NEW! Listen to the full Resilient Beginnings mini-series on this Health Pilots Spotify playlist.
For over five years, the Center for Care Innovations and Genentech have designed, developed, and managed three learning collaboratives focused on advancing pediatric care models to be trauma-and-resilience-informed, stewarding transformation in safety net healthcare settings in the San Francisco Bay Area. In our March 27 webinar, we celebrated five years of Resilient Beginnings. Learn lessons learned including why trauma-informed transformation work is necessary, stories of patient journeys, sustainability planning, and more. Together, let’s embrace change and maintain openness in the journey towards trauma-informed care.
Video Highlights and Key Lessons
- The Resilience Effect (5:55)
- The history of Resilient Beginnings, our learning collaboratives dedicated to addressing childhood adversity in pediatric safety net care settings
- Advancing trauma-and-resilience-informed care (TRIC) is complex, long-term, culture change work. To be successful, consider a stable, multi-disciplinary team with effective leadership, the ability to articulate a clear and realistic scope, and engagement of people who can authorize and meaningfully support this work (i.e., organizational leaders and decision makers).
- Programs focused on TRIC must intentionally include goals and resources related to supporting staff and provider wellbeing.
- Staff and provider wellbeing as a key tenant of TRIC, bolstering care teams with organizational practices and activities that supported staff through a time of immense stress on the healthcare system.
- Making sustainable progress on trauma-and-resilience-informed care strategies shifted broader clinic culture to be more trauma-and-resilience-informed, radically re-envisioning the healthcare system.
- Initiatives to screen for adverse childhood experiences (ACEs) is a concrete entry point for teams seeking to advance trauma-and-resilience-informed pediatric care, and is more effective when implemented alongside other foundational efforts that support administration and response.
- ️ RBN’s flexible approach and longer, 3-year program timeframe, successfully met teams where they were at, allowing teams to shift work and make steady advancements on transformation efforts.
- Organizations reported increased awareness and understanding about the connection between equity and racial justice and trauma-and-resilience-informed care, and it takes time to apply that learning into concrete change efforts.
- Internal and external supportive mechanisms contribute to organizations’ ability to advance TRIC, including through significant, systemic barriers.
Learn more about the people, places, and ideas in this episode:
- “What are adverse childhood experiences (ACEs)?“
- Pediatric ACEs and Related Life Events Screener (PEARLS)
— Example of PEARLS tool for screening children - CCHE Final Report on the Resilient Beginnings Network – the final evaluation found the program successful in its long-term efforts to shift broader clinic culture to be more trauma-and resilience-informed in its approach to patients and each other.
- Voices for Growth – Forging Bonds and Navigating Transformation in Care – related article featuring Highland Hospital Pediatrics (April 2024)
- Embracing Staff Training To Help Patients With Trauma – related article featuring the pediatric care team at Highland Hospital within Alameda Health System (March 2023)
- Healing Through Listening – a Pathway to Nurture Wellness for Caregivers and Families – related article featuring the care team Children’s Health Center (CHC) at Zuckerberg San Francisco General Hospital (December 2023)
- Cultivating Trust – Empowering Care Teams for Trauma-Informed Care – related article featuring the extended care team at Community Medical Centers (CMC) in California’s Central Valley (November 2023)
- Trauma and Resilience Informed Systems in Pediatric Primary Care – related article featuring the teams at Alameda Health System – Highland Hospital and Alliance Medical Center
- More on Resilient Beginnings Network (RBN), a Center for Care Innovations learning program dedicated to advancing pediatric care delivery models that are trauma- and resilience-informed so that 100,000 young children and their caregivers have the support they need to be well and thrive.
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