Bartholow Lydia Anne M, Huffman Russell T
Lydia Anne M. Bartholow, DNP, PMHNP, CARN-AP, University of Californis San Francisco, San Franciso, CA, USA.
Russell T. Huffman, DNP, PMHNP, Tualatin, OR, USA.
J Am Psychiatr Nurses Assoc. 2023 Nov-Dec;29(6):470-476. doi: 10.1177/10783903211036496. Epub 2021 Aug 1.
To raise awareness and understanding about the role of trauma in the development of substance use and to define and clarify the need for trauma-informed care within the treatment of patients with substance use disorders (SUDs).
This article reviews the up-to-date literature on how and why traumatic life experiences promote a neurobiological vulnerability to development of SUDs and combines this with a discussion of the principles of trauma-informed care for SUDs, as well as a review of the role of stigma and structural violence as foundational concepts in the implementation of trauma-informed care for people with SUDs.
Shifting to a trauma-informed care paradigm in treating SUDs more effectively serves patients by improving patient experiences and accounting for a chronic disease model, wherein multiple episodes of SUD care are often necessary.
This article reviews the ways in which nurses and other service providers can increase SUD patient retention and decrease recurrence by understanding the role of trauma in the development of SUDs, exploring the role of stigma, and identifying and interrupting structural violence as it relates to SUDs. This article also offers actionable steps that all nurses can take now as well as areas for further inquiry into trauma-informed care substance use services.
提高对创伤在物质使用发展中作用的认识和理解，并界定和阐明物质使用障碍（SUDs）患者治疗中对创伤知情护理的需求。
本文回顾了关于创伤性生活经历如何以及为何会导致对SUDs发展产生神经生物学易感性的最新文献，并将其与对SUDs创伤知情护理原则的讨论相结合，同时回顾了耻辱感和结构性暴力在为SUDs患者实施创伤知情护理中的基础概念作用。
在治疗SUDs时转向创伤知情护理模式，通过改善患者体验并采用慢性病模式（其中通常需要多次进行SUD护理），能更有效地为患者服务。
本文回顾了护士和其他服务提供者可以通过以下方式提高SUD患者留存率并减少复发的方法：理解创伤在SUDs发展中的作用、探究耻辱感的作用以及识别和消除与SUDs相关的结构性暴力。本文还提供了所有护士现在可以采取的可行步骤以及对创伤知情护理物质使用服务进一步探究的领域。
