Bowen Elizabeth A, Murshid Nadine Shaanta
Elizabeth A. Bowen and Nadine Shaanta Murshid are with the School of Social Work, University at Buffalo, State University of New York.
Am J Public Health. 2016 Feb;106(2):223-9. doi: 10.2105/AJPH.2015.302970. Epub 2015 Dec 21.
Trauma-informed care is a service provision model used across a range of practice settings. Drawing on an extensive body of research on trauma (broadly defined as experiences that produce enduring emotional pain and distress) and health outcomes, we have argued that the principles of trauma-informed care can be extended to social policy. Citing a variety of health-related policy examples, we have described how policy can better reflect 6 core principles of trauma-informed care: safety, trustworthiness and transparency, collaboration, empowerment, choice, and intersectionality. This framework conveys a politicized understanding of trauma, reflecting the reality that trauma and its effects are not equally distributed, and offers a pathway for public health professionals to disrupt trauma-driven health disparities through policy action.
创伤知情护理是一种在一系列实践环境中使用的服务提供模式。基于对创伤(广义定义为产生持久情感痛苦和困扰的经历)和健康结果的大量研究,我们认为创伤知情护理的原则可以扩展到社会政策。引用各种与健康相关的政策实例,我们描述了政策如何能更好地体现创伤知情护理的6项核心原则:安全、可信赖与透明度、协作、赋权、选择和交叉性。这一框架传达了对创伤的政治化理解,反映出创伤及其影响并非平均分布这一现实,并为公共卫生专业人员提供了一条途径,以通过政策行动消除由创伤导致的健康差距。