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Developing Trauma-Informed Capacities in Healthcare Students Staffing Free Clinics | Journal of Student-Run Clinics
<!DOCTYPE html> <html lang="en-US" xml:lang="en-US"> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title> Developing Trauma-Informed Capacities in Healthcare Students Staffing Free Clinics | Journal of Student-Run Clinics </title> <meta name="generator" content="Open Journal Systems 3.1.2.1"> <link rel="icon" href="https://journalsrc.org/public/journals/1/favicon_en_US.png"> <meta name="gs_meta_revision" content="1.1"/> <meta name="citation_journal_title" content="Journal of Student-Run Clinics"/> <meta name="citation_journal_abbrev" content="1"/> <meta name="citation_issn" content="2474-9354"/> <meta name="citation_author" content="Phillip Yang"/> <meta name="citation_author_institution" content="UT Health San Antonio"/> <meta name="citation_author" content="Jacob Houser"/> <meta name="citation_author_institution" content="UT Health San Antonio"/> <meta name="citation_author" content="Jennifer Todd"/> <meta name="citation_author_institution" content="UT Health San Antonio"/> <meta name="citation_author" content="Kristen A Plastino"/> <meta name="citation_author_institution" content="UT Health San Antonio"/> <meta name="citation_author" content="Rachel M Pearson"/> <meta name="citation_author_institution" content="UT Health San Antonio"/> <meta name="citation_title" content="Developing Trauma-Informed Capacities in Healthcare Students Staffing Free Clinics"/> <meta name="citation_date" content="2024/10/03"/> <meta name="citation_volume" content="10"/> <meta name="citation_issue" content="1"/> <meta name="citation_doi" content="10.59586/jsrc.v10i1.444"/> <meta name="citation_abstract_html_url" content="https://journalsrc.org/index.php/jsrc/article/view/444"/> <meta name="citation_language" content="en"/> <meta name="citation_keywords" xml:lang="en" content="Adverse Childhood Experiences"/> <meta name="citation_keywords" xml:lang="en" content="Students"/> <meta name="citation_keywords" xml:lang="en" content="Vulnerable Populations"/> <meta name="citation_keywords" xml:lang="en" content="Student Run Clinic"/> <meta name="citation_keywords" xml:lang="en" content="Traumatic Stress Disorders"/> <meta name="citation_pdf_url" content="https://journalsrc.org/index.php/jsrc/article/download/444/294"/> <link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" /> <meta name="DC.Creator.PersonalName" content="Phillip Yang"/> <meta name="DC.Creator.PersonalName" content="Jacob Houser"/> <meta name="DC.Creator.PersonalName" content="Jennifer Todd"/> <meta name="DC.Creator.PersonalName" content="Kristen A Plastino"/> <meta name="DC.Creator.PersonalName" content="Rachel M Pearson"/> <meta name="DC.Date.created" scheme="ISO8601" content="2024-10-03"/> <meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2023-09-19"/> <meta name="DC.Date.issued" scheme="ISO8601" content="2024-11-21"/> <meta name="DC.Date.modified" scheme="ISO8601" content="2024-10-03"/> <meta name="DC.Description" xml:lang="en" content="Background: Adverse childhood experiences (ACEs) are common traumatic events experienced during childhood that can have significant and cumulative lifelong impact on health, mental health, and life opportunities. Individuals with marginalized identities experience more ACEs and have greater ACEs-related health burden. Free clinics provide free or low-cost ambulatory care to largely underserved or marginalized communities. Student-staffed free clinic volunteers should be knowledgeable about ACEs and should possess attitudes and engage in practices that promote trauma-informed care. Methods: Two medical students were trained as ACE Interface Master Trainers and administered a training based on the ACEs N.E.A.R. Science curriculum to medical and nursing student free clinic volunteers and leaders. The 1.5-hour training included the Neurobiology and Epigenetics of trauma, health consequences associated with ACEs, and the impact of Resilience in mitigating health consequences of ACEs. Pre-/post-surveys were utilized to measure changes in collective hope, perceived trauma knowledge, and trauma-informed attitudes. Results: The training was administered virtually to one group of medical students and three groups of nursing students (N = 89) between May and October 2020. Two-sample t-tests of the pre-/post-surveys demonstrated statistically significant increases in two of the six collective hope items, six of the six perceived trauma knowledge items, and six of the seven trauma-informed attitudes items. Conclusions: Our study demonstrated that healthcare students volunteering at free clinics have high baseline levels of collective hope, perceived trauma knowledge, and trauma-informed attitudes. A brief and purposeful training on ACEs by peers or near-peers can be effective to further promoting trauma-informed capacities for student-run free clinic volunteers. Future work is needed to ascertain the sustainability of trauma-informed care growth from this training and to measure the effects on care practices."