“Putting Down and Letting Go”: An Exploration of a Community-Based Trauma-Oriented Retreat Program for Military Personnel, Veterans, and RCMP

Lorraine Smith-MacDonald, Anne Fierro Vanderlaan, Zornitsa Kaneva, Melissa Voth, Ashley Pike, Chelsea Jones, S. Brémault-Phillips
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Abstract

(1) Background: Current military members, veterans, and Royal Canadian Mounted Police (RCMP) experience higher rates of posttraumatic stress disorder (PTSD) and moral injury (MI). Trauma-oriented retreats have been offered as a means of addressing these concerns. This article aims to explore the impact of a non-evidence-based trauma-oriented retreat for the above populations experiencing PTSD or MI; (2) Methods: This qualitative study, nested within the larger mixed-methods pre/post longitudinal follow-up study, examined the experiences of 124 military members, veterans, and RCMP who participated in the retreat. Data were collected from semi-structured interviews and first-hand observations of the organization. Analysis was conducted using thematic analysis while being informed by realist evaluation principles; (3) Results: The results showed that important contextual elements were related to participants being ready, having multiple comorbidities and using the program as a first or last resort. Effectual mechanisms included a home-like setting; immersion; credibility of facilitators; experiential learning; an holistic approach; letting go, and reconnecting to self. Outcomes included: re-finding self, symptom management, social connection, and hope for a meaningful life. The gendered analysis suggested less favorable results; (4) Conclusions: Care is warranted as the evidence-base and effectiveness of trauma-oriented retreats yet needs to be established prior to broad use.
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“放下和放手”:对军人、退伍军人和皇家骑警基于社区的创伤导向疗养计划的探索
(1) 背景:现役军人、退伍军人和加拿大皇家骑警(RCMP)的创伤后应激障碍(PTSD)和道德伤害(MI)发生率较高。提供了以创伤为导向的务虚会,作为解决这些问题的一种手段。本文旨在探讨非基于证据的创伤导向静修对上述经历创伤后应激障碍或心肌梗死的人群的影响;(2) 方法:这项定性研究嵌套在更大的混合方法前后纵向随访研究中,调查了124名参加务虚会的军人、退伍军人和加拿大皇家骑警的经历。数据是从半结构化访谈和对该组织的第一手观察中收集的。分析采用专题分析法,同时遵循现实主义评价原则;(3) 结果:研究结果表明,重要的情境因素与参与者准备好、患有多种合并症以及将该项目作为第一或最后手段有关。有效的机制包括家庭般的环境;浸没主持人的可信度;体验式学习;整体方法;放手,重新连接自我。结果包括:重新找回自我、症状管理、社会联系和对有意义生活的希望。性别分析表明结果不太好;(4) 结论:护理是创伤导向静修的证据基础和有效性,但在广泛使用之前需要确定。
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