Moloney Bill, Cameron Ian, Baker Ashley, Feeney Johanna, Korner Anthony, Kornhaber Rachel, Cleary Michelle, McLean Loyola
a Clinical Nurse Consultant, Blacktown Access & Acute Mental Health Team, Western Sydney Local Health District (WSLHD), Associate , Westmead Psychotherapy Program for Complex Traumatic Disorders, Mental Health Sciences Centre , Parramatta , New South Wales , Australia.
b Consultant Psychologist, Private Practice, Associate, Westmead Psychotherapy Program for Complex Traumatic Disorders , Mental Health Sciences Centre, Parramatta , New South Wales , Australia.
Issues Ment Health Nurs. 2018 Jul;39(7):547-553. doi: 10.1080/01612840.2018.1437855. Epub 2018 Apr 12.
In this paper, we demonstrate the value of implementing a Trauma-Informed Model of Care in a Community Acute Mental Health Team by providing brief intensive treatment (comprising risk interventions, brief counselling, collaborative formulation and pharmacological treatment). The team utilised the Conversational Model (CM), a psychotherapeutic approach for complex trauma. Key features of the CM are described in this paper using a clinical case study. The addition of the Conversational Model approach to practice has enabled better understandings of consumers' capacities and ways to then engage, converse, and intervene. The implementation of this intervention has led to a greater sense of self-efficacy amongst clinicians, who can now articulate a clear counselling model of care.
在本文中，我们通过提供简短的强化治疗（包括风险干预、简短咨询、协作式制定方案和药物治疗），展示了在社区急性心理健康团队中实施创伤知情护理模式的价值。该团队采用了对话模式（CM），这是一种针对复杂创伤的心理治疗方法。本文通过一个临床案例研究描述了CM的关键特征。将对话模式方法应用于实践，有助于更好地理解消费者的能力以及随后进行接触、交流和干预的方式。这种干预措施的实施使临床医生产生了更强的自我效能感，他们现在能够清晰地阐述一种明确的咨询护理模式。
