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Trauma-Informed Care Part 1: Becoming Trauma-Informed (Video 1)

Overview
Content

Date & Location

Friday, March 1, 2024, 8:00 AM - Sunday, February 28, 2027, 12:00 AM

Credits

AMA PRA Category 1 Credits™ (1.00 hours), ABIM MOC Part 2 (1.00 hours), Non-Physician Attendance (1.00 hours)

Overview

This training series provides an overview of what trauma is and how it affects patients and patient care. Participants will learn types and levels of trauma, how adverse childhood or other traumatic experiences impact patient experiences; and how a trauma informed approach can be implemented in a variety of clinical settings.

Accreditation

In support of improving patient care, The UAB Marnix E. Heersink School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Additional Information

CME Certification

The University of Alabama at Birmingham Heersink School of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement

UAB Interprofessional Healthcare Education Collaborative is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008. If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

No faculty are available for this activity at this time.

Trauma-Informed Care Part 1: Becoming Trauma-Informed (Video 1)

Author:

Laneita Williamson, RN, BSN
Trauma Informed Care Manager
Atrium Health, Wake Forest Baptist
Winston Salem, NC

Planners:

Candice McNeil, MD
Associate Professor, Infectious Diseases
Wake Forest School of Medicine
Winston-Salem, NC

Aiesha Gentry, BA
Program Manager, Department of Medicine,
Div. of Infectious Diseases
University of Alabama at Birmingham
Birmingham, AL

Disclosures:

The planners have no financial relationships related to the content of this activity to disclose.

Dr. McNeil discloses grants/research support from BD, Cepheid, GSK/BARDA, Gilead, and Lupin. She also discloses receipt of honoraria from IDSA, Contraceptive Technology, Core Concepts in Health, and AHEC.

All of the relevant financial relationships listed for Dr. McNeil have been mitigated.

There is no commercial support for this activity.

Because of the nature of preliminary studies, some products mentioned are unlabeled and investigational. Dosages, indications, and methods of use of drugs mentioned in this publication may reflect the experience of the authors, clinical literature, or other resources. Therefore, please see the full prescribing information before using any licensed product mentioned.

Learning Objectives:

Upon completion of this CME activity, participants should be able to:

Define Trauma-Informed Care (TIC)
Illustrate how adult health is impacted due to adverse childhood experiences
Review the impact of trauma on behaviors and poor health outcomes due to biological changes
Review the organizational approach to Trauma-Informed Care

References:

