Harper Gary W, Neubauer Leah C
University of Michigan School of Public Health, Ann Arbor, MI, USA.
Northwestern University, Chicago, IL, USA.
Pedagogy Health Promot. 2021 Mar;7(1):14-24. doi: 10.1177/2373379920965596. Epub 2020 Oct 14.
Coronavirus disease 2019 (COVID-19) realities have demanded that educators move swiftly to adopt new ways of teaching, advising, and mentoring. We suggest the centering of a trauma-informed approach to education and academic administration during the COVID-19 pandemic using the Substance Abuse and Mental Health Services Administration's (SAMHSA) guidance on trauma-informed approaches to care. In our model for trauma-informed education and administration (M-TIEA), SAMHSA's four key organizational assumptions are foundational, including a realization about trauma and its wide-ranging effects; a recognition of the basic signs and symptoms of trauma; a response that involves fully integrating knowledge into programs, policies, and practices; and an active process for resisting retraumatization. Since educators during the pandemic must follow new restrictions regarding how they teach, we have expanded the practice of teaching in M-TIEA to include both academic administrators' decision making about teaching, and educators' planning and implementation of teaching. In M-TIEA, SAMHSA's six guiding principles for a trauma-informed approach are infused into these two interrelated teaching processes, and include the following: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice, and choice; and cultural, historical, and gender issues. M-TIEA's organizational assumptions, processes, and principles are situated within an outer context that acknowledges the potential influences of four types of intersectional traumas and stressors that may occur at multiple socioecological levels: pandemic-related trauma and stressors; other forms of individual, group, community, or mass trauma and stressors; historical trauma; and current general life stressors. This acknowledges that all trauma-informed work is dynamic and may be influenced by contextual factors.
2019年冠状病毒病(COVID-19)的实际情况要求教育工作者迅速采取新的教学、指导和辅导方式。我们建议在COVID-19大流行期间,以物质滥用和精神健康服务管理局(SAMHSA)关于创伤知情护理方法的指导为基础,将创伤知情的教育和学术管理方法作为核心。在我们的创伤知情教育与管理模型(M-TIEA)中,SAMHSA的四个关键组织假设是基础,包括对创伤及其广泛影响的认识;对创伤基本体征和症状的识别;将知识充分融入项目、政策和实践中的应对措施;以及抵制再次创伤的积极过程。由于大流行期间的教育工作者必须遵循关于教学方式的新限制,我们在M-TIEA中扩展了教学实践,将学术管理人员关于教学的决策以及教育工作者的教学计划和实施都包括在内。在M-TIEA中,SAMHSA创伤知情方法的六项指导原则融入了这两个相互关联的教学过程,包括以下内容:安全;可信赖性和透明度;同伴支持;协作与相互性;赋权、发言权和选择权;以及文化、历史和性别问题。M-TIEA的组织假设、过程和原则处于一个外部环境中,该环境承认可能在多个社会生态层面发生的四种交叉创伤和应激源的潜在影响:与大流行相关的创伤和应激源;其他形式的个人、群体、社区或大规模创伤和应激源;历史创伤;以及当前的一般生活应激源。这承认所有创伤知情工作都是动态的,可能会受到背景因素的影响。