Trauma informed care in medicine: current knowledge and future research directions

Fam Community Health. 2015 Jul-Sep;38(3):216-26. doi: 10.1097/FCH.0000000000000071.


Traumatic events (including sexual abuse, domestic violence, elder abuse, and combat trauma) are associated with long-term physical and psychological effects. These events may influence patients' health care experiences and engagement in preventative care. Although the term trauma-informed care (TIC) is widely used, it is not well understood how to apply this concept in daily health care practice. On the basis of a synthesis of a review of the literature, the TIC pyramid is a conceptual and operational framework that can help physicians translate TIC principles into interactions with patients. Implications for clinical practice and future research are discussed in this article.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Community Mental Health Services / organization & administration*
  • Health Services Accessibility / organization & administration*
  • Humans
  • Mental Health Services / organization & administration
  • Middle Aged
  • Patient-Centered Care / organization & administration
  • Primary Prevention / organization & administration*
  • United States
  • Violence / prevention & control*