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创伤知情视角下的跨性别和性别多样化成年人心理健康和社区支持体验研究

A Trauma-Informed Exploration of the Mental Health and Community Support Experiences of Transgender and Gender-Expansive Adults.

机构信息

Department of Social Work, University at Buffalo, Buffalo, New York, USA.

出版信息

J Homosex. 2021 Jul 3;68(8):1278-1297. doi: 10.1080/00918369.2019.1696104. Epub 2019 Dec 4.

DOI:10.1080/00918369.2019.1696104
PMID:31799893
Abstract

This study applied a trauma-informed care (TIC) framework to explore transgender and gender-expansive (TGE) adults' experiences with mental health and community supports. Data were drawn from the qualitative component of a more extensive mixed-methods study that aimed to assess TGE individuals' support needs. Participants ( = 100) were recruited from online support groups using a combination of convenience and snowball sampling and invited to take an online survey. Open-response questions asked participants to describe their most positive experiences with a mental health provider and provide recommendations for improving the supportiveness of the communities to which they belonged. Participants' responses were coded and sorted into five overarching themes: (a) trust and emotional safety, (b) environmental and physical safety, (c) choice and collaboration, (d) empowerment, and (e) cultural and gender issues. Finally, we discussed implications for improving practice and further developing a TIC model that meets the needs of this population.

摘要

本研究应用创伤知情照护(TIC)框架,探讨跨性别和性别扩展(TGE)成年人的心理健康和社区支持体验。数据取自更广泛混合方法研究的定性部分,该研究旨在评估 TGE 个体的支持需求。参与者(n=100)通过便利抽样和滚雪球抽样从在线支持小组招募,并邀请他们参加在线调查。开放式问题要求参与者描述他们与心理健康提供者最积极的体验,并为改善他们所属社区的支持性提出建议。参与者的回复被编码并分为五个总体主题:(a)信任和情感安全,(b)环境和身体安全,(c)选择和合作,(d)赋权,以及(e)文化和性别问题。最后,我们讨论了改善实践和进一步制定符合该人群需求的 TIC 模型的意义。

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