Table 3 Key Points for Emergency Services
From: Experience of emergency department use among persons with a history of adverse childhood experiences
1. Most care provided is perceived as excellent by patients. | |
2. Certain groups experience stigma, and would benefit from a Trauma and Violence Informed Care approach (TVIC). These groups include: people presenting with emotional instability or dysregulation, people with mental health concerns or substance use disorders, and people with chronic pain syndromes, other traditionally stigmatized groups, among others. | |
3. TVIC requires a whole team approach. All people working in an ED from reception and registration to janitorial staff to nurses and physicians should be trained in the principles of TVIC. | |
4. TVIC-informed care plans and case coordination should be considered for frequent ED users from equity-seeking groups as this might result in lower ED use. | |
5. Attention should be paid to the workload and burnout of registration and triage staff who are the front-line workers in ED. |