Dube SR, Felitti VJ, Dong M, Chapman DP, Giles WH, Anda RF. Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study. Pediatrics. 2003 Mar;111(3):564-72. doi: 10.1542/peds.111.3.564. PMID: 12612237.
Dube SR, Fairweather D, Pearson WS, Felitti VJ, Anda RF, Croft JB. Cumulative childhood stress and autoimmune diseases in adults. Psychosom Med. 2009 Feb;71(2):243-50. doi: 0.1097/PSY.0b013e3181907888. Epub 2009 Feb 2. PMID: 19188532; PMCID: PMC3318917.
Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. REPRINT OF: Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 2019 Jun;56(6):774-786. doi: 10.1016/j.amepre.2019.04.001. PMID: 31104722.
Brown DW, Anda RF, Tiemeier H, Felitti VJ, Edwards VJ, Croft JB, Giles WH. Adverse childhood experiences and the risk of premature mortality. Am J Prev Med. 2009 Nov;37(5):389-96. doi: 10.1016/j.amepre.2009.06.021. PMID: 19840693.
Chapman DP, Whitfield CL, Felitti VJ, Dube SR, Edwards VJ, Anda RF. Adverse childhood experiences and the risk of depressive disorders in adulthood. J Affect Disord. 2004 Oct 15;82(2):217-25. doi: 10.1016/j.jad.2003.12.013. PMID: 15488250.
Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, Dube SR, Giles WH. The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci. 2006 Apr;256(3):174-86. doi:10.1007/s00406-005-0624-4. Epub 2005 Nov 29. PMID: 16311898; PMCID: PMC3232061.
Felitti VJ. Origins of the ACE Study. Am J Prev Med. 2019 Jun;56(6):787-789. doi: 10.1016/j.amepre.2019.02.011. PMID: 31104723.
Felitti VJ. Adverse childhood experiences and adult health. Acad Pediatr. 2009 May-Jun;9(3):131-2. doi: 10.1016/j.acap.2009.03.001. Epub 2009 Apr 9. PMID: 19450768.
Felitti VJ, Jakstis K, Pepper V, Ray A. Obesity: problem, solution, or both? Perm J. 2010 Spring;14(1):24-30. doi: 10.7812/TPP/10.996. PMID: 20740128; PMCID: PMC2912711.
Whitfield CL, Dube SR, Felitti VJ, Anda RF. Adverse childhood experiences and hallucinations. Child Abuse Negl. 2005 Jul;29(7):797-810. doi: 10.1016/j.chiabu.2005.01.004. PMID: 16051353.
Edwards VJ, Dube SR, Felitti VJ, Anda RF. It's ok to ask about past abuse. Am Psychol. 2007 May-Jun;62(4):327-8; discussion 330-2. doi: 10.1037/0003-066X62.4.327. PMID: 17516786.
Felitti VJ. Health Appraisal and the Adverse Childhood Experiences Study: National Implications for Health Care, Cost, and Utilization. Perm J. 2019;23:18-026. doi: 10.7812/TPP/18-026. PMID: 30624193; PMCID: PMC6326558.
Anda R, Tietjen G, Schulman E, Felitti V, Croft J. Adverse childhood experiences and frequent headaches in adults. Headache. 2010 Oct;50(9):1473-81. doi: 10.1111/j.1526-4610.2010.01756.x. PMID: 20958295.
Brown DW, Anda RF, Edwards VJ, Felitti VJ, Dube SR, Giles WH. Adverse childhood experiences and childhood autobiographical memory disturbance. Child Abuse Negl. 2007 Sep;31(9):961-9. doi: 10.1016/j.chiabu.2007.02.011. Epub 2007 Sep 14. PMID: 17868865.
Van Niel C, Pachter LM, Wade R Jr, Felitti VJ, Stein MT. Adverse events in children: predictors of adult physical and mental conditions. J Dev Behav Pediatr. 2014 Oct;35(8):549-51. doi: 10.1097/DBP.0000000000000102. Erratum in: J Dev Behav Pediatr. 2014 Nov-Dec;35(9):581. PMID: 25225793.
Anda RF, Brown DW, Felitti VJ, Bremner JD, Dube SR, Giles WH. Adverse childhood experiences and prescribed psychotropic medications in adults. Am J Prev Med. 2007 May;32(5):389-94. doi: 10.1016/j.amepre.2007.01.005. PMID: 17478264; PMCID: PMC3233770.
Anda RF, Butchart A, Felitti VJ, Brown DW. Building a framework for global surveillance of the public health implications of adverse childhood experiences. Am J Prev Med. 2010 Jul;39(1):93-8. doi: 10.1016/j.amepre.2010.03.015. PMID: 20547282.
Anda RF, Brown DW, Dube SR, Bremner JD, Felitti VJ, Giles WH. Adverse childhood experiences and chronic obstructive pulmonary disease in adults. Am J Prev Med. 2008 May;34(5):396-403. doi: 10.1016/j.amepre.2008.02.002. PMID: 18407006; PMCID: PMC8214869.
