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在健康传播中运用创伤知情原则:加强信仰/科学/临床合作以应对成瘾问题

Using Trauma Informed Principles in Health Communication: Improving Faith/Science/Clinical Collaboration to Address Addiction.

作者信息

Clements Andrea D, Cyphers Natalie A, Whittaker Deborah L, Hamilton Bridget, McCarty Brett

机构信息

Department of Psychology, College of Arts and Sciences, East Tennessee State University, Johnson City, TN, United States.

Uplift Appalachia, Johnson City, TN, United States.

出版信息

Front Psychol. 2021 Dec 22;12:781484. doi: 10.3389/fpsyg.2021.781484. eCollection 2021.

Abstract

Problematic substance use is a pressing global health problem, and dissemination and implementation of accurate health information regarding prevention, treatment, and recovery are vital. In many nations, especially the US, many people are involved in religious groups or faith communities, and this offers a potential route to positively affect health through health information dissemination in communities that may have limited health resources. Health information related to addiction will be used as the backdrop issue for this discussion, but many health arenas could be substituted. This article evaluates the utility of commonly used health communication theories for communicating health information about addiction in religious settings and identifies their shortcomings. A lack of trusting, equally contributing, bidirectional collaboration among representatives of the clinical/scientific community and religious/faith communities in the development and dissemination of health information is identified as a potential impediment to effectiveness. The Substance Abuse and Mental Health Services Administration's (SAMHSA) tenets of trauma-informed practice, although developed for one-on-one use with those who have experienced trauma or adversity, are presented as a much more broadly applicable framework to improve communication between groups such as organizations or communities. As an example, we focus on health communication within, with, and through religious groups and particularly within churches.

摘要

问题性物质使用是一个紧迫的全球健康问题,传播和实施有关预防、治疗及康复的准确健康信息至关重要。在许多国家,尤其是美国,很多人参与宗教团体或信仰社区,这为在健康资源可能有限的社区通过传播健康信息来积极影响健康提供了一条潜在途径。与成瘾相关的健康信息将作为此次讨论的背景问题,但许多健康领域也可作替换。本文评估了常用健康传播理论在宗教环境中传播成瘾健康信息的效用,并指出其不足之处。临床/科学界与宗教/信仰社区代表在健康信息开发与传播过程中缺乏相互信任、平等参与的双向合作,这被视为影响成效的一个潜在障碍。物质滥用和精神健康服务管理局(SAMHSA)的创伤知情实践原则,虽专为与经历过创伤或逆境者进行一对一交流而制定,但本文将其作为一个更具广泛适用性的框架呈现,以改善组织或社区等群体之间的沟通。例如,我们重点关注宗教团体内部、与宗教团体之间以及通过宗教团体进行的健康传播,特别是在教会内部。

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