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推动采取“全员参与、全面覆盖、全程关爱”的学校-社区-儿童综合模式,为受创伤儿童提供支持。

Moving Policy Toward a Whole School, Whole Community, Whole Child Approach to Support Children Who Have Experienced Trauma.

机构信息

Child Trends, 7315 Wisconsin Avenue, Ste 1200W, Bethesda, MD, 20814.

Child Trends, 460 Totten Pond Road, Suite 260, Waltham, MA, 02451.

出版信息

J Sch Health. 2020 Dec;90(12):940-947. doi: 10.1111/josh.12957.

Abstract

BACKGROUND

As attention to the potential negative outcomes of childhood trauma has grown, so have calls for schools to take an active role in supporting students experiencing trauma. These calls extend beyond efforts initiated by individual schools to include those mandated by state law, which largely focus on teacher training and on screening for adversity.

METHODS

This article explores the evidence base and limitations for current approaches in state law and explores how policies to address other student health, safety, and wellness issues can help either ameliorate or exacerbate students' experiences with trauma.

RESULTS

Few trainings for nonclinical staff have rigorous evidence of effectiveness, and based on evidence of teacher trainings on other topics, cannot work in environments that do not actively reinforce and encourage the application of that knowledge. Trainings also largely do not acknowledge the structures and systems, including systemic racism within schools, that may contribute to disparate rates of adversity for black and American Indian and Alaskan Native children. Screening carries several risks, including confounding adversity with experiencing trauma, missing broader contextual adversity, and potentially retraumatizing children.

CONCLUSIONS

State policymakers need to take a more holistic approach in creating policies to support students experiencing trauma.

摘要

背景

随着对儿童创伤潜在负面影响的关注度不断提高,呼吁学校积极承担支持经历创伤的学生的责任。这些呼吁不仅包括个别学校发起的努力,还包括州法律规定的努力,这些努力主要集中在教师培训和逆境筛查上。

方法

本文探讨了州法律中当前方法的证据基础和局限性,并探讨了解决其他学生健康、安全和健康问题的政策如何有助于减轻或加剧学生的创伤经历。

结果

很少有针对非临床人员的培训具有严格的有效性证据,并且根据其他主题的教师培训的证据,在不积极加强和鼓励应用该知识的环境中,这些培训无法发挥作用。培训也在很大程度上没有认识到可能导致黑人、美国印第安人和阿拉斯加原住民儿童遭受不同程度逆境的结构和系统,包括学校内部的系统性种族主义。筛查存在若干风险,包括将逆境与经历创伤混淆、错过更广泛的背景逆境以及潜在地使儿童再次受到创伤。

结论

州政策制定者需要在制定支持经历创伤的学生的政策方面采取更全面的方法。

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