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Department of Health Services

Maternal, Child, and Adolescent Health

Trauma Informed Approach in Public Health Nursing (TIA PHN)

Keep Your Medi-Cal!

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Are you a Medi-Cal Member?
Medi-Cal is currently reviewing ALL beneficiaries for continued benefits. Make sure your family’s contact information is up-to-date and report any changes in your household (especially pregnancy!)

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Click HERE for more information in Spanish.

Trauma Informed Approach in Public Health Nursing logo
The TIA PHN Nurse Home Visiting program is a collaboration of Field Nurse Home Visiting programs in Sonoma, Napa and San Francisco Counties. The program is currently participating in rigorous academic evaluation through UCSF 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.

Model Objectives

mom and baby

  • Mitigation of toxic stress
  • Increased family resilience
  • Optimized family health 

Anticipated Outcomes

dad and baby

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

Continuation 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