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Tagged With "Veterans Affairs"

Blog Post

APA Trauma Competencies - is this the latest?

Megan Gerber MD MPH ·
Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan
Blog Post

Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Megan Gerber MD MPH ·
Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...
Blog Post

Trauma-informed primary care for residents

Ellen Goldstein ·
Andrea Garroway recently joined TIHCER. She published the following article describing a brief interdisciplinary intervention to train medical residents in trauma-informed primary care at a Veterans Affairs hospital. See attached article. "We generated a trauma- informed care curriculum involving five 1- hour didactic sessions, 10- minute group reflection regarding patient interactions prior to each didactic session, and optional patient care observation and feedback."
Comment

Re: Center for Healthcare Strategies: Great Practice-based Resource

Vincent J. Felitti, MD ·
Thank you for sharing your experience in using the ACE findings clinically. Attached is an article describing our doing this in a 135,000 adult patient sample where the ACE Questions were integrated into a lengthy medical history questionnaire filled out at home as Step 1 of comprehensive medical evaluation. The benefits were major. Unexpectedly, colleague (but not patient) resistance was also significant. Our getting this information initially by an inert mechanism rather than face-to-face...
Comment

Re: Trauma-informed primary care for residents

Ellen Goldstein ·
Hello TIHCER Members, Please let us know when you publish an article, book chapter, etc, record a presentation, have an experience and reflections to share with us, or you want to pose a question to the community for input and feedback. This is our trauma-informed care learning community and we want to hear from you! Let us know about your successes so that we can celebrate and learn from you!
Comment

Re: Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Karen Clemmer ·
Dear Dr. Gerber, What an important message for those who are in the military or those who know someone in the military. May I copy (e.g. clone) this story to other communities on ACEs Connection - such as ACEs in Maternal Health ? Thank you very much for posting! Karen
Comment

Re: TIHCER June Zoom 2020

Vincent J. Felitti, MD ·
This is a very interesting presentation, and I look forward to reading Dr. Strait's article in The Permanente Journal. The subject has great relevance for the military because there is highly suggestive evidence that ACE Scores and their generally not-understood sequelae may be more common in a volunteer military that in a draft military. Attached as Item 3 is an article describing how routine ACE screening was carried out on a very large scale in one Kaiser Department, and its effects and...
Comment

Re: TIHCER June Zoom 2020

Joshua S Strait ·
Thank you Dr. Felitti for your kind words and helpful attachments. Your paper is so important, especially in light of the military families I work with. Your words are inspiring and transformative: "We realized that asking , initially via an inert mechanism with later followup in the exam room, coupled with listening and implicitly accepting the person who had just shared his or her dark secrets, is a powerful form of doing ."
Comment

Re: Trauma-Informed Telehealth in the COVID-19 Era and Beyond

Megan Gerber MD MPH ·
Thank you for posting @Ellen Goldstein and for your enduring kind support! The pdf is now available and attached.....
Blog Post

Trauma-Informed Telehealth in the COVID-19 Era and Beyond

Ellen Goldstein ·
https://www.mdedge.com/fedprac/article/225184/coronavirus-updates/trauma-informed-telehealth-covid-19-era-and-beyond Background: The Veterans Health Administration (VHA) entered the COVID-19 pandemic crisis with an existing and robust telehealth program, but it still faces a fundamental paradigm shift as most routine outpatient in-person care was converted to telehealth visits. Veterans are a highly trauma-exposed population, and VHA has long offered effective telemental health services.
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