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Before, during and after: trauma-informed care in burns settings


Cleary, M and Kornhaber, R and Visentin, D and West, S and Neil, AL and Kezelman, C and McLean, L, Before, during and after: trauma-informed care in burns settings, Burns, 46, (5) pp. 1170-1178. ISSN 0305-4179 (2020) [Refereed Article]

Copyright Statement

2019 Elsevier Ltd and ISBI. All rights reserved.

DOI: doi:10.1016/j.burns.2019.12.003


Trauma-informed care (TIC) is a model for the relationship of care between service users and service providers that recognises the importance of trauma, past and present, on that person's experiences, vulnerabilities and recovery. Burn injuries are a complex area of healthcare where trauma and the mental health disorders associated with trauma can both precede and proceed a burns injury with complications for recovery. Incorporating a model of TIC in the assessment and treatment of burns patients will proactively work to mitigate and arrest trauma responses, mental disorders and their sequelae in this population. With reference to the existing TIC knowledge base, we propose development of a model for the TIC of burns patients divided into three stages; before, during and after initial engagement with the patient. In the before stage, TIC will require clinical-level change, organisational integration, training and time. In the during stage, five elements are identified; creating safety, screening, collaborative inclusion of the patient in the intervention and recovery planning process, psychoeducation of the patient and supporters, and the use of peer-led services. In the after stage, patients need to be proactively supported through outreach and follow-up. Implementation of a trauma-informed model of care for burns injury patients provides significant opportunities to burns services and benefits towards their patients' recovery.

Item Details

Item Type:Refereed Article
Keywords:trauma-informed care, trauma, burns, mental health, recovery
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Mental health services
UTAS Author:Cleary, M (Professor Michelle Cleary)
UTAS Author:Kornhaber, R (Dr Rachel Kornhaber)
UTAS Author:Visentin, D (Dr Denis Visentin)
UTAS Author:West, S (Dr Sancia West)
UTAS Author:Neil, AL (Associate Professor Amanda Neil)
ID Code:137983
Year Published:2020
Web of Science® Times Cited:3
Deposited By:Nursing
Deposited On:2020-03-19
Last Modified:2020-07-22

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