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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Community-Partnered Training in Trauma-Informed Primary Care for Patients Experiencing Reentry From Incarceration: A

Lauren E Szkodny1,2, Mahlet A Yared3, Shoshana H Bardach3

  • 1Department of Psychiatry, Dartmouth Health, Lebanon, NH, USA.

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|January 16, 2025
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Summary

Primary care teams can now deliver trauma-informed care (TIC) to patients returning from incarceration. A new training significantly boosted provider confidence in preventing and responding to trauma, improving care for this vulnerable population.

Keywords:
co-designcommunity-partneredcontinuing medical educationincarcerationprimary carereentrytrainingtrauma-informed care

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Area of Science:

  • Health Services Research
  • Medical Education
  • Public Health

Background:

  • Patients reentering the community from incarceration face significant trauma risks within healthcare settings.
  • Healthcare professionals often lack the skills to recognize or manage trauma reactions in these patients.

Purpose of the Study:

  • To develop and pilot a single-session training program for primary care teams on delivering trauma-informed care (TIC).
  • To improve healthcare provider attitudes and confidence in caring for patients with a history of incarceration.

Main Methods:

  • A human-centered design process involving community members with lived experience.
  • Development and pilot evaluation of a single-session interactive training for primary care teams.
  • Pre- and post-training surveys to assess changes in provider attitudes and confidence.

Main Results:

  • 12 primary care providers and staff completed the training.
  • Significant increases in confidence to reduce re-traumatizing practices were reported.
  • Improved attitudes toward formerly incarcerated individuals and interest in further TIC training.

Conclusions:

  • A single-session TIC training, co-designed with lived experience, was well-received and effective.
  • The training enhanced primary care teams' self-efficacy in preventing and responding to trauma in all patients, especially those with incarceration histories.