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.