hardtrauma-informed careorganizational practicesretraumatization preventionquality improvementcomplex trauma
A PMHNP is appointed as the clinical quality lead for a community mental health center that primarily serves adults with histories of complex trauma. Staff turnover is high, patients frequently miss follow-up appointments, and several patient complaints describe feeling "trapped" or "interrogated" during intake assessments. A review of the intake process reveals that new patients are required to complete a 12-page trauma history questionnaire in the waiting room before their first visit, the intake interview is conducted by a different clinician than the treating provider, and the interview room has a single door with the clinician seated between the patient and the exit. Which of the following best reflects a trauma-informed organizational approach to addressing these concerns?