MGB Trauma-Informed Care (TIC) Initiative

In 2012, with the support of senior administration at MGB (formerly Partners Healthcare), the Trauma-Informed Care Initiative was founded. The initiative is comprised of leadership and clinical staff from trauma-related services across our enterprise working collaboratively to build capacity at each hospital in the pursuit of health equity. Trauma-Informed Care is an evidenced-based theoretical framework that promotes health equity and staff wellness. The aims of the initiative include:

    1. Providing staff with trauma-informed care education
    2. Building capacity at each MGB hospital to advance TIC through collaboration
    3. Identifying opportunities for federal, foundation and internal funding
    4. Offering technical assistance to advance trauma-informed care nationally for medical institutions that provide adult medicine
    5. Develop metrics to understand the added contributions of trauma-informed practices


What Is Trauma-Informed Care?

 

In 1994, SAMHSA convened the Dare to Vision Conference. This event was intentionally designed to bring trauma to the foreground and was the the first national conference in which women trauma survivors talked about their experiences and ways in which standard practices in hospitals re-traumatized, and often triggered, memories of previous abuse. The six core principles of Trauma-Informed Care (TIC) are: Safety| Trustworthiness and Transparency| Peer Support| Collaboration and Mutuality| Empowerment, Voice and Choice| Cultural, Historical, and Gender Acknowledgement. These principles are grounded in evidence and that evidence offers members of healthcare teams and patients ways to engage in more meaningful encounters.

 

Six Core Principles of Trauma-Informed Care

 

  • Safety
  • Trustworthiness & Transparency
  • Peer Support
  • Collaboration & Mutuality
  • Empowerment, Voice & Choice
  • Cultural, Historical & Gender Acknowledgement

MGB TIC Committees

Education and Training

The MGB TIC Education and Training Committee seeks to support best practices in implementing trauma-informed care across the MGB system through creating tools and training materials, sharing resources and ideas, and working together on joint projects. The committee strives for an interdisciplinary and collaborative framework utilizing the principles of trauma-informed care.

 

The committee has identified the following goals:

 

    1. Giving those interested in TIC tangible, useful materials that help all those interacting with patients feel more confident, supported, educated and at ease when implementing TIC.
    2. Seeking new ways and modalities to educate on TIC.
    3. Finding ways to work together and across hospitals within MGB so that TIC education efforts are done in tandem, with cross sector support, in an interdisciplinary and collaborative manner.
    4. Using a TIC approach to working together to achieve these goals, using the 6 principles of SAMHSA TIC as a guide for our work together (ie- trustworthy and transparent, decreased power differentials, peer support, empowering each other, understanding roles of culture, history and gender in creation of materials, actively seeking to ensure all voices at are table, creating a committee that feels safe.
    5. Explicitly bringing a social and racial justice lens into the ways we provide materials, teach, advocate and implement TIC.
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Research and Evaluation

The MGB TIC Research and Evaluation Committee was formed for investigators who seek to build a body of evidence that aims to understand and evaluate the impact of TIC approaches for patients and staff.

 

The committee has identified the following goals:

 

  1. Develop metrics that measure the added benefits of trauma-informed care approaches
  2. Identify extramural and internal grants
  3. Work collaboratively to respond to request for proposals offering support in proposal development.
  4. Collaborate with the Education and Training committee in establishing metrics