Skip to main content
Erschienen in: Community Mental Health Journal 3/2019

28.04.2018 | Original Paper

Achieving Service Change Through the Implementation of a Trauma-Informed Care Training Program Within a Mental Health Service

verfasst von: Nicola Palfrey, Rebecca E. Reay, Velissa Aplin, Jeffery C. Cubis, Virginia McAndrew, Denise M. Riordan, Beverley Raphael

Erschienen in: Community Mental Health Journal | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

As evidence continues to accumulate for the association between childhood trauma and long-term adverse outcomes, Trauma-Informed Care (TIC) approaches are emerging as fundamental to contemporary mental health services. To evaluate a workshop designed to influence mental health practitioners in TIC principles and practices. Nursing, medical and allied health professionals completed pre and post measures of confidence, awareness and attitudes towards TIC practice. The workshop was rated as highly relevant and useful to clinician’s practice. Participants’ self-reported confidence, awareness and attitudes towards TIC significantly increased (p < .001) and the perceived number of barriers to working within a TIC framework significantly decreased (p < .05). Child and Adolescent Mental Health clinicians routinely screened for trauma and 80% had received training in a trauma specific intervention at follow-up. This brief training provides an important foundation for the development of trauma-informed, evidence-based mental health services.
Literatur
Zurück zum Zitat Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration & Policy in Mental Health, 38(1), 4–23.CrossRef Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration & Policy in Mental Health, 38(1), 4–23.CrossRef
Zurück zum Zitat Beidas, R. S., Adams, D. R., Kratz, H. E., Jackson, K., Berkowitz, S., Zinny, A. (2016). Lessons learned while building a trauma-informed public behavioral health system in the city of Philadelphia. Evaluation and Program Planning, 59, 21–32.CrossRefPubMedPubMedCentral Beidas, R. S., Adams, D. R., Kratz, H. E., Jackson, K., Berkowitz, S., Zinny, A. (2016). Lessons learned while building a trauma-informed public behavioral health system in the city of Philadelphia. Evaluation and Program Planning, 59, 21–32.CrossRefPubMedPubMedCentral
Zurück zum Zitat Cohen, J. A. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press. ISBN 978-1-59385-308-2. Cohen, J. A. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press. ISBN 978-1-59385-308-2.
Zurück zum Zitat Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventative Medicine, 14(4), 245–258.CrossRef Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventative Medicine, 14(4), 245–258.CrossRef
Zurück zum Zitat Frueh, B. C., Cousins, V. C., Hiers, T. G., Cavenaugh, S. D., Cusack, K. J., & Santos, A. B. (2002). The need for trauma assessment and related clinical services in a state public mental health system. Community Mental Health Journal, 38, 351–356.CrossRefPubMed Frueh, B. C., Cousins, V. C., Hiers, T. G., Cavenaugh, S. D., Cusack, K. J., & Santos, A. B. (2002). The need for trauma assessment and related clinical services in a state public mental health system. Community Mental Health Journal, 38, 351–356.CrossRefPubMed
Zurück zum Zitat Frueh, B. C., Cusack, K. J., Grubaugh, A. L., Sauvageot, J. A., & Wells, C. (2006). Clinicians’ perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Psychiatric Services, 57(7), 1027–1031.CrossRefPubMed Frueh, B. C., Cusack, K. J., Grubaugh, A. L., Sauvageot, J. A., & Wells, C. (2006). Clinicians’ perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Psychiatric Services, 57(7), 1027–1031.CrossRefPubMed
Zurück zum Zitat Green, B. L., Saunders, P. A., Power, E., Dass-Brailsford, P., Schelbert, K. B., Giller, E., et al. (2016). Trauma-informed medical care: Patient response to a primary care provider communication training. Journal of Loss and Trauma, 21(2), 147–159.CrossRefPubMed Green, B. L., Saunders, P. A., Power, E., Dass-Brailsford, P., Schelbert, K. B., Giller, E., et al. (2016). Trauma-informed medical care: Patient response to a primary care provider communication training. Journal of Loss and Trauma, 21(2), 147–159.CrossRefPubMed
Zurück zum Zitat Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., et al. (2010). Childhood adversities and adult psychopathology in the National Comorbidity Survey Replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67(2), 113–123.CrossRefPubMedPubMedCentral Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., et al. (2010). Childhood adversities and adult psychopathology in the National Comorbidity Survey Replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67(2), 113–123.CrossRefPubMedPubMedCentral
