Table 3.

Barriers to Trauma-Informed Care.

Theme	Participant	Quote
Continuity	Patient	“I have a fit when I got to see somebody different…I have to explain everything off to you over again.” “That’s my kid’s doctor. Me and her are really close so I don’t’ mind talking to her if something is going on with my kids because I know she will help…people talk to certain people.”
	Staff	“The problem is that when we see a patient for the first time, they have no reason to trust you.” “I think if there’s continuity, I think parents are more apt to talk.”
Time	Patient	“Allow [patients] to vent and get it out even if you know…allow space to get their self together and collect their thoughts.” “If they shut down, give them time to open up.”
	Staff	“We need to realize that patients take a lot of time, and they need to change the amount of time that anyone has with them.” “You cannot help them in a 15 minute appointment.” “A lot of times we don’t’ have time…because we got other people coming…it’s rushed…we don’t really have time to sit down really and talk.”