Addressing adults with adverse childhood experiences requires a team approach
| Autor: | Aimee Burke Valeras, Erica Hochberg, Mark Prodger, Haley VandenHazel, Lucy Allosso, Erin Cobb |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty MEDLINE Primary care Health outcomes Life Change Events 03 medical and health sciences 0302 clinical medicine Adverse Childhood Experiences Interview Psychological Medicine Humans 030212 general & internal medicine Child Patient Care Team Psychiatry Ideal (set theory) Primary Health Care business.industry Adult Survivors of Child Abuse Internship and Residency Mental health 030227 psychiatry Psychiatry and Mental health Mental Health Family medicine business Qualitative research |
| Zdroj: | International journal of psychiatry in medicine. 54(4-5) |
| ISSN: | 1541-3527 |
| Popis: | Objective The primary care office is an ideal setting to identify and address adverse childhood experiences, which is a strong predictor of chronic health outcomes and morbidity. This study sought to understand the experiences of primary care from the perspective of patients who experienced trauma. Method Purposive sampling was used to select eligible and interested participants who identify a high adverse childhood experience score at a residency-based community health center, which offers integrated behavioral health services in primary care. Semistructured in-depth interviews conducted by doctoral-level behavioral health clinicians were audio-recorded, transcribed, and analyzed thematically. Results Subjects ( n = 6) described aspects of medical setting, including removal of clothing or physical touch, that trigger their past trauma, which often resulted in maladaptive stress responses. Subjects also reported sensing when their complexity resulted in negative interpersonal dynamics between team members, and they described fearing abandonment from their team during these heightened stress states. The behavioral health clinician on the health care team served as an advocate, enhanced trust, and allowed for increased continuity and access to care. Conclusions Given the role of adverse childhood experiences in health outcomes and the results of this study, incorporating a trauma-informed approach is essential to treating patients with adverse childhood experiences. We propose that integrating mental health professionals into primary care settings better serves patients with trauma histories. |
| Databáze: | OpenAIRE |
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