School of Psychology, Queen's University Belfast, Belfast, Northern Ireland.
STEP Team, Northern Health and Social Care Trust, Antrim, Northern Ireland.
Early Interv Psychiatry. 2021 Oct;15(5):1369-1375. doi: 10.1111/eip.13068. Epub 2020 Nov 9.
The current study sought to conceptualize and reach consensus on the principles of trauma-informed care in early intervention psychosis services.
A three-phase Delphi method was employed in this study. Experts included researchers, service providers and Experts by Experience in the area of early intervention in psychosis. In the initial qualitative phase, an expert panel (n = 57) shared their views on the constituents of trauma-informed care in early intervention psychosis services. Thematic analysis led to the generation of statement items. The expert panel was asked to rate the extent to which each statement item was an essential principle of trauma-informed care, leading to consensus of endorsed principles.
Qualitative analysis of the first phase data led to the identification of 185 distinct statements which were compiled into an online questionnaire for the panel to rate in Phase 2. The Phase 2 questionnaire was completed by 42 experts, with the endorsement of seven principles. In Phase 3, the panel were invited to re-rate 24 statements. This phase was completed by 39 panel members, with the acceptance of a further nine principles. Consensus was achieved resulting in the endorsement of 16 essential principles of trauma-informed care.
The study offers novel understanding of the conceptualisation of trauma-informed care in early intervention services and suggests principles which are widely agreed by experts in the field. The recommendations may inform the adoption of consistently delivered trauma-informed care in early interventions in psychosis and facilitate the evaluation and development of services.
本研究旨在对早期干预精神病服务中的创伤知情护理原则进行概念化并达成共识。
本研究采用了三阶段德尔菲法。专家包括研究人员、服务提供者和精神病早期干预领域的“经验专家”。在初始的定性阶段，一个专家小组（n=57）分享了他们对早期干预精神病服务中创伤知情护理构成要素的看法。主题分析导致生成了陈述项。专家小组被要求对每个陈述项是创伤知情护理的基本原则的程度进行评分，从而达成了已认可原则的共识。
第一阶段数据的定性分析导致确定了 185 个不同的陈述，这些陈述被汇编成在线问卷供小组在第二阶段进行评分。第二阶段的问卷由 42 名专家完成，有 7 项原则得到认可。在第三阶段，小组被邀请重新评估 24 项陈述。这一阶段有 39 名小组成员完成，又接受了 9 项原则。达成了共识，认可了 16 项创伤知情护理的基本原则。
该研究对早期干预服务中创伤知情护理的概念化提供了新的认识，并提出了该领域专家广泛认可的原则。这些建议可以为在精神病早期干预中采用一致提供的创伤知情护理提供信息，并有助于服务的评估和发展。
