Trauma-Informed Primary Care: Prevention, Recognition, and Promoting Resilience
1director of Pediatric Programs, Community Care of North Carolina, Raleigh, North Carolina; chair, Mental Health Leadership Work Group and Learning Collaborative Advising Committee, Screening in Practices Project, American Academy of Pediatrics; clinical Professor, Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina mearls@n3cn.org.
North Carolina Medical Journal
|March 23, 2018
Summary
Trauma-informed care recognizes how adverse childhood experiences affect lifelong health. Understanding early brain development and environmental influences is crucial for health and genetics, especially within medical homes.
Area of Science:
- Neuroscience
- Developmental Psychology
- Public Health
Background:
- Adverse childhood experiences (ACEs) significantly impact long-term health outcomes.
- Early brain development is profoundly shaped by environmental factors including family, community, and culture.
- The medical home setting is a critical venue for addressing the effects of trauma.
Discussion:
- Integrating trauma-informed care is essential for mitigating the negative health consequences of ACEs.
- Understanding the interplay between environment, brain development, health, and genetics is key.
- Medical professionals can play a vital role in preventing and ameliorating the impact of trauma.
Key Insights:
- Trauma-informed care acknowledges the widespread prevalence and lasting effects of adverse childhood experiences.
- Environmental influences during early development are critical determinants of brain structure, function, and overall health.
- The medical home serves as a crucial point of intervention for children affected by trauma.
Outlook:
- Further research into the long-term efficacy of trauma-informed interventions in pediatric settings is warranted.
- Expanding trauma-informed practices within primary care can improve population health trajectories.
- Policy initiatives supporting trauma-informed care integration are essential for child well-being.
Related Concept Videos
01:18Models of Health Promotion and Illness Prevention II
2.2K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.2K
01:26Levels of Health Promotion and Illness Prevention
14.8K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
14.8K
01:25Models of Health Promotion and Illness Prevention I
2.9K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.9K
02:40The Eukaryotic Promoter Region
19.0K
The eukaryotic promoter region is a segment of DNA located upstream of a gene. It contains an RNA polymerase binding site, a transcription start site, and several cis-regulatory sequences. The proximal promoter region is located in the vicinity of the gene and has cis-regulatory sequences and the core promoter. The core promoter is the binding site for RNA polymerase and is usually located between -35 and +35 nucleotides from the transcription start site. The distal promoter regions are...
19.0K
02:59Cancer Prevention
8.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
8.2K
01:21Interdisciplinary Care: The Health Care Team-I
2.8K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.8K