{"title":"创伤知情护理对接受法医精神健康和智障服务的人意味着什么?反思性专题分析。","authors":"Eavan McKenzie, Alethea Charlton","doi":"10.1037/tra0001777","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Driven by research demonstrating the pervasiveness of trauma, forensic mental health (FMH) and intellectual disability services are increasingly adopting a trauma-informed approach to caring for patients. However, there has been limited attention to exploring what trauma-informed care (TIC) means to patients in these settings and what practices enable or restrict them in adapting positively after experiences of trauma. This study aimed to understand how TIC is conceptualized by people admitted to an FMH and intellectual disability service.</p><p><strong>Method: </strong>Focus groups were facilitated with 10 people residing in three low-secure units in the South East of the United Kingdom. Focus groups explored participants' perceptions and experiences of TIC with reference to the guiding principles of safety, trustworthiness, choice, collaboration, and empowerment. Audio recordings of the focus groups were transcribed and analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Three themes were generated to capture participants' perceptions that a trauma-informed approach in an FMH and intellectual disability service should entail promoting a sense of safety, fostering a sense of belonging, and encouraging the development of an autonomous identity.</p><p><strong>Conclusions: </strong>The findings indicate that prioritizing social-interpersonal relationships is crucial to providing care that enables people admitted to FMH and intellectual disability services to adapt positively after experiences of trauma. The findings support previous research regarding recovery in secure services, indicating the value of creating sufficiently safe conditions for people to connect with others and develop a positive and independent sense of self. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"What does trauma-informed care mean to people admitted to a forensic mental health and intellectual disability service? A reflexive thematic analysis.\",\"authors\":\"Eavan McKenzie, Alethea Charlton\",\"doi\":\"10.1037/tra0001777\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Driven by research demonstrating the pervasiveness of trauma, forensic mental health (FMH) and intellectual disability services are increasingly adopting a trauma-informed approach to caring for patients. However, there has been limited attention to exploring what trauma-informed care (TIC) means to patients in these settings and what practices enable or restrict them in adapting positively after experiences of trauma. This study aimed to understand how TIC is conceptualized by people admitted to an FMH and intellectual disability service.</p><p><strong>Method: </strong>Focus groups were facilitated with 10 people residing in three low-secure units in the South East of the United Kingdom. Focus groups explored participants' perceptions and experiences of TIC with reference to the guiding principles of safety, trustworthiness, choice, collaboration, and empowerment. Audio recordings of the focus groups were transcribed and analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Three themes were generated to capture participants' perceptions that a trauma-informed approach in an FMH and intellectual disability service should entail promoting a sense of safety, fostering a sense of belonging, and encouraging the development of an autonomous identity.</p><p><strong>Conclusions: </strong>The findings indicate that prioritizing social-interpersonal relationships is crucial to providing care that enables people admitted to FMH and intellectual disability services to adapt positively after experiences of trauma. The findings support previous research regarding recovery in secure services, indicating the value of creating sufficiently safe conditions for people to connect with others and develop a positive and independent sense of self. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>\",\"PeriodicalId\":20982,\"journal\":{\"name\":\"Psychological trauma : theory, research, practice and policy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-09-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychological trauma : theory, research, practice and policy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/tra0001777\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological trauma : theory, research, practice and policy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/tra0001777","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的:研究表明,心理创伤无处不在,在此推动下,法医心理健康(FMH)和智障服务机构越来越多地采用心理创伤知情护理的方法来照顾病人。然而,人们很少关注在这些环境中探索创伤知情护理(TIC)对患者的意义,以及哪些做法能够或限制患者在经历创伤后积极适应。本研究旨在了解入住家庭病院和智障服务机构的患者是如何看待创伤知情护理的:在英国东南部三个低安全级别病房中居住的 10 人参加了焦点小组。焦点小组参照安全、可信、选择、协作和赋权等指导原则,探讨了参与者对 TIC 的看法和体验。采用反思性主题分析法对焦点小组的录音进行了转录和分析:结果:产生了三个主题来反映参与者的观点,即在家庭病院和智障人士服务中,创伤知情方法应包括促进安全感、培养归属感和鼓励自主身份的发展:研究结果表明,优先考虑社会-人际关系对于提供护理至关重要,这种护理可使接受家庭医疗和智障服务的人在经历创伤后能够积极适应。研究结果支持了之前有关安全服务机构中康复情况的研究,表明为患者创造足够安全的条件,让他们与他人建立联系,培养积极、独立的自我意识,是非常有价值的。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
What does trauma-informed care mean to people admitted to a forensic mental health and intellectual disability service? A reflexive thematic analysis.
Objective: Driven by research demonstrating the pervasiveness of trauma, forensic mental health (FMH) and intellectual disability services are increasingly adopting a trauma-informed approach to caring for patients. However, there has been limited attention to exploring what trauma-informed care (TIC) means to patients in these settings and what practices enable or restrict them in adapting positively after experiences of trauma. This study aimed to understand how TIC is conceptualized by people admitted to an FMH and intellectual disability service.
Method: Focus groups were facilitated with 10 people residing in three low-secure units in the South East of the United Kingdom. Focus groups explored participants' perceptions and experiences of TIC with reference to the guiding principles of safety, trustworthiness, choice, collaboration, and empowerment. Audio recordings of the focus groups were transcribed and analyzed using reflexive thematic analysis.
Results: Three themes were generated to capture participants' perceptions that a trauma-informed approach in an FMH and intellectual disability service should entail promoting a sense of safety, fostering a sense of belonging, and encouraging the development of an autonomous identity.
Conclusions: The findings indicate that prioritizing social-interpersonal relationships is crucial to providing care that enables people admitted to FMH and intellectual disability services to adapt positively after experiences of trauma. The findings support previous research regarding recovery in secure services, indicating the value of creating sufficiently safe conditions for people to connect with others and develop a positive and independent sense of self. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence