Description:
Intervention with
patients who have had a traumatic experience in a health care setting is
crucial not only to prevent long-term psychological issues, but also to help
patients reduce anxiety when seeking medical help in the future. This
groundbreaking book is the first to conceptualize medical trauma and provide
mental health and health care professionals with best practices for treating
such trauma in health care settings. It delivers in-depth systems-level
strategies for supporting patients and their families who experience distress
in the medical setting or as a result of life-threatening or life-altering
diagnoses and procedures, and describes innovative models for integrating
mental health professionals into current health care teams.
Written for both
mental health and health care leaders and professionals, the book reflects the
growing trend toward interprofessional practice and training in health care, as
well as the growth of patient-centered and person-centered care. It reflects
the mandate of the PPACA for availability and integration of mental health
services into health care and includes models for addressing trauma based on
maternal health protocols from the Council on Patient Safety in Women’s Health
Care. Plentiful case studies demonstrate the effects of medical trauma and how
intervention models can provide a positive outcome. Useful assessment tools,
also available as electronic downloadable files, are included to help
professionals recognize and evaluate medical trauma in patients.
KEY FEATURES:
- Provides comprehensive information about
conceptualizing and treating medical trauma in health care settings, the first
book to do so
- Offers models for addressing such trauma based
on maternal health protocols from the Council on Patient Safety in Women’s
Health Care
- Aimed at both mental health and health care
professionals in all practice settings
- Includes case studies to illustrate effects of medical
trauma and intervention models
- Includes several assessment tools to assist health
care and mental health professionals with recognizing the many effects of
medical trauma
Contents:
Preface
Acknowledgments
Introduction • The Current State of
Health Care • Health Care Trends Relevant to Managing Medical Trauma
•
A Word About Our Perspective...
PART I: UNDERSTANDING
MEDICAL TRAUMA
Chapter 1. What Is
Medical Trauma? • Medical Trauma: A Complex Phenomenon • Understanding
Medical Trauma in Context: The
Ecological Perspective • Model of Medical Trauma • The Effects of
Medical Trauma • Summary
Chapter 2. Medical
Trauma Factors: The Patient • Patient Factors: Risk Factors • Summary
Chapter 3. Medical
Trauma Factors: Diagnoses and Procedures • Level 3 Medical
Trauma: Unexpected, Life-Threatening Medical Events • Level 2
Medical Trauma: Life-Threatening/-Altering Diagnoses • Level 1
Medical Trauma: Planned or Routine • Medical Intervention • Summary
Chapter 4. Medical
Trauma Factors: Medical Staff • Staff Communication Style • Staff
Personal Factors • Staff Emotional Intelligence • Teamwork,
Patient Safety, and Training • Summary
Chapter 5. Medical
Trauma Factors: The Environment • The Hospital Environment and Medical Trauma •
The Sensory Experience and Levels 1 and 2 Medical Traumas • Summary
Chapter 6. Case
Studies • Level 1 Medical Trauma Case Study • Level 2 Medical Trauma Case
Study • Level 3 Medical Trauma Case Study
PART II: MANAGING MEDICAL TRAUMA
Chapter 7. Prevention
and Intervention: Level 1 Medical Trauma and Primary Care • Managing Medical
Trauma in the Primary Care Setting • Current Models of Integrative
Medicine • Screening for Trauma-Related Risk Factors • Using
In-House Mental Health Professionals • Patient-Centered Medical Home
Model • Understanding Different Mental Health Professions • Mental
Health Treatment for Medical Trauma • Tying It All Together: Revisiting
the Case of Keith • Summary
Chapter 8. Prevention
and Intervention: Level 2 Medical Trauma and Specialist Care • High-Quality Care for
Chronic Illness • Identifying Level 2 Medical Trauma • Intervention
in Level 2 Medical Trauma: Collaboration for
Chronic Disease Management • Specialist Care Practices:
Striving Toward Integration • Tying It All Together: Revisiting the Case
of Sharon • Summary
Chapter 9. Prevention
and Intervention for Level 3 Medical Trauma: The Hospital Setting and Beyond • Managing Medical
Trauma in the Acute Care Setting • Expanded Roles for Mental Health
Professionals in Managing Medical Trauma • Tying It All Together:
Revisiting the Case of Ann • Summary
Chapter 10. Medical
Trauma and the Future of Health Care • Technology’s Role in
Managing Medical Trauma • IPE: Training a Collaborative Health Care
Workforce • The Mindfulness Revolution in Health Care: Applications for Medical Trauma • Caring for Those
Who Care for Patients: Managing Vicarious Traumatization • Medical
Trauma and Implications for Future Research • The Business Case for
Hiring More Mental Health Professionals • Summary
Appendices
Appendix A. Trauma
Resources
Appendix B. Secondary
7–Lifestyle Effects Screening (S7-LES)
Appendix C. Medical
Mental Health Screening
Appendix D. Support
Organizations for Chronic Illness: Cancer, Cardiac Disorders, and
Diabetes
Appendix E.
