Skip to content

Evidence

References

The tools on this site draw on the research and professional guidance below. Follow your institution's policies and current clinical guidelines.

Frameworks & professional guidance

  1. Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: SAMHSA; 2014.

    Source of the Four Rs and the six core principles behind the Four Pillars on this site.

  2. American College of Obstetricians and Gynecologists. Caring for Patients Who Have Experienced Trauma. ACOG Committee Opinion No. 825. Obstet Gynecol. 2021;137(4):e94–e99.

    Recommends universal trauma-informed practices in obstetric and gynecologic care.

Research on trauma & health

  1. Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245–258.

    Foundational evidence that trauma exposure is common and affects lifelong health.

  2. Raja S, Hasnain M, Hoersch M, Gove-Yin S, Rajagopalan C. Trauma informed care in medicine: current knowledge and future research directions. Fam Community Health. 2015;38(3):216–226.

    Describes a universal-precautions model of trauma-informed care for clinicians.

  3. Ravi A, Little V. Providing trauma-informed care. Am Fam Physician. 2017;95(10):655–657.

    Source for the visit-by-visit clinician actions on the TIC Facts page.

Clinical education

  1. Elisseou S, Puranam S, Nandi M. A novel, trauma-informed physical examination curriculum for first-year medical students. MedEdPORTAL. 2019;15:10799.

    Teaches narration, consent, and patient control during the physical exam.

  2. Tillman S. Consent in pelvic care. J Midwifery Womens Health. 2020;65(6):749–758.

    A framework for ongoing consent in pelvic care, cited in the DNP project protocol.

Websites