Ezell Jerel M, Richardson Margaret, Salari Samira, Henry James A
1Department of Sociology and Department of Medicine, University of Chicago, 1126 E. 59th St., Chicago, IL 60637 USA.
2Children's Trauma Assessment Center, Unified Clinics, Western Michigan University, Kalamazoo, MI USA.
J Child Adolesc Trauma. 2018 Jul 28;11(4):507-519. doi: 10.1007/s40653-018-0223-y. eCollection 2018 Dec.
Many youth entering juvenile court systems show manifestations of psychological trauma. Focusing on rural juvenile courts, systems with greatly underserved and under-researched populations, we assessed practices, barriers, and recommendations around trauma-informed practice, an evidence-based approach for addressing trauma and reducing delinquent behavior and recidivism. As part of a pilot trauma-informed practice initiative at four rural Michigan juvenile courts, semi-structured qualitative interviews were conducted with 15 court staff, including probation officers, referees, judges, and on-site clinical therapists. Respondents expressed an ideological affinity for trauma-informed practice, describing growing inclinations to rely on referral-making around mental health treatment of traditional (punitive) sentencing. Key implementation barriers included limited access to local mental health resources, insufficient buy-in from K-12 schools, government, and police, and concerns over professional abilities/boundaries. Respondents recommended additional technical trainings on trauma-informed practice and cross-disciplinary education for clients' families and external stakeholders.
许多进入少年法庭系统的青少年都表现出心理创伤的迹象。以农村少年法庭为重点，这些法庭所服务的人群严重不足且研究较少，我们评估了围绕创伤知情实践的做法、障碍和建议，这是一种基于证据的方法，用于解决创伤问题并减少犯罪行为和累犯。作为密歇根州四个农村少年法庭试点创伤知情实践倡议的一部分，我们对15名法庭工作人员进行了半结构化定性访谈，这些工作人员包括缓刑监督官、裁判员、法官和现场临床治疗师。受访者对创伤知情实践表达了意识形态上的认同，描述了越来越倾向于围绕传统（惩罚性）量刑的心理健康治疗进行转介的倾向。关键的实施障碍包括难以获得当地心理健康资源、K-12学校、政府和警方的支持不足，以及对专业能力/界限的担忧。受访者建议针对创伤知情实践进行更多技术培训，并为客户家庭和外部利益相关者开展跨学科教育。
