Implementation of a Trauma Informed Care Program for the Reduction of Crisis Interventions
Implementation of a Trauma Informed Care Program for the Reduction of Crisis Interventions by Renae Hale MSN, Loyola University, 2009 BSN, St. John's College, 1995 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2019 Abstract Childhood trauma is the primary reason children and adolescents display behavioral issues that require hospitalization. Implementation of a trauma informed care (TIC) program was the intervention chosen at a child and adolescent behavioral health hospital to decrease physical holds and seclusion rates for patients aged 3 to 17 and to reduce the risk of retraumatization of children needing psychiatric care. Six core strategies from the National Association of Mental Health Program Directors was the framework for this project. The number of crisis interventions before and after implementation were 440 and 259, respectively. The number of seclusions before implementation was 215, and total number of restraints was 225. The number of seclusions after implementation was 125, and total number of restraints was 134. Data showed that implementing a TIC program decreased the use of physical holds and seclusions by 26% within 6 months of program implementation. The implications of this project for positive social change include changing the approach to children with high risk behaviors by decreasing the risk for retraumatization.Childhood trauma is the primary reason children and adolescents display behavioral issues that require hospitalization. Implementation of a trauma informed care (TIC) program was the intervention chosen at a child and adolescent behavioral health hospital to decrease physical holds and seclusion rates for patients aged 3 to 17 and to reduce the risk of retraumatization of children needing psychiatric care. Six core strategies from the National Association of Mental Health Program Directors was the framework for this project. The number of crisis interventions before and after implementation were 440 and 259, respectively. The number of seclusions before implementation was 215, and total number of restraints was 225. The number of seclusions after implementation was 125, and total number of restraints was 134. Data showed that implementing a TIC program decreased the use of physical holds and seclusions by 26% within 6 months of program implementation. The implications of this project for positive social change include changing the approach to children with high risk behaviors by decreasing the risk for retraumatization. Implementation of a Trauma Informed Care Program for the Reduction of Crisis Interventions by Renae Hale MSN, Loyola University, 2009 BSN, St. John's College, 1995 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2019 Dedication This project is dedicated to my husband and children who supported me during this process. The amount of time taken away from my family to complete this project was un measureable and I am truly grateful for their devotion to my goal of obtaining my DNP. Acknowledgement I want to acknowledge my instructor Dr. Mary Verklan. Your continued support and dedication to our profession is something I will forever be grateful for. To my mentor Mrs. Dottie Irvin, your dedication to teaching future nurses has become my life dream and I will continue to teach in your memory. To my parents who pushed me to become a nurse in my younger years when my priorities were not sensible, thank you. I am forever grateful to you all, and my heart is overflowing.