Zurück zum Zitat Harper, K., Stalker, C. A., Palmer, S., & Gadbois, S. (2008). Adults traumatized by child abuse: What survivors need from community-based mental health professionals. Journal of Mental Health, 17(4), 361–374.CrossRef Harper, K., Stalker, C. A., Palmer, S., & Gadbois, S. (2008). Adults traumatized by child abuse: What survivors need from community-based mental health professionals. Journal of Mental Health, 17(4), 361–374.CrossRef
Zurück zum Zitat Lange, A., de Beurs, E., Dolan, C., Lachnit, T., Sjollema, S., & Hanewald, G. (1999). Long-term effects of childhood sexual abuse: Objective and subjective characteristics of the abuse and psychopathology in later life. Journal of Nervous and Mental Disease, 187, 150–158.CrossRef Lange, A., de Beurs, E., Dolan, C., Lachnit, T., Sjollema, S., & Hanewald, G. (1999). Long-term effects of childhood sexual abuse: Objective and subjective characteristics of the abuse and psychopathology in later life. Journal of Nervous and Mental Disease, 187, 150–158.CrossRef
Zurück zum Zitat Layne, C. M., Ippen, C., Strand, V., Stuber, M., Abramovitz, R., Reyes, G., et al. (2011). The core curriculum on childhood trauma: A tool for training a trauma-informed workforce. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 243–252. https://doi.org/10.1037/a0025039.CrossRef Layne, C. M., Ippen, C., Strand, V., Stuber, M., Abramovitz, R., Reyes, G., et al. (2011). The core curriculum on childhood trauma: A tool for training a trauma-informed workforce. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 243–252. https://​doi.​org/​10.​1037/​a0025039.CrossRef
Zurück zum Zitat McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication II: Associations with persistence of DSM-IV disorders. Archives of General Psychiatry, 67(2), 124–132.CrossRefPubMedPubMedCentral McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication II: Associations with persistence of DSM-IV disorders. Archives of General Psychiatry, 67(2), 124–132.CrossRefPubMedPubMedCentral
Zurück zum Zitat Mueser, K. T., Goodman, L. B., Trumbetta, S. L., et al. (1998). Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 66, 493–499.CrossRefPubMed Mueser, K. T., Goodman, L. B., Trumbetta, S. L., et al. (1998). Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 66, 493–499.CrossRefPubMed
Zurück zum Zitat Reay, R., Raphael, B., Aplin, V., McAndrew, V., Cubis, J. C., Riordan, D. M., et al. (2015). Trauma and adversity in the lives of children and adolescents attending a Mental Health Service. Children Australia, 40(3), 167–179.CrossRef Reay, R., Raphael, B., Aplin, V., McAndrew, V., Cubis, J. C., Riordan, D. M., et al. (2015). Trauma and adversity in the lives of children and adolescents attending a Mental Health Service. Children Australia, 40(3), 167–179.CrossRef
Zurück zum Zitat Salyers, M. P., Evans, L. J., Bond, G. R., et al. (2004). Barriers to assessment and treatment of posttraumatic stress disorder and other trauma related problems in people with severe mental illness: Clinician perspectives. Community Mental Health Journal, 40, 17–31.CrossRefPubMed Salyers, M. P., Evans, L. J., Bond, G. R., et al. (2004). Barriers to assessment and treatment of posttraumatic stress disorder and other trauma related problems in people with severe mental illness: Clinician perspectives. Community Mental Health Journal, 40, 17–31.CrossRefPubMed
Zurück zum Zitat Wilson, A., Hutchinson, M., & Hurley, J. (2017). Literature review of trauma-informed care: Implications for mental health nurses working in acute inpatient settings in Australia. International Journal of Mental Health Nursing, 26, 326–343.CrossRefPubMed Wilson, A., Hutchinson, M., & Hurley, J. (2017). Literature review of trauma-informed care: Implications for mental health nurses working in acute inpatient settings in Australia. International Journal of Mental Health Nursing, 26, 326–343.CrossRefPubMed
Metadaten
Titel
Achieving Service Change Through the Implementation of a Trauma-Informed Care Training Program Within a Mental Health Service
verfasst von
Nicola Palfrey
Rebecca E. Reay
Velissa Aplin
Jeffery C. Cubis
Virginia McAndrew
Denise M. Riordan
Beverley Raphael
Publikationsdatum
28.04.2018
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 3/2019
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-018-0272-6

Weitere Artikel der Ausgabe 3/2019

Community Mental Health Journal 3/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.