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Area of Science:

  • Public Health
  • Trauma-Informed Care
  • Maternal and Child Health

Background:

  • Childhood trauma has lasting health effects, exacerbated by social determinants like disasters and limited services.
  • Intergenerational trauma impacts families, particularly pregnant individuals and those with young children.
  • Existing maternal and child home visiting (HV) programs often have strict criteria excluding families with trauma histories.

Purpose of the Study:

  • To describe the implementation of the Trauma Informed Approach in Public Health Nursing (TIA PHN) model.
  • To address limitations in current HV programs for families affected by childhood trauma.
  • To integrate a trauma-informed approach into maternal and child HV services.

Main Methods:

  • Implementation of the TIA PHN model in three California counties, starting March 2021.
  • Involvement of public health nurses and community health workers.
  • Integration of program evaluations to pursue evidence-based status.

Main Results:

  • The TIA PHN model was implemented, enrolling families starting March 2021.
  • The model aims to improve access for families with trauma histories.
  • Focus on innovation by public health nurses within HV programs.

Conclusions:

  • The TIA PHN model offers a framework to adapt HV programs for families impacted by trauma.
  • This approach seeks to overcome barriers to participation and promote innovation.
  • Further evaluation is needed to establish TIA PHN as an evidence-based practice.