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Managing the Psychological Impact of Medical Trauma

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Managing the Psychological Impact of Medical Trauma

SKU# 9780826128935

A Guide for Mental Health and Health Care Professionals

Author: Michelle Flaum Hall EdD, LPCC-S, Scott E. Hall PhD, LPCC-S

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Intervention with patients who have had a traumatic experience in a health care setting is crucial not only to prevent long-term psychological issues, but also to help patients reduce anxiety when seeking medical help in the future. This groundbreaking book is the first to conceptualize medical trauma and provide mental health and health care professionals with best practices for treating such trauma in health care settings. It delivers in-depth systems-level strategies for supporting patients and their families who experience distress in the medical setting or as a result of life-threatening or life-altering diagnoses and procedures, and describes innovative models for integrating mental health professionals into current health care teams.

Written for both mental health and health care leaders and professionals, the book reflects the growing trend toward interprofessional practice and training in health care, as well as the growth of patient-centered and person-centered care. It reflects the mandate of the PPACA for availability and integration of mental health services into health care and includes models for addressing trauma based on maternal health protocols from the Council on Patient Safety in Women's Health Care. Plentiful case studies demonstrate the effects of medical trauma and how intervention models can provide a positive outcome. Useful assessment tools, also available as electronic downloadable files, are included to help professionals recognize and evaluate medical trauma in patients.


  • Provides comprehensive information about conceptualizing and treating medical trauma in health care settings, the first book to do so
  • Offers models for addressing such trauma based on maternal health protocols from the Council on Patient Safety in Women's Health Care
  • Aimed at both mental health and health care professionals in all practice settings
  • Includes case studies to illustrate effects of medical trauma and intervention models
  • Includes several assessment tools to assist health care and mental health professionals with recognizing the many effects of medical trauma

Product Details 

  • Publication Date July 12, 2016
  • Page Count 324
  • Product Form Paperback / softback
  • ISBN 13 9780826128935
  • EISBN 9780826128942

About The Author(s) 

Michelle Flaum Hall, EdD, LPCC-S, is associate professor, Clinical Mental Health Counseling, Xavier University, Cincinnati, Ohio, and a partner at Hawthorne Integrative, LLC, a health care consulting and clinical counseling firm. Her scholarship about medical trauma and integrated health care has been published in such journals as Nursing for Women's Health, ACA Vistas, and Journal of Interprofessional Education & Practice. Dr. Hall has presented on the topic of medical trauma at local, state, and national clinical counseling conferences including the American Counseling Association Annual Convention; to students in advanced clinical mental health counseling courses; and to cancer survivors and their families. She has consulted with the California Maternal Quality Care Collaborative in the development of a national Postpartum Hemorrhage Toolkit, and has authored a tool to help medical professionals recognize the signs of acute stress disorder in the hospital setting. Dr. Hall currently participates in a work group for the national Council on Patient Safety in Women's Health Care to develop a safety toolkit focused on patient, family, and provider supports following a severe maternal event. Her clinical experience includes working with adults struggling with depression, posttraumatic stress disorder, and other anxiety-related disorders. Over the years, she has worked with numerous clients with complex reactions to life-threatening or life-altering medical diagnoses and procedures. Additionally, Dr. Hall works with seven health-related fields (especially nursing) across Xavier University to develop innovative interprofessional education experiences for future health care workers. She participated in IPEC (Interprofessional Education Collaborative), which is led by six health care associations including the American Association of Colleges of Nursing and the Association of American Medical Colleges. She is a Certified Master Trainer in TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), an interprofessional, evidence-based communication training curriculum developed by the U.S. Department of Defense and the Agency for Healthcare Research and Quality, and has received training in mindfulness-based stress reduction from faculty at the University of Massachusetts School of Medicine.

