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Trauma Informed Approach in Public Health Nursing (TIA PHN)

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Trauma Informed Approach in Public Health Nursing logo
The TIA PHN program is a collaboration of Field Nurse Home Visiting programs in Sonoma, Napa and San Francisco Counties with plans for a rigorous academic evaluation to measure effectiveness. The ultimate goal is to develop an open source, evidence-based Field Nursing Program with identified outcomes and use of a specific curriculum.

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Population Served

Low income (Medi-Cal eligible) pregnant persons and families with children under 5 who have experienced, or are at risk for trauma (historical or current) and are experiencing medical and/or social challenges.

Historical photo of nurses standing in front of District Nursing OfficeModel Objectives

  • Mitigate toxic stress
  • Find resilience
  • Optimize their health 

Anticipated Outcomes

Short Term

Rates of immunization, contraception, primary and dental care, insurance and breastfeeding at par with broader Medi-Cal population.

  • Earliest identification and referral for depression (adults) & developmental delay (children).
  • Increased parental understanding of Adverse Childhood Experiences (ACEs) effects on their individual and family health and well-being. 

Medium Term

Public Health NursesContinuation of the following resilience practices post program exit:

  • Nutrition
  • Exercise
  • Sleep
  • Mental Health
  • Relationships
  • Mindfulness

Long Term 

  • Disruption of intergenerational trauma

About Implementing the Model


Email us for a free TIA PHN Model Guidebook