Trauma Inquiry and Response in Family Planning

December 7, 2023


Trauma, including Adverse Childhood Experiences (ACEs), interpersonal violence (IPV), and sexual assault have significant impacts on health outcomes, and are common among people seeking family planning services. Trauma affects sexual and reproductive health, pregnancy, and mental health, making it important for clinicians to address trauma when providing family planning services. In this webinar, we will discuss the Trauma and Resilience-informed Inquiry for Adversity, Distress, and Strengths (TRIADS) framework and ways this may be useful to family planning clinicians. Using case studies, we will describe how the TRIADS framework establishes a foundation of empathy, respect, and compassion; thereby increasing engagement in care and improving health outcomes in patients seeking family planning services.

Learning Objectives

  • Describe the TRIADS framework and the importance of highlighting resiliency and strengths when discussing trauma, adversity, and distress
  • Apply the TRIADS framework to a family planning clinical case
  • Screen for and respond to trauma in family planning settings


Megha Shankar, MD
Assistant Professor of Medicine, UC San Diego
Clinical and academic work focusing on elevating the health of women and gender diverse individuals through trauma-informed care, promoting reproductive and racial justice, and addressing gender-based violence
Practices primary care in San Diego, serving patients seeking asylum at the US-Mexico border

Kelsey Loeliger, MD, PhD
Complex Family Planning Fellow, UC San Diego
Goals in research and advocacy include addressing healthcare, substance use disorders, incarceration, mental health, and interpersonal violence and trauma
Seeks to better understand the impact of contraception use on gender dysphoria in gender-diverse individuals