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Trauma-Informed Adult Primary Care

  • Megan R. GerberEmail author
Chapter

Abstract

This chapter will address trauma-informed care in adult primary care settings. While a substantial body of literature exists on implementing trauma-informed care in mental health and pediatric settings, less has been written about best practices and strategies for adult primary care settings. In the United States, primary care providers manage adults with chronic pain, substance use, and comorbid mental health conditions. Patients with these conditions have a high prevalence of trauma exposure, which adversely impacts their health and complicates their care. While collaborative care, or integrated behavioral health care, is becoming more widespread, many primary care providers manage these challenging patients alone without access to adequate mental health support. Despite the prevalence of trauma and the comorbidity and complexity of adult primary care patients visit length is often short, and providers frequently carry large panels of patients. High levels of burnout have been reported among PCPs, and access to primary care is poor in many parts of the country. Trauma-informed care approaches hold promise for improving patient care and mitigating some of the challenges commonly experienced by both patients and clinicians.

Keywords

Primary care Trauma-informed primary care PCP Interpersonal trauma 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Section of General Internal MedicineBoston University School of Medicine, Veterans Affairs (VA) Boston Healthcare SystemBostonUSA

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