Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Mental Health Services, Mid North Coast Local Health District, Port Macquarie, New South Wales, Australia.
Int J Ment Health Nurs. 2021 Feb;30(1):72-82. doi: 10.1111/inm.12811. Epub 2020 Nov 9.
Trauma Informed Care is an approach to the delivery of mental health care that requires sensitivity to the prevalence and effects of trauma in the lives of people accessing services. While TIC is increasingly emphasized in mental health policy and frameworks in Australia, people working in mental health settings have reportedly struggled to translate the values and principles into their everyday practice. This qualitative study used an experience-based co-design methodology to explore the potential for implementation of Trauma Informed Care into mental health services in Australia. The experiences of consumers, carers, clinicians, and managers were gathered. This paper presents the perspectives of clinicians (n = 64) and senior managers (n = 9) from across three Local Health Districts in New South Wales in Australia. All data were analysed thematically to address the research question: What is needed for Trauma Informed Mental Health Services in Australia? To be trauma-informed, managers required: leadership at all levels, access to resource, relevant and accessible training, support for staff, resolution of wider systems issues, and clarification of the concept and actions of TIC. Clinicians identified that to be trauma-informed they required services to: be aware of staff well-being, support different ways of working, address workplace cultures and provide increased resources. The findings have implications for any service, team or individual seeking to implement TIC within mental health settings.
创伤知情关怀是一种提供心理健康护理的方法，需要对服务使用者生活中创伤的普遍性和影响保持敏感。虽然 TIC 在澳大利亚的心理健康政策和框架中越来越受到重视，但据报道，在心理健康环境中工作的人难以将价值观和原则转化为日常实践。这项定性研究使用基于经验的共同设计方法来探索在澳大利亚将创伤知情关怀纳入心理健康服务的实施潜力。收集了消费者、照顾者、临床医生和管理人员的经验。本文介绍了来自澳大利亚新南威尔士州三个地方卫生区的 64 名临床医生和 9 名高级管理人员的观点。所有数据均进行了主题分析，以解决研究问题：澳大利亚创伤知情心理健康服务需要什么？为了具有创伤意识，管理人员需要：各级领导、获取资源、相关和可访问的培训、对员工的支持、解决更广泛的系统问题，以及澄清 TIC 的概念和行动。临床医生认为，要具有创伤意识，他们需要服务：了解员工的福祉、支持不同的工作方式、解决工作场所文化问题并提供更多资源。这些发现对任何寻求在心理健康环境中实施 TIC 的服务、团队或个人都具有影响。