Scott E. Hall, PhD, LPCC-S, is associate professor, Counselor Education, University of Dayton, Dayton, Ohio, and a partner at Hawthorne Integrative, LLC, a health care consulting and clinical counseling firm. He has written on the topics of medical trauma and integrative health care and collaborates with health-related programs at the University of Dayton to develop wellness initiatives. His work has been published in ACA Vistas, ADULTSPAN Journal, Journal of Workplace Behavioral Health, Journal of Contemporary Psychotherapy, and American Journal of Hospice & Palliative Care. Dr. Hall has taught and created a wide range of courses at the University of Dayton, including all foundational courses in the mental health counseling program and specialized courses such as Counseling Men, Alternative Therapies, and Positive Psychotherapy. In his clinical practice, Dr. Hall counsels adults with depression, anxiety disorders, posttraumatic stress disorder (PTSD), and divorce-related concerns. In addition to his clinical experience working with medical trauma, he has also presented at national, state, and local professional conferences about PTSD-related topics in addition to medical trauma. He has also spoken about the mental and emotional impacts of a cancer diagnosis at the Cancer Support Community of Southwestern Ohio. Dr. Hall is a Certified Master Trainer in TeamSTEPPS and has received training in mindfulness-based stress reduction from faculty at the University of Massachusetts School of Medicine. He is a veteran of the United States Army.

Table of Contents 





The Current State of Health Care

Health Care Trends Relevant to Managing Medical Trauma

A Word About Our Perspective …


Chapter 1. What Is Medical Trauma?

Medical Trauma: A Complex Phenomenon

Understanding Medical Trauma in Context: The Ecological Perspective

Model of Medical Trauma

The Effects of Medical Trauma


Chapter 2. Medical Trauma Factors: The Patient

Patient Factors: Risk Factors


Chapter 3. Medical Trauma Factors: Diagnoses and Procedures

Level 3 Medical Trauma: Unexpected, Life-Threatening Medical Events

Level 2 Medical Trauma: Life-Threatening/-Altering Diagnoses

Level 1 Medical Trauma: Planned or Routine Medical Intervention


Chapter 4. Medical Trauma Factors: Medical Staff

Staff Communication Style

Staff Personal Factors

Staff Emotional Intelligence

Teamwork, Patient Safety, and Training


Chapter 5. Medical Trauma Factors: The Environment

The Hospital Environment and Medical Trauma

The Sensory Experience and Levels 1 and 2 Medical Traumas


Chapter 6. Case Studies

Level 1 Medical Trauma Case Study

Level 2 Medical Trauma Case Study

Level 3 Medical Trauma Case Study


Chapter 7. Prevention and Intervention: Level 1 Medical Trauma and Primary Care

Managing Medical Trauma in the Primary Care Setting

Current Models of Integrative Medicine

Screening for Trauma-Related Risk Factors

Using In-House Mental Health Professionals

Patient-Centered Medical Home Model

Understanding Different Mental Health Professions

Mental Health Treatment for Medical Trauma

Tying It All Together: Revisiting the Case of Keith


Chapter 8. Prevention and Intervention: Level 2 Medical Trauma and Specialist Care

High-Quality Care for Chronic Illness

Identifying Level 2 Medical Trauma

Intervention in Level 2 Medical Trauma: Collaboration for Chronic Disease Management

Specialist Care Practices: Striving Toward Integration

Tying It All Together: Revisiting the Case of Sharon


Chapter 9. Prevention and Intervention for Level 3 Medical Trauma: The Hospital Setting and Beyond

Managing Medical Trauma in the Acute Care Setting

Expanded Roles for Mental Health Professionals in Managing Medical Trauma

Tying It All Together: Revisiting the Case of Ann


Chapter 10. Medical Trauma and the Future of Health Care

Technology's Role in Managing Medical Trauma

IPE: Training a Collaborative Health Care Workforce

The Mindfulness Revolution in Health Care: Applications for Medical Trauma

Caring for Those Who Care for Patients: Managing Vicarious Traumatization

Medical Trauma and Implications for Future Research

The Business Case for Hiring More Mental Health Professionals



Appendix A. Trauma Resources

Appendix B. Secondary 7–Lifestyle Effects Screening (S7-LES)

Appendix C. Medical Mental Health Screening

Appendix D. Support Organizations for Chronic Illness: Cancer, Cardiac Disorders, and Diabetes

Appendix E. Mindfulness Resources

Appendix F. Recognizing Signs of Acute Stress Disorder in Postpartum Women in the Hospital Setting

Appendix G. Experience of Medical Trauma Scale

Appendix H. New Roles for Mental Health Professionals Before, During, and After Severe Maternal Events

Appendix I. Understanding the Emotional Effects of a Difficult Childbirth Experience