Mindfulness Resources
Appendix F.
Recognizing Signs of Acute Stress Disorder in Postpartum Women in the Hospital
Setting
Appendix G.
Experience of Medical Trauma Scale
Appendix H. New Roles
for Mental Health Professionals Before, During, and After Severe Maternal
Events
Appendix I.
Understanding the Emotional Effects of a Difficult Childbirth Experience
Index
About the Authors:
Michelle Flaum Hall,
EdD, LPCC-S, is associate professor, Clinical Mental Health Counseling,
Xavier University, Cincinnati, Ohio, and a partner at Hawthorne Integrative,
LLC, a health care consulting and clinical counseling firm. Her scholarship
about medical trauma and integrated health care has been published in
such journals as Nursing for Women’s Health, ACA Vistas, and Journal
of Interprofessional Education & Practice. Dr. Hall has
presented on the topic of medical trauma at local, state, and national
clinical counseling conferences including the American Counseling
Association Annual Convention; to students in advanced clinical mental
health counseling courses; and to cancer survivors and their
families. She has consulted with the California Maternal Quality
Care Collaborative in the development of a national Postpartum
Hemorrhage Toolkit, and has authored a tool to help medical professionals
recognize the signs of acute stress disorder in the hospital
setting. Dr. Hall currently participates in a work group for the national Council
on Patient Safety in Women’s Health Care to develop a safety toolkit focused
on patient, family, and provider supports following a severe maternal
event. Her clinical experience includes working with adults struggling
with depression, posttraumatic stress disorder, and other
anxiety-related disorders. Over the years, she has worked with numerous
clients with complex reactions to life-threatening or life-altering
medical diagnoses and procedures. Additionally, Dr. Hall works with seven
health-related fields (especially nursing) across Xavier University to develop
innovative interprofessional education experiences for future health care
workers. She participated in IPEC (Interprofessional Education
Collaborative), which is led by six health care associations including
the American Association of Colleges of Nursing and the Association of
American Medical Colleges. She is a Certified Master Trainer in
TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient
Safety), an interprofessional, evidence-based communication training curriculum
developed by the U.S. Department of Defense and the Agency for Healthcare
Research and Quality, and has received training in mindfulness-based stress
reduction from faculty at the University of Massachusetts School of
Medicine.
Scott E. Hall, PhD,
LPCC-S, is associate professor, Counselor Education, University of
Dayton, Dayton, Ohio, and a partner at Hawthorne Integrative, LLC, a health care
consulting and clinical counseling firm. He has written on the topics of
medical trauma and integrative health care and collaborates with
health-related programs at the University of Dayton to develop
wellness initiatives. His work has been published in ACA Vistas,
ADULTSPAN Journal, Journal of Workplace Behavioral Health, Journal of Contemporary
Psychotherapy, and American Journal of Hospice & Palliative Care.
Dr. Hall has taught and created a wide range of courses at the
University of Dayton, including all foundational courses in the mental
health counseling program and specialized courses such as Counseling
Men, Alternative Therapies, and Positive Psychotherapy. In his clinical
practice, Dr. Hall counsels adults with depression, anxiety disorders,
posttraumatic stress disorder (PTSD), and divorce-related concerns. In
addition to his clinical experience working with medical trauma, he has
also presented at national, state, and local professional conferences
about PTSD-related topics in addition to medical trauma. He has also
spoken about the mental and emotional impacts of a cancer diagnosis at
the Cancer Support Community of Southwestern Ohio. Dr. Hall is a
Certified Master Trainer in TeamSTEPPS and has received training in mindfulness-
based stress reduction from faculty at the University of Massachusetts School
of Medicine. He is a veteran of the United States Army.
Target Audience:
Mental health and
health care leaders and professionals, counselors.