Trauma-Informed Care: An Investigation Into Knowledge, Attitudes, and Practices Among Genetic Counselors

Trauma-informed care (TIC) emphasizes understanding the impact of trauma and integrating this knowledge into patient engagement and treatment. Implementing TIC in genetic counseling practice has the potential to enhance patient-clinician relationships, improve patient outcomes, and reduce the risk of retraumatization. This study assessed the knowledge, attitudes, and practices of genetic counselors regarding TIC. A cross-sectional study was conducted using an anonymous online survey of practicing clinical genetic counselors in the United States and Canada who were board-certified or board-eligible. Data were analyzed using descriptive statistics. A total of 101 responses were included in the analysis. The survey revealed variability in TIC knowledge among genetic counselors, with 46.0% (46/100) knowledgeable about trauma prevalence, but 86.0% (85/99) unfamiliar with TIC principles. Almost all participants (99.0%, 98/99) recognized the importance of creating a safe environment for trauma-affected patients, and 55.6% (55/99) felt confident adapting counseling approaches based on trauma history. However, only 21.4% (21/98) regularly incorporated TIC principles into practice. Training in TIC was received by 18.4% (18/98) of respondents, and interest in further TIC training was high, with 92.9% (92/99) motivated to improve these skills. This study identified gaps in genetic counselors' knowledge of the principles of TIC. With a minority of genetic counselors who have received training in TIC principles, and strong interest in further training, this study highlights an opportunity for structured TIC training.