作者: Steven M. Brown , Courtney N. Baker , Patricia Wilcox
DOI: 10.1037/A0025269
关键词: Psychological intervention 、 Nursing 、 Intervention (counseling) 、 Mental health 、 Human services 、 Culture change 、 Agency (sociology) 、 Curriculum 、 Psychology 、 Population
摘要: Despite the high prevalence of traumatic experiences and attachment disruptions among clients in child congregate care treatment settings, until recently there has been little formal training on trauma for staff serving this population. Staff is one important intervention agencies aiming to implement trauma-informed (TIC), a term describing an international trend mental health whereby approaches cultures recognize pervasive impact aim ameliorate, rather than exacerbate, effects trauma. The current study examines curriculum-based Risking Connection (RC) knowledge, beliefs, behaviors 261 trainees 12 trainee groups at five agencies. RC several models used nationally internationally as pathway toward TIC culture change human service organizations including residential treatment. For subset agencies, measures were collected four different time points. Results showed increase knowledge about core concepts consistently across groups, beliefs favorable over time, self-reported behavior milieu. In addition, these findings suggest that train-the-trainer (TTT) model dissemination central effective increasing TIC. Differences posttraining changes between three are qualitatively investigated discussed examples importance organization-level factors successful implementation agency-wide interventions like RC. Implications implementing agency discussed.