Anda RF, Dong M, Brown DW, Felitti VJ, Giles WH, Perry GS, Valerie EJ, Dube SR. The relationship of adverse childhood experiences to a history of premature death of family members. BMC Public Health. 2009 Apr 16;9:106. doi: 10.1186/1471-2458-9-106. PMID: 19371414; PMCID: PMC2674602.
Dube SR, Anda RF, Whitfield CL, Brown DW, Felitti VJ, Dong M, Giles WH. Long-term consequences of childhood sexual abuse by gender of victim. Am J Prev Med. 2005 Jun;28(5):430-8. doi: 10.1016/j.amepre.2005.01.015. PMID: 15894146.
Dube SR, Miller JW, Brown DW, Giles WH, Felitti VJ, Dong M, Anda RF. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health. 2006 Apr;38(4):444.e1-10. doi: 10.1016/j.jadohealth.2005.06.006. PMID: 16549308.
Anda RF, Fleisher VI, Felitti VJ, Edwards VJ, Whitfield CL, Dube SR, Williamson DF. Childhood Abuse, Household Dysfunction, and Indicators of Impaired Adult Worker Performance. Perm J. 2004 Winter;8(1):30-8. doi: 10.7812/TPP/03-089. PMID: 26704603; PMCID: PMC4690705.
Dong M, Anda RF, Felitti VJ, Dube SR, Williamson DF, Thompson TJ, Loo CM, Giles WH. The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse Negl. 2004 Jul;28(7):771-84. doi: 10.1016/j.chiabu.2004.01.008. PMID: 15261471.
Brown DW, Anda RF, Felitti VJ, Edwards VJ, Malarcher AM, Croft JB, Giles WH. Adverse childhood experiences are associated with the risk of lung cancer: a prospective cohort study. BMC Public Health. 2010 Jan 19;10:20. doi: 10.1186/1471-2458-10-20. Erratum in: BMC Public Health. 2010;10:311. PMID:20085623; PMCID: PMC2826284.
Anda RF, Chapman DP, Felitti VJ, Edwards V, Williamson DF, Croft JB, Giles WH. Adverse childhood experiences and risk of paternity in teen pregnancy. Obstet Gynecol. 2002 Jul;100(1):37-45. doi: 10.1016/s0029-7844(02)02063-x. PMID: 12100801
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Dube SR, Anda RF, Felitti VJ, Edwards VJ, Croft JB. Adverse childhood experiences and personal alcohol abuse as an adult. Addict Behav. 2002 Sep-Oct;27(5):713-25. doi: 10.1016/s0306-4603(01)00204-0. PMID: 12201379.
Edwards VJ, Anda RF, Gu D, Dube SR, Felitti VJ. Adverse childhood experiences and smoking persistence in adults with smoking-related symptoms and illness. Perm J. 2007 Spring;11(2):5-13. doi: 10.7812/TPP/06-110. PMID: 21461087; PMCID: PMC3057738.
Anda RF, Whitfield CL, Felitti VJ, Chapman D, Edwards VJ, Dube SR, Williamson DF. Adverse childhood experiences, alcoholic parents, and later risk of alcoholism and depression. Psychiatr Serv. 2002 Aug;53(8):1001-9. doi: 10.1176/appi.ps.53.8.1001. PMID: 12161676.
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Dong M, Dube SR, Felitti VJ, Giles WH, Anda RF. Adverse childhood experiences and self-reported liver disease: new insights into the causal pathway. Arch Intern Med. 2003 Sep 8;163(16):1949-56. doi:10.1001/archinte.163.16.1949. PMID: 12963569.
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SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach788.65 KB
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The toolkit was developed by Sentient Research (www.sentientresearch.net) under a contract from CDC Contract #75D30118C01854. Sentient Research staff led all project activities and enlisted assistance from the consultants and contractors named below
HIV essentials. HIV Essentials Training, Coldspring Center. (n.d.). https://www.coldspringcenter.org/training/HIVEssentials.aspx
Sales, J. M., Swartzendruber, A., & Phillips, A. L. (2016). Trauma-informed HIV prevention and treatment. Current HIV/AIDS Reports, 13(6), 374–382. https://doi.org/10.1007/s11904-016-0337-5

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