John M. Keesler, Indiana University Bloomington.
Intellect Dev Disabil. 2020 Jun 1;58(3):208-220. doi: 10.1352/1934-9556-58.3.208.
Trauma-informed care (TIC) is a systemwide approach that emphasizes organizational practices based upon principles of safety, choice, collaboration, empowerment, and trustworthiness. It is intended to influence an entire organization, with implications for clients and the workforce. The present study explored the extent to which IDD organizations utilize practices that align with TIC with their DSP workforce. Through an online survey, 380 DSPs (84% women; 82% white) responded to a trauma-informed organizational culture measure. Results demonstrated variability across items and significant differences between TIC principles with safety most strongly scored, and collaboration least strongly scored. Perception of organizational practices differed by ethnicity, with non-white DSPs having more favorable responses. Current practices with DSPs align with TIC, however, increased attention through explicit trauma-informed initiatives is warranted.
创伤知情照护（TIC）是一种系统方法，强调基于安全、选择、合作、赋权和值得信赖原则的组织实践。它旨在影响整个组织，对客户和员工都有影响。本研究探讨了 IDD 组织在多大程度上利用与 DSP 员工一致的 TIC 实践。通过在线调查，380 名 DSP（84%为女性；82%为白人）对创伤知情的组织文化措施进行了回应。结果表明，项目之间存在差异，TIC 原则之间存在显著差异，安全性得分最高，合作得分最低。对组织实践的看法因种族而异，非白人 DSP 的反应更为积极。目前与 DSP 合作的实践与 TIC 一致，但需要通过明确的创伤知情举措来加强关注。
