000007508 001__ 7508 000007508 005__ 20240124114245.0 000007508 0247_ $$2DOI$$a10.6083/8p58pd405 000007508 037__ $$aETD 000007508 245__ $$aBecoming trauma-informed: supporting staff through the process of change to enhance the care of youth with complex trauma 000007508 260__ $$bOregon Health and Science University 000007508 269__ $$a2019 000007508 336__ $$aCapstone 000007508 502__ $$bD.N.P 000007508 520__ $$aChild maltreatment generally encompasses neglect and physical, sexual, and psychological abuse to those younger than 18 years old (Centers for Disease Control & Prevention [CDC], 2018; World Health Organization [WHO], 2018). In 2016, about 676,000 children in the United States experienced abuse or neglect, of which more than 1,750 died as a result of child maltreatment (CDC, 2018). For those who survive, child maltreatment often leads to traumatic stress, which can cause disruption in brain development, impair development of nervous and immune systems, and increase risk for behavioral, physical, and mental health problems in adulthood (CDC, 2018; WHO 2018). As a result, childhood traumatic stress is associated with higher utilization of services across systems including health, mental health, child welfare, and juvenile justice systems (Briggs et al., 2013), putting increased demands on these child-serving systems, particularly in Oregon. 000007508 650__ $$aWorkflow$$038890 000007508 650__ $$aOutpatients$$023380 000007508 650__ $$aStaff Development$$026350 000007508 650__ $$aMental Health$$022046 000007508 650__ $$aStress Disorders, Traumatic$$035060 000007508 650__ $$aAdverse Childhood Experiences$$012614 000007508 6531_ $$aarc 000007508 6531_ $$atrauma informed care 000007508 691__ $$aSchool of Nursing$$041370 000007508 7001_ $$aKaplan, Lauren A.$$uOregon Health and Science University$$041354 000007508 8564_ $$9c08fd21b-4a70-4f9e-b627-e747af98bb97$$s294037$$uhttps://digitalcollections.ohsu.edu/record/7508/files/kaplan.lauren.2019.pdf 000007508 905__ $$a/rest/prod/8p/58/pd/40/8p58pd405 000007508 909CO $$ooai:digitalcollections.ohsu.edu:7508$$pstudent-work 000007508 980__ $$aTheses and Dissertations