Levenson Jill S, Craig Shelley L, Austin Ashley
School of Social Work.
Factor-Inwentash Faculty of Social Work.
Psychol Serv. 2023;20(Suppl 1):134-144. doi: 10.1037/ser0000540. Epub 2021 Apr 15.
People with diverse sexual orientations, gender identities, and gender expression are at greater risk for trauma, discrimination, and victimization than heterosexual and cisgender populations. Trauma-informed care (TIC) provides a framework for providing lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ +) mental health services. Substance Abuse and Mental Health Services Administration (SAMHSA)'s principles of TIC guide practitioners to create safety, trust, transparency, collaboration, and empowerment in helping relationships, and to ensure that services have cultural and gender relevance. This article first explores the role of trauma in contributing to behavioral health concerns presented by LGBTQ + clients. The application of TIC to mental health counseling and social services for LGBTQ + clients will then be described, with specific suggestions for translating TIC principles into affirmative practice. Through the lens of trauma, clinicians can improve clinical case conceptualization and effective treatment strategies for LGBTQ + clients. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
与异性恋和顺性别者群体相比，具有不同性取向、性别认同和性别表达的人遭受创伤、歧视和侵害的风险更高。创伤知情护理（TIC）为提供女同性恋、男同性恋、双性恋、跨性别、酷儿/疑问（LGBTQ+）心理健康服务提供了一个框架。物质滥用和心理健康服务管理局（SAMHSA）的TIC原则指导从业者在帮助关系中营造安全、信任、透明、协作和赋权的氛围，并确保服务具有文化和性别相关性。本文首先探讨创伤在导致LGBTQ+客户出现行为健康问题方面所起的作用。然后将描述TIC在为LGBTQ+客户提供心理健康咨询和社会服务中的应用，并给出将TIC原则转化为肯定性实践的具体建议。通过创伤这一视角，临床医生可以改进对LGBTQ+客户的临床病例概念化和有效的治疗策略。（PsycInfo数据库记录（c）2023美国心理学会，保留所有权利）
