Prog Community Health Partnersh. 2023;17(3):495-501.
The negative impact of trauma on health is devastating. Providers, especially those in rural areas, require support to implement trauma-informed care (TIC) on a systems level.
This paper describes a partnership of county behavioral health administrators, service providers, and a behavioral health managed care organization and steps taken over a 5-year initiative to enhance capacity and quality of community services to meet the needs of individuals in a rural setting to receive TIC.
The initiative included trainings in evidence-based and best practices in TIC, improved trauma screening, development of TIC centers, and development of community-based networks for ongoing support. Lessons learned were summarized through discussions between partnership members.
Shared ownership, opportunity to build networks, and continuous assessment of organizational strengths resulted in successful implementation and sustained practice. Challenges included turnover among staff and organizations.
Building a TIC network across a rural health care system can be successful with long-term support and investment from multiple stakeholders.
创伤对健康的负面影响是毁灭性的。提供者，特别是那些在农村地区的提供者，需要支持在系统层面上实施创伤知情护理（TIC）。
本文描述了县行为健康管理人员、服务提供者以及行为健康管理式医疗组织之间的合作伙伴关系，以及在一项为期 5 年的倡议中采取的步骤，以增强社区服务的能力和质量，以满足农村地区个体接受 TIC 的需求。
该倡议包括 TIC 方面基于证据和最佳实践的培训、改进创伤筛查、TIC 中心的发展以及基于社区的网络的发展，以提供持续支持。通过合作伙伴成员之间的讨论总结了经验教训。
共享所有权、建立网络的机会以及对组织优势的持续评估导致了成功的实施和持续的实践。挑战包括员工和组织的人员流动。
通过多个利益相关者的长期支持和投资，在农村医疗保健系统中建立 TIC 网络可以取得成功。
