From Treatment to Healing: The Promise of Trauma-Informed Primary Care

      In August 2013, a national strategy group convened in Washington, DC to clarify a framework for trauma-informed primary care (TIPC) for women. The group was motivated by an increasing body of research and experience revealing that people from all races, ethnicities, and socioeconomic backgrounds come to primary care with common conditions (e.g., heart, lung, and liver diseases, obesity, diabetes, depression, substance use, and sexually transmitted infections) that can be traced to recent and past trauma. These conditions are often stubbornly refractory to treatment, in part because we are not addressing the trauma and posttraumatic stress disorder (PTSD) that underlie and perpetuate them. The purpose of the strategy group was to review the evidence linking trauma to health and provide practical guidance to clinicians, researchers, and policymakers about the core components of an effective response to recent and past trauma in the setting of primary care. We describe the results of this work and advocate for the adoption of TIPC as a practical and ethical imperative for women's health and well-being.
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      Biography

      Edward L. Machtinger, MD, is a Professor of Medicine and Director of the Women's HIV Program at UCSF. His research focuses on the impact of trauma on women living with HIV and developing and evaluating models of trauma-informed primary care.

      Biography

      Yvette P. Cuca, PhD, is a Research Specialist and Project Director at the UCSF School of Nursing. Her work focuses on sexual and reproductive health and rights for women living with HIV.

      Biography

      Naina Khanna, BS, is Executive Director of Positive Women's Network – USA. Her research interests include the sexual rights of women with HIV, and the ways women with HIV negotiate access to power and decision making.

      Biography

      Carol Dawson Rose, RN, PhD, is Professor of Nursing at the UCSF School of Nursing. Her research focuses on implementing behavioral health interventions in HIV primary care settings.

      Biography

      Leigh S. Kimberg, MD, is Professor of Medicine at UCSF, and Program Director of the Program in Medical Education for the Urban Underserved. She is Coordinator of Intimate Partner and Family Violence Prevention for the San Francisco Department of Public Health.