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Department of Health Services

Maternal, Child, and Adolescent Health

Trauma Informed Approach in Public Health Nursing (TIA PHN)


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