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Trauma-informed care: What it is, and why it’s important

October 16, 2018

About the Author

photo of Monique Tello, MD, MPH

Monique Tello, MD, MPH, Contributor

Dr. Monique Tello is a practicing physician at Massachusetts General Hospital, director of research and academic affairs for the MGH DGM Healthy Lifestyle Program, clinical instructor at Harvard Medical School, and author of the evidence-based lifestyle … See Full Bio
View all posts by Monique Tello, MD, MPH


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October 30, 2018

Hi Monique— have you seen a study showing difference between Intermittent Fasting (IF) vs Early-Restricted Intermittent Fasting (ERIF)?

I know this is unrelated, but I read one of your previous posts about ERIF, however, it compared IF to Non-IF.

I haven’t found anything that shows IF at “x” time of day vs IF at “y” time of day makes a difference. Have you?

swami param
April 17, 2018

Real Yoga is all about the Hindu religion.

Amit Chawla
April 5, 2018

I’ve have been intrigued by the concept of trauma-informed care but have met a surprising amount of skepticism from many people, especially from people in managerial positions. This issue may only grow more contentious as TIC plays a bigger role in how we deal with patient-worker interactions.

zakariya guenda
April 4, 2018

Social workers meet with various clients in a wide range of settings, and while each client has different needs and goals and requires different care approaches, the common thread that should bind the social workers treating them is an awareness of trauma-informed care ( Louisiana et al, 2008).

According to the Substance Abuse and Mental Health Services Administration, trauma-informed care “organizations, programs, and services are based on an understanding of the vulnerabilities or triggers of trauma survivors that traditional service delivery approaches may exacerbate, so that these services and programs can be more supportive and avoid re-traumatization.”

Trauma-informed care also can be viewed as an overarching philosophy and approach, or even as a set of universal precautions, designed to be both preventive and rehabilitive in nature, in which the relationship among environment, triggers, and perceived dangers is noted and addressed.

Trauma-informed care is based on the understanding that many clients have suffered traumatic experiences, and the provider is responsible for being sensitive to this fact, regardless of whether a person is being treated specifically for the trauma (Huckshorn & Lebel, 2013). Therefore, social workers should initially approach all of their clients as if they have a trauma history, regardless of the services for which the clients are being seen.

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