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Key features of a trauma-informed public health emergency approach: A rapid review.
Heris, Christina L; Kennedy, Michelle; Graham, Simon; Bennetts, Shannon K; Atkinson, Caroline; Mohamed, Janine; Woods, Cindy; Chennall, Richard; Chamberlain, Catherine.
  • Heris CL; Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC, Australia.
  • Kennedy M; National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.
  • Graham S; School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
  • Bennetts SK; Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, VIC, Australia.
  • Atkinson C; Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC, Australia.
  • Mohamed J; Murdoch Children's Research Institute, Parkville, VIC, Australia.
  • Woods C; We Al-li Pty Ltd., Goolmangar, NSW, Australia.
  • Chennall R; Lowitja Institute, Collingwood, VIC, Australia.
  • Chamberlain C; Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC, Australia.
Front Public Health ; 10: 1006513, 2022.
Article in English | MEDLINE | ID: covidwho-2199481
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Reviews Limits: Humans Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.1006513

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Reviews Limits: Humans Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.1006513