SynthesisThe Permanente journal2024
Effectiveness of Trauma-Informed Care Implementation in Health Care Settings: Systematic Review of Reviews and Realist Synthesis.
Synthesis in The Permanente journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Global landscape, research hotspots, and evolutionary trends in childhood adversity and chronic disease research: a bibliometric analysis based on three databases.Frontiers in public health · 2026Pooled it
- Patient-clinician communication in longitudinal care settings about adverse childhood experiences (ACEs) and adult traumas: A systematic review of reviews.Patient education and counseling · 2026Pooled it
- Communicating neurological prognosis in the prenatal period: a narrative review and practice guidelines.Pediatric research · 2025Guideline
- An Umbrella Review of Systematic Reviews on Trauma Informed Approaches.Community mental health journal · 2024Pooled it
- Exploring trauma-informed prenatal care preferences through diverse pregnant voices.BMC health services research · 2025Trial
- Adverse childhood experiences and psychiatric outcomes among women with schizophrenia and depression in Singapore.European journal of psychotraumatology · 2026Article
- Organisational readiness and preparedness for trauma-informed practice across UK frontline services: a mixed-methods study.European journal of psychotraumatology · 2026Article
- Provision of Appropriate Care as a Source of Clinician Distress.The American journal of bioethics : AJOB · 2026Article
- Implementing Trauma-Informed Care in a General Setting: A Qualitative Study of Community Health Nurse Perceptions.Journal of clinical nursing · 2026Article
- Trauma, Stress, and Reproductive Health: A Bio-Psycho-Social Perspective on Violence Exposure in Immigrant Women.Research in nursing & health · 2026Article
- Clinicians' Perspectives on Providing Trauma-Informed Perinatal Care.Research in nursing & health · 2026Article
- "Holding Space in Chaos": Nurses' Experiences Delivering Trauma-Informed Care in Emergency Departments.Research in nursing & health · 2026Article
- Perinatal Clinicians' Perspectives on Addressing Clinician Psychological Trauma and Well-Being in Perinatal Care.Research in nursing & health · 2026Article
- Clinicians' Experiences and Recommendations for Implementing Trauma-Informed Care in Perinatal Settings.Research in nursing & health · 2026Article
- Initial organizational practices and contextual factors related to brain injury screening and referral in intimate partner violence serving community- based organizations.Research square · 2026Article
- A Systematic Review of Healthcare Providers' Approaches to Practices That Contribute to Secondary Victimization of Sexual Assault Survivors.Healthcare (Basel, Switzerland) · 2026Review
- Nurses' competencies, barriers, and experience in trauma-informed care: a cross-sectional study.BMC nursing · 2026Article
- The second violence: Police responses to family violence as a public health exposure.Public health in practice (Oxford, England) · 2026Article
- Prenatal clinicians' perspectives on trauma-informed care competency and training.BMC medical education · 2026Article
- Post-traumatic stress disorder and social determinants of health among individuals with cancer: association with healthcare utilization and outcomes in the All of Us Research Program.Journal of cancer survivorship : research and practice · 2026Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGiven the ubiquity of traumatic exposures and the profound impact of trauma on health, a trauma-informed care (TIC) approach in health care is critical. TIC seeks to promote safety within health care and prevent retraumatization. The lack of systems-level data has been a major barrier to TIC implementation. This study aimed to understand the mechanisms and outcomes effective in implementing TIC across health systems using a systematic review of reviews and realist synthesis.
methodsA systematic search of MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Applied Social Science Index & Abstracts identified reviews addressing TIC in health care published in the last 10 years in peer-reviewed journals. Realist synthesis methodology was used to develop context-mechanism-outcome configurations. Thematic analysis was performed to generate a framework for the mechanisms of implementation that produce successful TIC outcomes.
resultsSixteen articles featuring varied review types were included. The results, highlighting the strategies that lead to improved outcomes for patients and systems, were mapped to SAMHSA's 10 TIC implementation domains, including engagement and involvement; training and workforce development; cross-sector collaboration; screening, assessment, and treatment services; governance and leadership; policy; evaluation; progress monitoring and quality assurance; financing; and physical environment.
conclusionThe findings support the use of SAMHSA's 10 implementation domains in varied health care contexts to facilitate effective TIC processes. Future work should continue to evaluate the effectiveness of TIC approaches and may consider how health equity and strengths-based approaches fit within SAMHSA's framework.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.