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创建创伤敏感型医疗实践:医疗保健机构对人际暴力的应对措施

Creating a Trauma-Sensitive Practice: A Health Care Response to Interpersonal Violence.

作者信息

Davies Jon A, Todahl Jeff, Reichard Anna E

机构信息

McKenzie River Men's Center, Eugene, Oregon (JAD).

Counseling Psychology and Human Services Department, University of Oregon, Eugene, Oregon (JT, AER).

出版信息

Am J Lifestyle Med. 2015 Oct 13;11(6):451-465. doi: 10.1177/1559827615609546. eCollection 2017 Nov-Dec.

Abstract

Interpersonal violence has a profoundly negative impact on individuals and our society. Health care providers are in a unique position to identify interpersonal violence, support survivors, and to contribute to violence prevention. The purpose of this article is to describe the nature, scope, and impact of interpersonal violence, its subsequent trauma on individuals, families, and society, and to delineate how providers can apply trauma-sensitive practice. The authors provide definitions, examples and prevalence rates and review theories of violence and violence prevention. They describe how to create a trauma-sensitive practice by being aware of the trauma that accompanies violence, the barriers to violence prevention, and how to intervene with patients about violence. Providers are urged to adopt universal screening practices, educate themselves on the nature of interpersonal violence and engage in screening, education, collaboration, and social justice activities to reduce interpersonal violence. Resources are provided to assist health care organizations, providers, and patients in addressing interpersonal violence.

摘要

人际暴力对个人和我们的社会有着极其负面的影响。医疗保健提供者处于识别人际暴力、支持幸存者以及为预防暴力做出贡献的独特位置。本文旨在描述人际暴力的性质、范围和影响,其对个人、家庭和社会随后造成的创伤,并阐述提供者如何应用创伤敏感型实践。作者提供了定义、示例和患病率,并回顾了暴力及预防暴力的理论。他们描述了如何通过意识到伴随暴力而来的创伤、预防暴力的障碍以及如何就暴力问题对患者进行干预来创建创伤敏感型实践。敦促提供者采用普遍筛查做法,了解人际暴力的本质,并参与筛查、教育、协作和社会正义活动以减少人际暴力。本文还提供了资源,以协助医疗保健组织、提供者和患者应对人际暴力问题。

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