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Cullen P, Mackean T, Walker N, et al. Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review. Trauma Violence Abuse. 2021;1524838020985571doi: 10.1177/1524838020985571.
Cullen, P., Mackean, T., Walker, N., Coombes, J., Bennett-Brook, K., Clapham, K., Ivers, R., Hackett, M., Worner, F., & Longbottom, M. (2021). Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review. Trauma, violence & abuse, 1524838020985571. https://doi.org/10.1177/1524838020985571
Cullen, Patricia, et al. "Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review." Trauma, violence & abuse vol. (2021): 1524838020985571. doi: https://doi.org/10.1177/1524838020985571
Cullen P, Mackean T, Walker N, Coombes J, Bennett-Brook K, Clapham K, Ivers R, Hackett M, Worner F, Longbottom M. Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review. Trauma Violence Abuse. 2021 Feb 12;1524838020985571. doi: 10.1177/1524838020985571. Epub 2021 Feb 12. PMID: 33573523.
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Trauma Violence Abuse. 2021 Feb 12;1524838020985571. doi: 10.1177/1524838020985571. Epub 2021 Feb 12.

Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review.

Trauma, violence & abuse

Patricia Cullen, Tamara Mackean, Natasha Walker, Julieann Coombes, Keziah Bennett-Brook, Kathleen Clapham, Rebecca Ivers, Maree Hackett, Faye Worner, Marlene Longbottom

Affiliations

  1. School of Population Health, UNSW, Sydney, Australia.
  2. The George Institute for Global Health, UNSW, Sydney, Australia.
  3. Ngarruwan Ngadju, First Peoples Health and Wellbeing Research Centre, 8691University of Wollongong, Wollongong, Australia.
  4. College of Medicine and Public Health, Flinders University, Adelaide, Australia.
  5. Waminda South Coast Women's Health and Welfare Aboriginal Corporation, Nowra, Australia.
  6. Visiting International Scholar, School of Social Work, University of Hawai'i Manoa, HI, USA.

PMID: 33573523 DOI: 10.1177/1524838020985571

Abstract

It is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women's individual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives.

Keywords: First Nations; culturally safe; primary health care; trauma; trauma and violence informed; violence

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