Levenson Jill
Jill Levenson, PhD, MSW, is associate professor of social work, Barry University, 11300 NE 2nd Avenue, Miami Shores, FL 33161; e-mail:
Soc Work. 2017 Apr 1;62(2):105-113. doi: 10.1093/sw/swx001.
Social workers frequently encounter clients with a history of trauma. Trauma-informed care is a way of providing services by which social workers recognize the prevalence of early adversity in the lives of clients, view presenting problems as symptoms of maladaptive coping, and understand how early trauma shapes a client's fundamental beliefs about the world and affects his or her psychosocial functioning across the life span. Trauma-informed social work incorporates core principles of safety, trust, collaboration, choice, and empowerment and delivers services in a manner that avoids inadvertently repeating unhealthy interpersonal dynamics in the helping relationship. Trauma-informed social work can be integrated into all sorts of existing models of evidence-based services across populations and agency settings, can strengthen the therapeutic alliance, and facilitates posttraumatic growth.
社会工作者经常会遇到有创伤史的客户。创伤知情护理是一种提供服务的方式，通过这种方式，社会工作者认识到客户生活中早期逆境的普遍性，将呈现出的问题视为适应不良应对的症状，并理解早期创伤如何塑造客户对世界的基本信念，以及如何在整个生命周期中影响其心理社会功能。创伤知情的社会工作纳入了安全、信任、协作、选择和赋权等核心原则，并以避免在帮助关系中无意重复不健康人际动态的方式提供服务。创伤知情的社会工作可以融入针对不同人群和机构环境的各种现有的循证服务模式中，可以加强治疗联盟，并促进创伤后成长。
