnerable clients who may not have anywhere else to go
Lanius, Vermetten, & Pain. (2010). The Impact of Early Life Trauma on Health and Disease. Cambridge University Press, New York.
Take Home Message
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Trauma Informed Care
• Approach to working with clients and communities that recognizes the far reaching impacts of trauma
• Understanding, recognizing, and responding to the effects of trauma
• Focuses on creating a sense of physical and psychological safety
• Aims to help clients establish an internal locus of control and sense ofempowerment
Buffalo Centre for Social Research: www.Socialwork.buffalo.edu
Trauma Informed Care
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Well Intentioned Experiences
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Karpman’s Triangle
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Winner’s Triangle
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Challenging Patients
First Steps Towards TIC
• Do your own trauma work
• Get a good self‐care regimen
• Make your office space feel safe and inviting
• Avoid the Drama Triangle and stay on the Winner’s Triangle
• Focus on relationships