/> <meta name="DC.Format" scheme="IMT" content="application/pdf"/> <meta name="DC.Identifier" content="444"/> <meta name="DC.Identifier.DOI" content="10.59586/jsrc.v10i1.444"/> <meta name="DC.Identifier.URI" content="https://journalsrc.org/index.php/jsrc/article/view/444"/> <meta name="DC.Language" scheme="ISO639-1" content="en"/> <meta name="DC.Rights" content="Copyright (c) 2024 Phillip Yang, Jacob Houser, Jennifer Todd, Kristen A Plastino, Rachel M Pearson"/> <meta name="DC.Rights" content="https://creativecommons.org/licenses/by/4.0"/> <meta name="DC.Source" content="Journal of Student-Run Clinics"/> <meta name="DC.Source.ISSN" content="2474-9354"/> <meta name="DC.Source.Issue" content="1"/> <meta name="DC.Source.Volume" content="10"/> <meta name="DC.Source.URI" content="https://journalsrc.org/index.php/jsrc"/> <meta name="DC.Subject" xml:lang="en" content="Adverse Childhood Experiences"/> <meta name="DC.Subject" xml:lang="en" content="Students"/> <meta name="DC.Subject" xml:lang="en" content="Vulnerable Populations"/> <meta name="DC.Subject" xml:lang="en" content="Student Run Clinic"/> <meta name="DC.Subject" xml:lang="en" content="Traumatic Stress Disorders"/> <meta name="DC.Title" content="Developing Trauma-Informed Capacities in Healthcare Students Staffing Free Clinics"/> <meta name="DC.Type" content="Text.Serial.Journal"/> <meta name="DC.Type.articleType" content="Original Study"/> <link rel="stylesheet" href="https://journalsrc.org/index.php/jsrc/$$$call$$$/page/page/css?name=stylesheet" type="text/css" /><link rel="stylesheet" href="//fonts.googleapis.com/css?family=Noto+Sans:400,400italic,700,700italic" type="text/css" /><link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.css" type="text/css" /><link rel="stylesheet" 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class="obj_article_details"> <h1 class="page_title"> Developing Trauma-Informed Capacities in Healthcare Students Staffing Free Clinics </h1> <div class="row"> <div class="main_entry"> <ul class="item authors"> <li> <span class="name"> Phillip Yang, MD, MA </span> <span class="affiliation"> UT Health San Antonio </span> <span class="orcid"> <a href="https://orcid.org/0000-0001-8883-0276" target="_blank"> https://orcid.org/0000-0001-8883-0276 </a> </span> </li> <li> <span class="name"> Jacob Houser, MD </span> <span class="affiliation"> UT Health San Antonio </span> </li> <li> <span class="name"> Jennifer Todd, JD </span> <span class="affiliation"> UT Health San Antonio </span> </li> <li> <span class="name"> Kristen A Plastino, MD </span> <span class="affiliation"> UT Health San Antonio </span> </li> <li> <span class="name"> Rachel M Pearson, MD, PhD </span> <span class="affiliation"> UT Health San Antonio </span> </li> </ul> <div class="item doi"> <span class="label"> DOI: </span> <span class="value"> <a href="https://doi.org/10.59586/jsrc.v10i1.444"> https://doi.org/10.59586/jsrc.v10i1.444 </a> </span> </div> <div class="item keywords"> <span class="label"> Keywords: </span> <span class="value"> Adverse Childhood Experiences, Students, Vulnerable Populations, Student Run Clinic, Traumatic Stress Disorders </span> </div> <div class="item abstract"> <h3 class="label">Abstract</h3> <p><strong>Background:</strong> Adverse childhood experiences (ACEs) are common traumatic events experienced during childhood that can have significant and cumulative lifelong impact on health, mental health, and life opportunities. Individuals with marginalized identities experience more ACEs and have greater ACEs-related health burden. Free clinics provide free or low-cost ambulatory care to largely underserved or marginalized communities. Student-staffed free clinic volunteers should be knowledgeable about ACEs and should possess attitudes and engage in practices that promote trauma-informed care.</p> <p><strong>Methods:</strong> Two medical students were trained as ACE Interface Master Trainers and administered a training based on the ACEs <u>N.E.A.R.</u> Science curriculum to medical and nursing student free clinic volunteers and leaders. The 1.5-hour training included the <u>N</u>eurobiology and <u>E</u>pigenetics of trauma, health consequences associated with <u>A</u>CEs, and the impact of <u>R</u>esilience in mitigating health consequences of ACEs. Pre-/post-surveys were utilized to measure changes in collective hope, perceived trauma knowledge, and trauma-informed attitudes.</p> <p><strong>Results:</strong> The training was administered virtually to one group of medical students and three groups of nursing students (N = 89) between May and October 2020. Two-sample t-tests of the pre-/post-surveys demonstrated statistically significant increases in two of the six collective hope items, six of the six perceived trauma knowledge items, and six of the seven trauma-informed attitudes items.</p> <p><strong>Conclusions:</strong> Our study demonstrated that healthcare students volunteering at free clinics have high baseline levels of collective hope, perceived trauma knowledge, and trauma-informed attitudes. A brief and purposeful training on ACEs by peers or near-peers can be effective to further promoting trauma-informed capacities for student-run free clinic volunteers. Future work is needed to ascertain the sustainability of trauma-informed care growth from this training and to measure the effects on care practices.</p> </div> </div><!-- .main_entry --> <div class="entry_details"> <div class="item galleys"> <ul class="value galleys_links"> <li> <a class="obj_galley_link pdf" href="https://journalsrc.org/index.php/jsrc/article/view/444/294"> PDF </a> </li> </ul> </div> <div class="item published"> <div class="label"> Published </div> <div class="value"> 2024-10-03 </div> </div> <div class="item citation"> <div class="sub_item citation_display"> <div class="label"> How to Cite </div> <div class="value"> <div id="citationOutput" role="region" aria-live="polite"> <div class="csl-bib-body"> <div class="csl-entry">Yang, P., Houser, J., Todd, J., Plastino, K. A., & Pearson, R. M. (2024). 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