实践中的创伤信息原则:与经历过多次不利的人共同生产系统变化的混合方法研究
Tracey Stone1,2, Emily Eyles1,2, Thomas Traub3
1The National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
概括
经历过多重劣势的人可以通过联合制作来个人和专业成长. 然而,将创伤信息共产融入服务中面临着系统性挑战.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 社区心理学 社区心理学
背景情况:
- 医疗保健和社会护理服务越来越重视生活经验参与设计和交付.
- 参与职业环境对具有多种不利条件 (无家可归,精神疾病,成,刑事司法参与,家庭暴力/虐待) 的个人来说可能是具有挑战性的,他们面临重新创伤的风险.
- 安全有效的参与对于个人和专业发展至关重要,促进有意义的变化.
研究的目的:
- 分析独立期货 (IF) 是一个为有多重劣势生活经验的人的组织,如何在服务和系统中实现共同生产.
- 了解有实践经验的个人如何在联合制作中得到最佳支持.
- 检查联合制作参与对具有实践经验的个人的影响.
主要方法:
- 与16名IF成员和3名IF工作人员进行了半结构化采访.
- 两波的员工调查 (147个回复) 评估了在变化未来的合作伙伴组织中嵌入联合制作的能力.
- 分析内部文档以说明IF的联合制作工作多样性.
主要成果:
- 创伤知情原则促进了IF成员的个人成长,信心和工作技能,为65个工作流做出了贡献.
- 将联合制作嵌入到更广泛的服务和系统中是具有挑战性的.
- 工作人员调查发现了包括资源,时间和等级文化在内的障碍.
结论:
- 生活经验组织可以有效地模拟创伤知情实践和影响系统.
- 创伤信息原则的可持续嵌入需要灵活性,开放性和普遍承诺,避免符号主义.
- 信任被摧毁,努力被任何证据的代币主义在联合制作努力的破坏.
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