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Trauma-Informed Care: A Model for OT Practice

John Boharic, OTS Madison Haswell, OTS Nicole Haynes, OTS Stephanie Weir, OTS
Amy Mattila, PhD, OTR/L Sharon Novalis, PhD, OTR/L

Quick Facts:
A traumatic event can be classified as one or more of the following: Emotional, physical or sexual
abuse, emotional or physical neglect, household substance abuse, household mental illness, parental
separation or divorce, and/or an incarcerated household member (Felitti et al., 1998).

Trauma-Informed Care (TIC) can be defined as a model to help practitioners understand the effects of
physical, psychological, and emotional trauma and appropriately respond to such trauma by addressing
the emotional needs of the client in order to prevent re-traumatization during care (Hopper, Bassuk, & Olivet,
2010; Kassam-Adams, 2015).

Approximately 66% of the general population has experienced at least one traumatic event in their
lifetime (Felitti et al., 1998).

A TIC model can help to increase clients well-being and quality of life during and after treatment
(American Occupational Therapy Association, 2014; American Occupational Therapy Association, 2016).

Contact Information:
John Boharic, OTS
jbohar47@gmail.com

Madison Haswell, OTS


haswell13@gmail.com

Nicole Haynes, OTS


nr.haynes@hotmail.com

Stephanie Weir, OTS


steph.a.weir@gmail.com

Sharon Novalis, OTD, OTR/L


snovalis@chatham.edu
References:
American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process

(3rd ed.). American Journal of Occupational Therapy, 68 (Suppl 1), S1-S48.

American Occupational Therapy Association. (2016). AOTA unveils Vision 2025. Retrieved from

http://www.aota.org/aboutaota/vision-2025.aspx

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998).

Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.

The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245-

258.

Green, B.L., Saunders, P. A., Power, E., Dass-Brailsford, P., Shelbert, K. B., Giller, E., , & Mete, M. (2015).

Trauma-informed medical care: CME communication training for primary care providers. Family Medicine,

47(1), 7-14.

Hall, A., McKenna, B., Dearie, V., Maguire, T., Charleston, R., & Furness, T. (2016). Educating emergency

department nurses about trauma informed care for people presenting with mental health crisis: A pilot study.

BMC Nursing, 15(21), 1-8.

Hopper, E. K., Bassuk, E., & Olivet, J. (2010). Shelter from the storm: Trauma-informed care in homelessness

services setting. The Open Health Services and Policy Journal, 2, 131151.

Kassam-Adams, N., Rzucidlo, S., Campbell, M., Good, G., Bonifacio, E., Slouf, K., & Grather, D. (2015). Nurses'

views and current practice of trauma-informed pediatric nursing care. Journal of Pediatric Nursing, 30(3),

478-484. doi:10.1016/j.pedn.2014.11.008

Muzik, M., Ads, M., Bonham, C., Rosenblum, K., Broderick, A., & Kirk, R. (2013). Perspectives on trauma-informed

care from mothers with a history of childhood maltreatment: A qualitative study. Child Abuse and Neglect,

37(12), 1215-1224. doi:10.1016/j.chiabu.2013.07.014

Taylor, R. R., Lee, S. W., Kielhofner, G., & Ketkar, M. (2009). Therapeutic use of self: A nationwide survey of

practitioners' attitudes and experiences. American Journal of Occupational Therapy, 63(2), 198-207.

doi:10.5014/ajot.63.2.198

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