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Trauma Informed Care in Medicine: Current Knowledge and Future Research Directions

Raja, Sheela PhD; Hasnain, Memoona MD, MHPE, PhD; Hoersch, Michelle MS; Gove-Yin, Stephanie MD; Rajagopalan, Chelsea BS

doi: 10.1097/FCH.0000000000000071
Original Articles

Traumatic events (including sexual abuse, domestic violence, elder abuse, and combat trauma) are associated with long-term physical and psychological effects. These events may influence patients' health care experiences and engagement in preventative care. Although the term trauma-informed care (TIC) is widely used, it is not well understood how to apply this concept in daily health care practice. On the basis of a synthesis of a review of the literature, the TIC pyramid is a conceptual and operational framework that can help physicians translate TIC principles into interactions with patients. Implications for clinical practice and future research are discussed in this article.

Department of Pediatric Dentistry, College of Dentistry (Dr Raja) and Department of Family Medicine (Dr Hasnain), University of Illinois at Chicago; US Department of Health and Human Services, Office on Women's Health, Region V, Chicago, Illinois (Ms Hoersch); Pritzker School of Medicine, Boston Medical Center, Boston, Massachusetts (Dr Gove-Yin); and Rutgers School of Dental Medicine, Newark, New Jersey (Ms Rajagopalan).

Correspondence: Sheela Raja, PhD, Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago, 801 S Paulina St, M/C 850, Chicago, IL 60612 (

The authors declare no conflicts of interest.

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