Voices that matter: A community-driven intervention framework for Black women who have experienced traumatic loss.

IF 2.3 3区 医学 Q1 SOCIAL WORK American Journal of Orthopsychiatry Pub Date : 2024-07-08 DOI:10.1037/ort0000771
Stephanie Castelin, Ana Paola Sáenz Jiménez, Danya Soto, Lisa D Daniels, Aldena D Brown, Tracy Fehrenbach
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Abstract

Although Black women face disproportionately high rates of gun violence and incarceration loss, there is a scarcity of culturally relevant interventions for this population. The aims of this study were to (a) examine the need for a culturally responsive, trauma-informed, and evidence-based grief intervention and to (b) identify key program components and considerations. Using a community-based participatory research framework, co-collaborators interviewed and surveyed 13 Black women who experienced gun violence and/or incarceration loss. Thematic analysis of interview data confirmed a need for this type of intervention due to the traumatic impact of losing a loved one, the inadequacy of available resources, and the personal and communal importance of addressing their grief. Critical intervention components included relationships and social support, help in "moving beyond" the experience, opportunities for emotional expression and validation, acknowledgment of spirituality and self-care, personal freedom in the grieving process, and addressing "underlying issues." The participants also completed a survey with 24 proposed intervention activities. The 22 they identified as "very important" largely corresponded with interview codes. Barriers to treatment included judgment and invalidation, lack of trust, disinterest, feeling stuck, mental health stigma, and lack of knowledge. Opinions about combining women with different types of loss in the same group and the importance of the group developers' lived experience were mixed. Overall, our findings support the need for culturally relevant, trauma-informed interventions in this population and provide a foundation for developing such an intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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重要的声音:针对经历过创伤性损失的黑人妇女的社区驱动干预框架。
虽然黑人妇女面临枪支暴力和监禁损失的比例过高,但针对这一人群的文化相关干预措施却很少。本研究的目的是:(a) 研究对文化敏感、创伤知情和基于证据的悲伤干预措施的需求;(b) 确定计划的关键组成部分和注意事项。共同合作者采用社区参与式研究框架,对 13 名经历过枪支暴力和/或监禁损失的黑人妇女进行了访谈和调查。对访谈数据的主题分析证实,由于失去亲人造成的创伤、可用资源的不足以及解决悲伤问题对个人和社区的重要性,她们需要这种类型的干预。关键的干预内容包括人际关系和社会支持、帮助 "超越 "这段经历、情感表达和验证的机会、对灵性和自我关怀的认可、悲伤过程中的个人自由以及解决 "潜在问题"。参与者还填写了一份包含 24 项建议干预活动的调查问卷。他们认为 "非常重要 "的 22 项活动与访谈代码基本一致。治疗的障碍包括评判和无效、缺乏信任、不感兴趣、感觉被困住、心理健康污名化以及缺乏知 识。对于将患有不同类型失能症的女性合并到同一个小组以及小组开发者的生活经验的重要性的看法不一。总之,我们的研究结果支持对这一人群进行文化相关、创伤知情干预的必要性,并为开发此类干预奠定了基础。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
CiteScore
5.70
自引率
3.00%
发文量
74
审稿时长
6-12 weeks
期刊介绍: The American Journal of Orthopsychiatry publishes articles that clarify, challenge, or reshape the prevailing understanding of factors in the prevention and correction of injustice and in the sustainable development of a humane and just society.
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