1, 8 Now with increasing evidence that TIC can lead to improved patient care outcomes, healthcare institutions are recognizing the importance of clinician competency in TIC. 2, 8 TIC has historically been used among health professionals in social work, mental health, child services, and the juvenile justice program to inform their work, but it has not been routinely practiced by pediatric healthcare professionals. 2 Furthermore, TIC includes adherence to the following key principles: (1) safety, (2) trustworthiness, (3) peer support, (4) collaboration, (5) empowerment and choice, and (6) cultural, historical, and sex issues. TIC is an approach to healthcare that is rooted in the realization of the widespread incidence of trauma, recognition of the signs and symptoms of trauma, response to trauma in a full and integrated manner, and resisting retraumatization by organizations and healthcare professionals. These findings, together with current research regarding the negative impact of childhood experiences on the future health and functioning of pediatric patients, serve as a call to action for healthcare professionals to incorporate trauma-informed care (TIC) into their routine clinical practice. 3 The seminal study conducted by Felitti et al 4 underscores the impact of 10 specific childhood traumas, now commonly known as “adverse childhood experiences” (ACEs), by demonstrating how exposure to ACEs can lead to risky health behaviors and poor health outcomes in a dose-dependent manner. They define trauma as “an event, series of events, or set of circumstances experienced by an individual as physically or emotionally harmful or life-threatening with lasting adverse effects on the individuals functioning and mental, physical, social, emotional, or spiritual well being.” 2 Although this definition provides context for healthcare professionals, it is important to note that trauma is a subjective experience how an individual responds to trauma may evolve and change over time and well into adulthood. 1 Although there are many definitions of trauma, the most commonly referred to definition is from the Substance Abuse and Mental Health Services Administration. These exposures to trauma can place children at risk for emotional, physical, and functional impairment. In the United States, two-thirds of individuals have been exposed to ≥1 traumatic event in their childhood.
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