Soc Work. 2023 Dec 23;69(1):64-72. doi: 10.1093/sw/swad045.
Social work has made significant strides in providing mental health services. However, advancement in mental health practices grounded in social work values, such as trauma-informed care and cultural humility mental health practice (CHMHP), is still lacking. One possible reason is that many strategies overlook clients' historical contexts, particularly the collective history held by the community to which the client belongs. By centering "history" in social work practices, clinical social workers can be more equipped to provide high-quality, client-centered services. This article advocates for adopting trauma-informed CHMHP as a critical strategy to elevate history in clinical social work practice and proposes that trauma-informed CHMHP can improve mental health service quality among clients of color who are profoundly disrupted by historical trauma. Specifically, this article proposes that using trauma-informed CHMHP to address historical trauma can enhance mental health treatment outcomes and experiences for African American women. Clinical social workers trained to address these interconnected issues can help reduce disparities in quality treatment access.
社会工作在提供心理健康服务方面取得了重大进展。然而,基于社会工作价值观的心理健康实践的进步,如创伤知情护理和文化谦逊的心理健康实践(CHMHP),仍然缺乏。一个可能的原因是,许多策略忽视了客户的历史背景,特别是客户所属社区所拥有的集体历史。通过将“历史”置于社会工作实践的中心,临床社会工作者可以更好地提供高质量、以客户为中心的服务。本文主张采用创伤知情的 CHMHP 作为一项关键策略,以提高临床社会工作实践中的历史地位,并提出创伤知情的 CHMHP 可以改善深受历史创伤影响的有色人种客户的心理健康服务质量。具体来说,本文提出,利用创伤知情的 CHMHP 来解决历史创伤,可以增强非裔美国女性的心理健康治疗效果和体验。接受过解决这些相互关联问题培训的临床社会工作者可以帮助减少治疗质量方面的差异。