Santa Rosa, CA – September 17, 2019 – The Sonoma County
Department of Health Services (DHS) Field Nursing team was recently published
in the academic journal Public Health Nursing featuring their work with
families to recognize traumatic events, also known as a trauma-informed
approach, in its home visiting program.
The Field Nursing
team defines its trauma‐informed approach as a framework based on the understanding
of and responsiveness to the impact
of trauma that emphasizes physical, psychological, and emotional safety. This
strengths-based model creates opportunities for survivors to rebuild a sense of
control and empowerment.
The article, titled,
Trauma Informed public health
nursing visits to parents and children, presents the supporting research used to develop the approach, which
draws from Adverse Childhood Experiences (ACEs) research and describes the
model used by the Field Nursing team.
In July 2018, the
Field Nursing team launched the trauma‐informed approach that assists parents
in reflecting on the impact of their personal trauma histories and its
potential negative impacts on families.
“The goal of our
Field Nursing team is to provide an enhanced approach, which includes ACEs screening
to traditional home visiting programs in populations historically affected by childhood
trauma,” said lead author of the article and Sonoma County Public Health Nurse
ACEs research demonstrates
a strong association among traumatic childhood events and poor health and
social status following individuals into adulthood.
supporting child and maternal health frequently encounter families experiencing
trauma, which offered a unique opportunity to assist parents in recognizing the
potential harm such stress may have for their child. The Sonoma County Field
Nursing team developed a trauma‐informed model utilizing ACEs education in a
self‐reflective approach with parents to increase family resilience and reduce
the risk for future childhood trauma.
“We are honored to have
the work of our Field Nursing team be featured in such a prestigious journal,
as Public Health Nursing,” said
County Health Officer Dr. Celeste Philip.
“However what’s more
important is that the evaluation of this trauma-informed model has demonstrated
better care for women and children served in this program, and this approach
can now be shared with colleagues throughout the state and nation.”
About Adverse Childhood Experiences (ACEs)
ACEs were first
identified in a study on the relationship between childhood abuse and chronic
illness and/or dysfunction in adults. The original ACEs study surveyed 13,494
Kaiser Permanente health plan members for exposure to trauma before age 18, and
compared participant responses to adult risk‐taking behaviors and health
problems. Further studies have strengthened the association between high ACE
scores and sexual risk taking, poor work performance, premature death of a
family member, lung cancer, depression and cardiovascular disease, intimate
partner violence, and postpartum depression.
The Field Nursing
team, housed within the Public Health Division of the Sonoma County Department
of Health Services (DHS), has been serving families in the community for over
The abstract for this article can be found
online at the following link: https://onlinelibrary.wiley.com/doi/abs/10.1111/phn.12634.