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Journal article
Key features of a trauma-informed public health emergency approach: A rapid review
Frontiers in public health, Vol.10, 1006513
2022
PMID: 36568798
Abstract
COVID-19 is a major threat to public safety, and emergency public health measures to protect lives (e.g., lockdown, social distancing) have caused widespread disruption. While these measures are necessary to prevent catastrophic trauma and grief, many people are experiencing heightened stress and fear. Public health measures, risks of COVID-19 and stress responses compound existing inequities in our community. First Nations communities are particularly at risk due to historical trauma, ongoing socio-economic deprivation, and lack of trust in government authorities as a result of colonization. The objective of this study was to review evidence for trauma-informed public health emergency responses to inform development of a culturally-responsive trauma-informed public health emergency framework for First Nations communities. We searched relevant databases from 1/1/2000 to 13/11/2020 inclusive, which identified 40 primary studies (and eight associated references) for inclusion in this review. Extracted data were subjected to framework and thematic synthesis. No studies reported evaluations of a trauma-informed public health emergency response. However, included studies highlighted key elements of a "trauma-informed lens, " which may help to consider implications, reduce risks and foster a sense of security, wellbeing, self- and collective-efficacy, hope and resilience for First Nations communities during COVID-19. We identified key elements for minimizing the impact of compounding trauma on First Nations communities, including: a commitment to equity and human rights, cultural responsiveness, good communication, and positive leadership. The six principles guiding trauma-informed culturally-responsive public health emergency frameworks included: (i) safety, (ii) empowerment, (iii) holistic support, (iv) connectedness and collaboration, (v) compassion and caring, and (vi) trust and transparency in multi-level responses, well-functioning social systems, and provision of basic services. These findings will be discussed with First Nations public health experts, together with data on the experiences of First Nations families and communities during COVID-19, to develop a trauma-integrated public health emergency response framework or "lens " to minimize compounding trauma for First Nations communities.
Details
- Title
- Key features of a trauma-informed public health emergency approach: A rapid review
- Authors/Creators
- Christina L. Heris - La Trobe UniversityMichelle Kennedy - Hunter Medical Research InstituteSimon Graham - The University of MelbourneShannon K. Bennetts - Murdoch Children's Research InstituteCaroline Atkinson - We Al li Pty Ltd, Goolmangar, NSW, AustraliaJanine Mohamed - Lowitja InstituteCindy Woods - La Trobe UniversityRichard Chennall - The University of MelbourneCatherine Chamberlain - Murdoch University, Ngangk Yira Institute for Change
- Publication Details
- Frontiers in public health, Vol.10, 1006513
- Publisher
- Frontiers Media SA
- Number of pages
- 39
- Grant note
- Paul Ramsay Foundation 651 / National Health and Medical Research Council (NHMRC) funded Center of Research Excellence Australian Partnership for Preparedness Research on Infectious Disease Emergencies (APPRISE CRE); National Health and Medical Research Council (NHMRC) of Australia 1141593 / NHMRC Career Development Fellowship; National Health and Medical Research Council (NHMRC) of Australia NHMRC funded HPNF project; National Health and Medical Research Council (NHMRC) of Australia 1120244 / NHMRC Early Career Fellowship; National Health and Medical Research Council (NHMRC) of Australia 1161065 / MK 1158670 / SG
- Identifiers
- 991005585961507891
- Copyright
- © 2022 Heris et al.
- Murdoch Affiliation
- Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 6 Social Sciences
- 6.24 Psychiatry & Psychology
- 6.24.93 Trauma and PTSD
- Web Of Science research areas
- Public, Environmental & Occupational Health
- ESI research areas
- Social Sciences, general