Trauma-informed care: recognizing and resisting re-truamatization in health care [tsaco.bmj.com]

I'm wondering if the provision in the Iroquois 'constitution for 'Generational Review' was intended to prevent 'trans-generational trauma'. I don't recall if it was specifically cited in 1988 U.S. Congressional Resolution #331-which acknowledges  it's role in the development of our US Constitution (Iroquois Women had the Rights to: Assert, Debate, Vote, and Declare War-beginning in 1150 AD; democratic tools like 'ballot Initiatives' and 'Recall Petitions' were reportedly available to both genders; I've yet to find/learn of answers to this from Iroquois Historian Elizabeth Tooker. If anyone reading this learns of something specific about this, I'd be grateful to be appraised of such news.Thank You

Thank You so much, for posting this. I've had [more than] enough 're-traumatization' in health care facilities ... One incident occurred during my open heart surgery-in spite of a great deal of effort by an Anesthesiologist at a 'teaching hospital'-who went to great lengths to prevent re-traumatization with an extensive 'advance directive/ post-op trauma-prevention plan-initially using the 'Advance Directive cards' found at: www.traumainformedcare.com --It occurred AFTER the Anesthesia had [long-before] worn-off in intensive post-op. About two weeks into my recovery I still managed to have a 'PTSD reaction', and the attending Psychiatrist prescribed 'Low-Dose Mellaril'. Regretably, our US FDA hadn't yet listed one side-effect (which the Canadian agency with similar tasks had listed: "Prolongs the Qt heart rhythm")...I 'ended-up' being transferred to 'St. Elsewhere' to have my heart-rate reset. I've had similar events, both before and after this. Fortunately, When C. Everett Koop retired as  U.S. Surgeon General, he started teaching a course at Dartmouth/Geisel Medical School in "Bedside Manners", and 'making connection' was apparently part of his course-though I haven't yet read the 'course syllabus'. However, I was glad to see Peter Levine's new text on 'Trauma and Memory'-with two Dartmouth/Geisel faculty listed as 'collaborators'.

This is SO rich!  Thank you for sharing.  This team has done an excellent job of presenting the case for why those in healthcare need to understand trauma as a means for promoting healing in patients and create supportive environments.  After work I helped pioneer in NE TN was recognized by SAMHSA in 2018 as a model for cities to follow, I was quickly recruited from working for police to the largest healthcare system in rural Appalachia (NE TN & SW VA) as their first Trauma Informed Administrator.  During the 18 months I was there, I was able to train staff in 2 of the 22 hospitals (doctors sitting next to housekeeping and security in the sessions - it was so rewarding!).  Before leaving to start my own consulting/training work I was unable to train all the hospitals, however, this health system has made a commitment to address ACEs as an underpinning social determinant to health disparities in rural Appalachia.  Before I left, they generously gifted one million dollars to East TN State University to fund the ETSU Ballad Health Strong BRAIN Institute of which I'm a founding member.  Moving forward now as a consultant, I was pleased to be asked in 2021 to provide training for healthcare team members across the state of FL for one health system who is embarking on their journey to become trauma informed as well as I'm working with a health system in one city in TX.  Thank you for advocating for this professional sector to understand this overlooked topic.