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我们如何实现创伤知情实践?接受过儿童创伤核心课程培训的从业者对所学内容的留存与应用。

How do we get to trauma-informed practice? Retention and application of learning by practitioners trained using the core curriculum on childhood trauma.

作者信息

Dublin Sonya, Abramovitz Robert, Katz Laura, Layne Christopher M

机构信息

National Child Trauma Workforce Institute (NCTWI), Hunter College, City University of New York.

National Center for Child Traumatic Stress, University of California, Los Angeles.

出版信息

Psychol Trauma. 2021 Feb;13(2):258-262. doi: 10.1037/tra0000982. Epub 2020 Oct 26.

Abstract

Most mental health practitioners receive minimal trauma training in their degree curriculum and rely on supplemental training to build additional skills. Since 2016, the Core Curriculum on Childhood Trauma (CCCT) has been used for brief in-service training of more than 2,000 mental health practitioners. Prior evaluation showed statistically significant learning outcomes posttraining, yet little was known about retention of learning or impact on clinical practice. We collected 100 mixed-method follow-up surveys from participants completing CCCT training between October 2016 and August 2019. Statistically significant increases were seen between pretraining and follow-up self-report (6-24 months later) for four child trauma skills (effect sizes: 0.90-1.07). Qualitative data identified four key impacts on clinical practice: increased empathy, understanding of trauma complexity, systematic approach to case conceptualization, and catalyzing further trauma learning. Positive learning outcomes 6-24 months posttraining suggest that the CCCT is an effective tool for in-service training and that retained learning can translate into improved trauma-informed clinical practice. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

大多数心理健康从业者在其学位课程中接受的创伤培训极少,他们依靠补充培训来培养更多技能。自2016年以来,《儿童创伤核心课程》(CCCT)已用于对2000多名心理健康从业者进行简短的在职培训。先前的评估显示培训后有统计学上显著的学习成果,但对于学习的留存情况或对临床实践的影响却知之甚少。我们收集了100份混合方法的随访调查问卷,这些问卷来自于在2016年10月至2019年8月期间完成CCCT培训的参与者。在四项儿童创伤技能的培训前和随访自我报告(6 - 24个月后)之间观察到统计学上显著的增长(效应量:0.90 - 1.07)。定性数据确定了对临床实践的四个关键影响:同理心增强、对创伤复杂性的理解、病例概念化的系统方法以及促进进一步的创伤学习。培训后6 - 24个月的积极学习成果表明,CCCT是在职培训的有效工具,留存的学习可以转化为改进的创伤知情临床实践。(PsycInfo数据库记录(c)2021美国心理学会,保留所有权利)

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