Trauma Informed Approach in Public Health Nursing (TIA PHN)
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.
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
- 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
Continuation of the following resilience practices post program exit:
- Nutrition
- Exercise
- Sleep
- Mental Health
- Relationships
- Mindfulness
Long Term
- Disruption of intergenerational trauma