Trauma Informed Approach in Public Health Nursing (TIA PHN)

The TIA PHN Nurse Home Visiting program is a collaboration of Field Nurse Home Visiting programs in Sonoma, Napa and San Francisco Counties. The program is currently participating in rigorous academic evaluation through UCSF to measure effectiveness. The ultimate goal is to develop an open source, evidence-based Field Nursing Program with identified outcomes and use of a specific curriculum.

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Population Served

Low income (Medi-Cal eligible) pregnant persons and families with children under 5 who have experienced, or are at risk for trauma (historical or current) and are experiencing medical and/or social challenges.

Model Objectives

• Mitigation of toxic stress
• Increased family resilience
• Optimized family health 

Anticipated Outcomes

Short Term

Rates of immunization, contraception, primary and dental care, insurance, and breastfeeding at par with broader Medi-Cal population.

• Earliest identification and referral for depression (adults) & developmental delay (children).
• Increased parental understanding of Adverse Childhood Experiences (ACEs) effects on their individual and family health and well-being. 

Medium Term

Continuation of the following resilience practices post program exit:

• Nutrition
• Exercise
• Sleep
• Mental Health
• Relationships
• Mindfulness

Long Term 

• Disruption of intergenerational trauma

About Implementing the Model

• Article, Trauma Informed Public Health Nursing Visits to Parents and Children
• Resilience Handout in English;  Resilience Handout in Spanish
• Training Videos: ACEs Introduction; How Do I Talk With Clients About ACEs?; (Notes for the ACEs video); Implementing the TIA PHN Model; Trauma-Informed Care Approach

Email us for a free TIA PHN Model Guidebook