Content warning re: sexual assault and medical trauma A trauma-informed care model revolutionizes women's healthcare by acknowledging and responding to patients' trauma experiences to meet them where they are—not where a provider expects them to be. This approach promotes understanding, empathy, equity, and compassion, enhancing how patients perceive and receive healthcare. Fostering a safe and accepting environment that encourages open communication can also help healthcare providers better address their trauma, including burnout and professional bias. Adopting trauma-informed policies and practices is crucial for women's long-term physical, emotional, and psychological health. HOSTS: CTIPP's Whitney Marris and Laura Braden SHOW GUESTS: Amanda Gill, OB Outreach Educator, and former Labor and Delivery Nurse, Franciscan Health (Indiana)Lori Hardie, Director of Health Sciences, Transfr, and Doctor of Nursing Practice (DNP) candidate, George Washington University (Washington, DC)Cherrell Triplett, M.D., Obstetrics & Gynecology Specialist (Chicago, IL)#TransformTrauma is a Campaign for Trauma-Informed Policy and Practice (CTIPP) podcast. Through coalition-building, advocacy, and policymaking, we’re building a national movement that integrates community-led, trauma-informed, resilience-focused, and healing-centered prevention and intervention across all sectors and generations. Learn more at CTIPP.org. ROUGH TRANSCRIPT (powered by AI): 00:00:02 Hello and welcome to the Transform Trauma Podcast. My name is Whitney and I am the Director of Trauma-Informed Practice and System Transformation with the Campaign for Trauma-Informed Policy and Practice, and I'm here with Laura, who is CTIPP’s Director of Communications and Outreach, and we are delighted to have the opportunity to spend time today chatting with Amanda Gill, outreach educator and former labor and delivery nurse with Francisco Health, Lori Hardie, the Director of Health Sciences with Transfr, which provides virtual reality training solutions for workforce development and upskilling; and Lori is also a doctor of nursing practice candidate with the George Washington University, as well as Dr. Cherrell Triplett, an Obstetrics and Gynecology Specialist and education. And we are all gathered here today to have a conversation about integrating trauma-informed approach and practices into women's healthcare. And Laura and I want to begin by extending to all three of you a warm welcome. We are just so jazz to be connecting with you right now and also before we dive more deeply into the details of our topic. Today we are wanting to extend to each of you the invitation to briefly share whatever parts of your story about what called you to this work of promoting trauma-informed principles into all that you do that you might like to uplift just so our listeners can get to know a bit about each of your journeys up to this moment in the here and now, and so, Lori, would it be okay if we invited you to get us started there? 00:02:05 I am a nurse. I've been a nurse for almost 30 years and which, while that sounds like a really long time, but all in women's health, primarily labor and delivery, but also, you know, going to college and postpartum and nursery and nice. So spent a lot of time working at the bedside with women and in an area where it was very potentially very triggering for people depending on their histories. As somebody who has kind of my own personal history, I was always very aware and cognizant of that in my patients and I realized that the nurses, physicians, others working around me on my team were not. But there was no, I mean, in those 30 years I never received any education around Trama. Informed care ever then kind of became my mission to do some of that education myself. But now, as you said, working on my doctrine and health policy, to really make that something that is available to all health care professionals, because it's a small adjustment but it's very impactful, and so that has really kind of become my life's work, is not only for the benefit of patients but for the benefit of all of us who are caring for them and have our own dramas and our own histories and, I think, especially kind of post-COVID it's even more relevant because we've got traumatic people taking care of dramatized people without a lot of tools. 00:03:49 And, Dr. Triplette, would you be willing to share next? 00:03:53 So I just kind of fell into this, you know, into train from care. I like to think after learning about from influence. I like to think that I have practiced it and for the last 15 years without really knowing what I was doing. But recently I've kind of put a framework around it, really really became involved when I made a career change and went from being a doctor to being a person right, and so in realizing my own dramas right and how I was burnt-out and bringing those times to my patients and how I dealt with them and said I have to deal with my own things before I can really provide good care and the care that I want my patients to receive. So in talking with Amanda, it kind of went from there and then met with Larry, and so I'm very passionate about it, especially since I've kind of made a career change, but within the same profession and putting myself first as a person helps me to be a better practitioner and helps me to cover and unfold the dramas of the patients that I do take care. 00:05:11 I also want to invite Amanda to share as well. 00:05:14 I've been a nurse for 22 years. 20 of those years I worked in labor and delivery. I had a passion for women's health. Going into nursing school. I absolutely knew that's what I wanted to do. That was where I was destined to be and I adore caring for women. It certainly is applicable to all people in all sections of healthcare. But specifically, like Lori said, in that arena we certainly see patients who that puts them in a very specific, delicate space for possibly being dramatized. I was certainly aware that there were patients who had some sort of history while I was caring for them and I would do an exam or be involved in their care. But, like Lori said, never received any type of education and honestly had no idea how to react. And then when I began work closer with Lori, she was already working in the arena of trauma-informed care in human trafficking. And so when a transition from bedside care to education within my organization I learned more and more about that. I became working part of an alliance in human trafficking, got to know survivors and really learned a lot through those survivors. And now I feel like once you know once I know what I didn't know before. I can't unknow that and I have a deep passion to share that with others, because it's just what we don't know. We don't know what we don't know and they don't know it and it is. No one intends to provide for care. Once we know better, we will do better. 00:06:49 The spaces that you will occupy, how do you go about, on a day-to-day basis, making sure that women feel hurt and empowered, whether they are patients or fellow colleagues? 00:06:58 Like I said, I made a transition from physician to being a person, and that's really my tagline right now in my in my life. So now I just lead with being human and being a person rather than leading with being a physician right. So it puts me and my co-workers and my patients kind of on the same level right and I'm a little vulnerable. So I let them know that I have a little bit of drama, whether I express frustration because I'm running behind or whether I say you know I'm burnt-out or whatever, that that little drama is for me, just to let them know there is some similarity here and some difference, and so I think it creates a space that they feel that they can share right and share some of those things that they may not have shared and break down some of those barriers that we put up, because a lot of it is perception, a lot of it is real, but it kind of breaks down some of those barriers. So I think just approaching patients as a person for and not as a physician, not as a nurse, not as whatever the title is, like. Strip yourself away from the title. You still have the knowledge they're coming to you for something, it's there, but you don't need the title to prove that you have the knowledge. Just be a person, and I think that's the most important thing for me, as I try to incorporate the tenants and the principals and the approaches to inform care when I do interact with my colleagues and patients. 00:08:37 I just want to say I mean thank you for that. To hear a physician talk like that is revolutionary. Honestly, that is not how they were raised, that's not how we are raised. That's not the history of healthcare. You know when you look back into health care, since the beginning we have been taught that we are in control right, like when patients are with us. You're the expert. I have seen many people you know come in to do again. We all come from a background, so those are my biggest references. But you know to come in and do a cervial exam without ever asking for consent. That's not something that you could do anywhere else in the world and not be arrested. Right so. But even when you look back at the history of right and you look at the racial atrocities, the atrocities that were done to women, how we, you know, even came to her. So what Dr. Triplette is saying while it sounds like yeah, that's you know, nice is truly revolutionary when, especially for physicians, because again, that's not the indoctrination that you get. You get the opposite and you know to say to patients when they are, you know in the hospital to ask for consent, to give them, to give over control is not how physicians were trained and not how nurses are trained. And that's a huge, huge paratime shift that we desperately need in healthcare, not just in women's health, but in all the health. 00:10:30 Yeah, I would pick y
