Trauma Informed Care for the Provider

0.5 CME / 0.5 CMD Management / 0.5 MOC

Phase 3 of the federal nursing home regulations that went into effect in November 2019 call for nursing homes to provide trauma-informed approaches as part of person-centered care. This is an area that has had limited discussion in the aging services community. Providers need to know what trauma-informed care is and what it can look like for physicians, advanced practice clinicians, and medical directors in long term care. This session will present two common frameworks that make up trauma-informed care, examples of the need for trauma-informed care in nursing home populations, and ways in which nursing home medical care can be made trauma-informed. Providers interested in implementing the Phase 3 regulations and improving their practice approaches should participate in this short yet practical webinar.

Learning Objectives: 

  • Define trauma-informed care as conceptualized by Fallot and Harris (2009) and SAMHSA (2016).
  • Describe three ways that nursing home care, in general, and nursing home medical care are not trauma-informed.
  • Describe the trauma risks for both specific nursing home populations such as veterans, and the general nursing home population.
  •  Provide three examples of ways they can make their own practice more trauma-informed.

Nancy Kusmaul, PhD, LMSW, is an assistant professor in the Baccalaureate Social Work Program at the University of Maryland, Baltimore County. She received her PhD from the University at Buffalo School of Social Work in 2013. Dr. Kusmaul worked in health care settings for more than a decade, in nursing homes, hospitals, home care, and adult day care. Her research has focused on organizational culture, trauma-informed care, and the impact of trauma experiences in the workforce. She is focused on the experience of direct care workers in organizations, particularly the certified nursing assistant within the nursing home environment. She is a member of the Baltimore County Elder Abuse Coalition and the Maryland Nursing Home Culture Change Coalition.

Credit information

Released 5/2020

Credits Available Until 5/2023

CME: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians. The Society designates this self study activity for a maximum of 0.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CMD: This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 0.5 management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Disclosure Information: 

Speakers are required to provide verbal disclosure prior to each talk. If the learner perceives any bias toward a commercial product or service, please report this to the Society’s staff. According to the Society and ACCME policy, all those in a position to control content are required to disclose any relevant financial relationships.

The following AMDA Education Committee members have financial relationships to report: John Loome – Genesis HealthCare: Full-Time Employee; Diane Sanders-Cepeda, DO, CMD – UHG-Optum: Full-Time Employee; all others have no financial relationships to disclose.

Online Education Subcommittees have no financial relationships to disclose.

The speakers have no financial relationships to disclose. 

AMDA staff have no financial relationships to disclose.