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Department of Health Services

Maternal, Child, and Adolescent Health

Trauma Informed Approach in Public Health Nursing (TIA PHN)


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Immigration Status Doesn't Matter

Starting January 1, 2024, more people will be eligible for full Medi-Cal benefits. If you are 26-49, live in CA, and meet income requirements, you are eligible for coverage! Applying for or using Medi-Cal will not affect your immigration status.

Click here for more information

A partir del 1 de enero de 2024, más personas serán elegibles para recibir los beneficios completos de Medi-Cal. Si tiene entre 26 y 49 años, vive en CA y cumple con los requisitos de ingresos, ¡es elegible para recibir cobertura! Solicitar o utilizar Medi-Cal no afectará su estatus migratorio. ¡Y no es carga publica!

Para obtener información en español, haga clic en el botón "translate" en la esquina superior derecha de esta página y seleccione español.

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