Creating a Comprehensive Trauma Center

1. Front Matter

   Pages i-xxii

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2. The Comprehensive Trauma Center as an Organization

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 1-23

3. The Need for Comprehensive Trauma Centers

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 25-39

4. Privately Developed Trauma Centers in the United States

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 41-80

5. Centers with Affiliations and Centers in Progress

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 81-102

6. Private and Not-for-Profit Centers around the World

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 103-126

7. Nonresidential Affiliated Centers throughout the World

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 127-152

8. Centers Specializing in Trauma and the Workplace

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 153-162

9. Hospital-Based Trauma Centers

   • Mary Beth Williams, Lasse A. Nurmi

   Pages 163-191

10. Centers for Holocaust Survivors and Their Families

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 193-204

11. Centers Designed to Work with Refugees

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 205-250

12. Trauma Centers for Children

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 251-286

13. Government-Funded Trauma Centers

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 287-299

14. The Experts View of What Trauma Is and How to Treat It

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 301-308

15. Trauma Center Directors Describe the Ideal Trauma Center

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 309-316

16. Constructing the Ideal Trauma Center

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 317-370

17. The Hamburg Experience

    • Mary Beth Williams, Lasse A. Nurmi

    Pages 371-380

18. Back Matter

    Pages 381-443

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Early Thoughts on Creating Comprehensive Trauma Centers This volume has been many years in writing. When Dr. Donald Meichenbaum first suggested it and I approached my coauthor Lasse Nurmi, it did not seem to be as formidable a task as it has become. Interviewing the centers in this book has taken years-to get responses, to summarize those responses, and to return the summaries for further comment. Many centers have been created in that time; others have suspended operation. This volume does not claim to present even a majority of those centers. However, the ones contained herein are representative of "what is out there. " The idea to create a comprehensive trauma center is not new. The initial section of this forward examines thoughts I proposed as part of my compre­ hensive examination for my doctorate. Many of the ideas proposed then (1989) seem to fit now. It is my dream to put them into practice someday in the future. THE COMPREHENSIVE EXAMINATION QUESTION In 1989, one question on the written comprehensive examination ques­ tions for my doctorate was, "If you were to create a comprehensive trauma center in your suburban area, making use of what you have learned in your [doctoral] experience, describe the organization of that center, the mission, structure, personnel, funding, objectives, and services it would offer. " Some of the conclusions reached then now seem applicable to the task at hand: design­ ing comprehensive trauma centers (CTCs) for the 21st century.

• Holocaust
• USA
• children
• environment
• hospital
• organization
• organizational theory
• organizations
• service
• state
• trauma

• Trauma Recovery Education and Counseling Center, Warrenton, USA

  Mary Beth Williams

• Police College of Finland, Espoo, Finland

  Lasse A. Nurmi

Policies and ethics