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Before, during and after: Trauma-informed care in burns settings

journal contribution
posted on 31.08.2021, 23:04 by Michelle L Cleary, Rachel Kornhaber, Denis Visentin, Sancia West, Amanda L Neil, Cathy Kezelman, Loyola McLean
Trauma-informed care (TIC) is a model for the relationship of care between service users and service providers that recognises the importance of trauma, past and present, on that person's experiences, vulnerabilities and recovery. Burn injuries are a complex area of healthcare where trauma and the mental health disorders associated with trauma can both precede and proceed a burns injury with complications for recovery. Incorporating a model of TIC in the assessment and treatment of burns patients will proactively work to mitigate and arrest trauma responses, mental disorders and their sequelae in this population. With reference to the existing TIC knowledge base, we propose development of a model for the TIC of burns patients divided into three stages; before, during and after initial engagement with the patient. In the before stage, TIC will require clinical-level change, organisational integration, training and time. In the during stage, five elements are identified; creating safety, screening, collaborative inclusion of the patient in the intervention and recovery planning process, psychoeducation of the patient and supporters, and the use of peer-led services. In the after stage, patients need to be proactively supported through outreach and follow-up. Implementation of a trauma-informed model of care for burns injury patients provides significant opportunities to burns services and benefits towards their patients’ recovery.

Funding

Category 2 - Other Public Sector Grants Category

History

Volume

46

Issue

5

Start Page

1170

End Page

1178

Number of Pages

9

eISSN

1879-1409

ISSN

0305-4179

Location

Netherlands

Publisher

Elsevier

Language

eng

Peer Reviewed

Yes

Open Access

No

Acceptance Date

06/12/2019

External Author Affiliations

Blue Knot Foundation, NSW; The University of Sydney; University of Tasmania

Era Eligible

Yes

Medium

Print-Electronic

Journal

Burns