TY - JOUR
AU - J. Yao
AU - J. Nahmias
AU - G. Tinkoff
AU - D. A. Kuhls
AU - G. Diaz
AU - S. Bonne
AU - L. Tatebe
AU - A. Moren
AU - K. Carter
AU - C. Castater
AU - C. Palacio-Lascano
AU - S. Prentiss
AU - T. K. Duncan
A1 - 
AB - BACKGROUND: Trauma-informed care (TIC) is a framework designed to understand and address the impacts of trauma, ensuring physical, psychological, and emotional safety for all involved. It seeks to prevent retraumatization and promote a sense of control and empowerment across diverse populations. METHOD: This Trauma Prevention Coalition survey study assessed TIC implementation among members from 13 of the 16 participating organizations, focusing on prevalence, awareness, and training gaps. RESULTS: Out of 948 participants, 91% (n = 861) were affiliated with trauma centers. In adult trauma centers: 19.3% were from Level I, 9.4% from Level II, 5.4% from Level III, 3.1% from Level IV, and 1.2% from Level V. In addition, 1.2% were from nonadult trauma centers, and 2.5% worked in centers serving both adult and pediatric patients. In pediatric centers: 18.6% were from Level I, 13.0% from Level II, 1% from Level III, and 67.0% from nonpediatric centers. Trauma-informed care principles were integrated into the core values of 35.5% of trauma centers, while 64.5% had not adopted them. Only 17.0% had TIC training plans, with 57.7% lacking or unaware of such plans. Bivariate regression analysis indicated that TIC integration decreased for Level II, Level IV, and nontrauma centers compared with Level I adult trauma centers, but increased for Level III. In pediatric centers, TIC integration decreased for Level II, Level III, Level IV, and nontrauma centers compared with Level I. Pediatric trauma centers showed a higher TIC integration rate (71.6%) compared with adult centers (39.4%, p < 0.01). CONCLUSION: TIC adoption varies significantly across trauma center levels, with higher prevalence in pediatric and Level I centers. The study underscores the need for comprehensive TIC training within trauma care systems. LEVEL OF EVIDENCE: Therapeutic/care management; Level IV.
AD - From the Department of Trauma and Surgical Critical Care, Ventura County Medical Center, Ventura, California (J.Y.); Department of Trauma (J.N.), University of California, Irvine, California; Department of Trauma and Acute Care Surgery (G.T.), University Hospitals, Cleveland, Ohio; Department of Surgery (D.A.K.), University of Nevada, Las Vegas, Nevada; Department of Trauma (G.D., T.K.D.), Ventura County Medical Center, Ventura, California; Department of Trauma and Surgical Critical Care (S.B.), Hackensack University Medical Center, Hackensack, New Jersey; Department of Trauma and Critical Care (L.T.), Northwestern University, Evanston, Illinois ; Department of Trauma, Surgical Critical Care and Acute Care Surgery (A.M.), Salem Hospital, Massachusetts; Department of Surgery Critical Care (K.C.), University of Michigan, Ann Arbor, Michigan; Department of Surgery (C.C.), Morehouse School of Medicine, Atlanta, Georgia; Department of Trauma and Critical Care (C.P.-L.), South Texas Health Systems, Edinburg, Texas; and American Trauma Society (S.P.), Falls Church, Virginia.
AN - 39940079
BT - J Trauma Acute Care Surg
C5 - Education & Workforce
CP - 5
DA - May 1
DO - 10.1097/ta.0000000000004546
DP - NLM
ET - 20250213
IS - 5
JF - J Trauma Acute Care Surg
LA - eng
N2 - BACKGROUND: Trauma-informed care (TIC) is a framework designed to understand and address the impacts of trauma, ensuring physical, psychological, and emotional safety for all involved. It seeks to prevent retraumatization and promote a sense of control and empowerment across diverse populations. METHOD: This Trauma Prevention Coalition survey study assessed TIC implementation among members from 13 of the 16 participating organizations, focusing on prevalence, awareness, and training gaps. RESULTS: Out of 948 participants, 91% (n = 861) were affiliated with trauma centers. In adult trauma centers: 19.3% were from Level I, 9.4% from Level II, 5.4% from Level III, 3.1% from Level IV, and 1.2% from Level V. In addition, 1.2% were from nonadult trauma centers, and 2.5% worked in centers serving both adult and pediatric patients. In pediatric centers: 18.6% were from Level I, 13.0% from Level II, 1% from Level III, and 67.0% from nonpediatric centers. Trauma-informed care principles were integrated into the core values of 35.5% of trauma centers, while 64.5% had not adopted them. Only 17.0% had TIC training plans, with 57.7% lacking or unaware of such plans. Bivariate regression analysis indicated that TIC integration decreased for Level II, Level IV, and nontrauma centers compared with Level I adult trauma centers, but increased for Level III. In pediatric centers, TIC integration decreased for Level II, Level III, Level IV, and nontrauma centers compared with Level I. Pediatric trauma centers showed a higher TIC integration rate (71.6%) compared with adult centers (39.4%, p < 0.01). CONCLUSION: TIC adoption varies significantly across trauma center levels, with higher prevalence in pediatric and Level I centers. The study underscores the need for comprehensive TIC training within trauma care systems. LEVEL OF EVIDENCE: Therapeutic/care management; Level IV.
PY - 2025
SN - 2163-0755
SP - 729
EP - 733+
ST - Evaluating trauma awareness in health care: Insights from the AAST and Trauma Prevention Coalition Survey
T1 - Evaluating trauma awareness in health care: Insights from the AAST and Trauma Prevention Coalition Survey
T2 - J Trauma Acute Care Surg
TI - Evaluating trauma awareness in health care: Insights from the AAST and Trauma Prevention Coalition Survey
U1 - Education & Workforce
U3 - 10.1097/ta.0000000000004546
VL - 98
VO - 2163-0755
Y1 - 2025
ER -