Strömpl Judit, Sindi Ingrid, Lust Merle
Institute of Social Studies, University of Tartu, Tartu, Lossi 36, Tartu 51003 Estonia.
School of Law, Governance and Society, Tallinn University, Tallinn, Narva mnt 25, Tallinn 10120 Estonia.
J Child Adolesc Trauma. 2024 Mar 20;17(3):867-875. doi: 10.1007/s40653-024-00620-x. eCollection 2024 Sep.
Trauma-informed care (TIC) is a relatively new topic in the Estonian child protection system, but it has become the particular focus of substitute care. The Estonian child protection system focuses on protecting children from maltreatment, and neglects the adult carers' right to adequate information about the child's trauma experience. This makes trauma-informed care vague. This article is based on focus groups conducted for a wider study that aims to develop the basis for a TIC training course for foster parents and staff members working as direct caregivers in residential substitute care. The foster parents and staff members participated in four focus groups, with special attention on their experiences with TIC. The participants eagerly shared their experiences, and thematic narrative analysis was used during the data analysis. The central theme of the participants' stories was the need for information about the child's traumatic past. The findings indicate that a complex interplay exists between the needs of children entering substitute care and the capacity of the foster parents and residential care staff to meet those needs. It is complicated for a child to heal from trauma if the child's past is hidden from their carers. This could result in re-traumatisation and hinder the child from making sense of past trauma. Estonia's child protection system needs greater awareness of the impact of trauma on the child's behaviour and how to help the child heal. This is directly connected to the need for clear and precise information, which is one of the basic rights of the child.
创伤知情护理（TIC）在爱沙尼亚儿童保护系统中是一个相对较新的话题，但它已成为替代照料的特别关注点。爱沙尼亚儿童保护系统侧重于保护儿童免受虐待，却忽视了成年照料者获取有关儿童创伤经历的充分信息的权利。这使得创伤知情护理变得模糊不清。本文基于为一项更广泛的研究而开展的焦点小组讨论，该研究旨在为寄养父母和在寄宿替代照料机构中担任直接照料者的工作人员开发创伤知情护理培训课程的基础。寄养父母和工作人员参加了四个焦点小组，特别关注他们在创伤知情护理方面的经历。参与者热切地分享了他们的经历，数据分析过程中采用了主题叙事分析方法。参与者故事的中心主题是需要了解儿童创伤性的过去。研究结果表明，进入替代照料机构的儿童的需求与寄养父母和寄宿照料工作人员满足这些需求的能力之间存在复杂的相互作用。如果儿童的过去对其照料者隐瞒，那么儿童从创伤中康复会很困难。这可能导致再次创伤，并阻碍儿童理解过去的创伤。爱沙尼亚的儿童保护系统需要更清楚地认识到创伤对儿童行为的影响以及如何帮助儿童康复。这与获取清晰准确信息的需求直接相关，而这是儿童的基本权利之一。
