Department of Psychology, Tulane University.
Traumatic Stress Institute of Klingberg Family Centers.
Psychol Trauma. 2018 Nov;10(6):666-674. doi: 10.1037/tra0000327. Epub 2017 Oct 9.
The prevalence and associated risks of trauma have led youth-serving institutions to adopt trauma-informed care (TIC). A limited research base has linked TIC with improved outcomes. Associations between TIC and vicarious traumatization (VT) are even less commonly studied. The purpose of this case study is to evaluate the implementation and effect of TIC within 1 residential youth services division in rural Canada using the curriculum-based Risking Connection (RC; Saakvitne et al., 2001) and Restorative Approach (RA; Wilcox, 2012) trauma training programs, with a focus on VT.
We used an explanatory sequential mixed methods design and a participatory action research approach to evaluate the implementation and effect of RC and RA. Study 1, the quantitative program evaluation, used a prepost design to evaluate the effect of RC and RA on staff. Study 2, the qualitative study, used participant observations and interviews to develop a deeper understanding the quantitative findings.
This study replicated previous findings that RC improves attitudes favorable to TIC but found that staff experience of VT increased after TIC training. Qualitative findings suggested that the division was successfully implementing TIC and that increased awareness and discussion of VT were potentially responsible for increases in VT scores.
This case study documents improvements in staff attitudes favorable to TIC post-RC and RA and presents an in-depth analysis of TIC implementation. The study also highlights the complicated relationship between TIC implementation and staff experience of VT. Finally, this study provides a blueprint for conducting program evaluations of TIC. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
创伤的普遍性和相关风险促使青少年服务机构采用创伤知情护理（TIC）。有限的研究基础将 TIC 与改善结果联系起来。TIC 与替代性创伤（VT）之间的关联甚至研究得更少。本案例研究的目的是使用基于课程的风险联系（RC；Saakvitne 等人，2001 年）和恢复方法（RA；Wilcox，2012 年）创伤培训计划，在加拿大农村的 1 个住宿青年服务部门内评估 TIC 的实施和效果，重点关注 VT。
我们使用解释性顺序混合方法设计和参与式行动研究方法来评估 RC 和 RA 的实施和效果。研究 1，定量方案评估，使用前后设计评估 RC 和 RA 对员工的影响。研究 2，定性研究，使用参与者观察和访谈来深入了解定量研究结果。
本研究复制了 RC 改善有利于 TIC 的态度的先前发现，但发现 TIC 培训后员工的 VT 体验增加。定性研究结果表明，该部门成功实施了 TIC，并且对 VT 的认识和讨论的增加可能是 VT 评分增加的原因。
本案例研究记录了 RC 和 RA 后员工对 TIC 有利的态度的改善，并对 TIC 的实施进行了深入分析。该研究还强调了 TIC 实施与员工 VT 体验之间复杂的关系。最后，本研究为 TIC 的方案评估提供了蓝图。（APA，2018 年，所有权利保留）。
