Torkington Chloe, Anderson Amanda, Millar Chris
Mersey Care NHS Foundation Trust, Liverpool, UK.
BMC Health Serv Res. 2025 Jul 2;25(1):881. doi: 10.1186/s12913-025-13036-6.
Trauma-informed care (TIC) is a critical approach for addressing the mental health needs of individuals exposed to various forms of trauma, including racial discrimination. Community mental health services are uniquely positioned to support both service users and staff in navigating the psychological impact of societal and interpersonal events. However, there is limited research on how these services can effectively address racial trauma, foster culturally responsive care, and support staff wellbeing within trauma-informed frameworks. This study examines the experiences of staff at a community psychological intervention service in the UK in supporting service users during the 2024 UK far-right riots. It investigates the challenges faced and lessons learned for enhancing care-delivery.
A mixed-methods design was employed, using an online survey completed by 31 staff members, including Clinical Psychologists, Psychological Practitioners, Psychotherapists, Trainee Psychologists and Assistant Psychologists. The survey consisted of Likert-scale, multiple-choice, and open-ended questions to gather quantitative and qualitative data. Descriptive statistics and thematic analysis were used to analyse the responses.
Findings indicated that most staff engaged in race-related discussions but often relied on service users to initiate them. Key barriers included discomfort, lack of training, and uncertainty about appropriate responses. Organisational and peer support mechanisms, such as supervision and reflective practice, were valuable but constrained by time pressures. Participants highlighted the need for ongoing training and clearer protocols.
The study emphasises the importance of proactive race-related discussions, culturally responsive care, and structured organisational support within trauma-informed practices. Recommendations for practice, policy, and research are proposed to strengthen long-term efforts in addressing racial trauma and supporting staff in community mental health settings.
The online version contains supplementary material available at 10.1186/s12913-025-13036-6.
创伤知情护理（TIC）是一种关键方法，用于满足遭受各种形式创伤（包括种族歧视）的个人的心理健康需求。社区心理健康服务在支持服务使用者和工作人员应对社会和人际事件的心理影响方面具有独特优势。然而，关于这些服务如何在创伤知情框架内有效应对种族创伤、促进文化响应性护理以及支持工作人员福祉的研究有限。本研究考察了英国一家社区心理干预服务机构的工作人员在2024年英国极右翼骚乱期间支持服务使用者的经历。它调查了在提供护理过程中面临的挑战以及吸取的经验教训。
采用混合方法设计，通过31名工作人员完成的在线调查进行研究，这些工作人员包括临床心理学家、心理治疗师、实习心理学家和助理心理学家。该调查包括李克特量表、多项选择题和开放式问题，以收集定量和定性数据。使用描述性统计和主题分析来分析回复。
研究结果表明，大多数工作人员参与了与种族相关的讨论，但通常依赖服务使用者发起这些讨论。关键障碍包括不适感、缺乏培训以及对适当回应的不确定性。组织和同伴支持机制，如监督和反思性实践，很有价值，但受到时间压力的限制。参与者强调需要持续培训和更明确的协议。
该研究强调了在创伤知情实践中进行积极的种族相关讨论、文化响应性护理以及结构化组织支持的重要性。针对实践、政策和研究提出了建议，以加强应对种族创伤和支持社区心理健康环境中工作人员的长期努力。
在线版本包含可在10.1186/s12913-025-13036-6获取的补充材料。
