Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation
ObjectiveThis paper describes the implementation of training in trauma-informed care (TIC) across a mental health rehabilitation service.MethodA mixed-methods approach was applied incorporating baseline measures of staff attitudes toward TIC, quantitative description of staff training participation,...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-01-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.810814/full |
| _version_ | 1818978331682406400 |
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| author | Laura Nation Nicola Spence Stephen Parker Stephen Parker Maddison Paige Wheeler Kate Powe Mei Siew Tamara Nevin Michelle McKay Michelle White Frances Louise Dark |
| author_facet | Laura Nation Nicola Spence Stephen Parker Stephen Parker Maddison Paige Wheeler Kate Powe Mei Siew Tamara Nevin Michelle McKay Michelle White Frances Louise Dark |
| author_sort | Laura Nation |
| collection | DOAJ |
| description | ObjectiveThis paper describes the implementation of training in trauma-informed care (TIC) across a mental health rehabilitation service.MethodA mixed-methods approach was applied incorporating baseline measures of staff attitudes toward TIC, quantitative description of staff training participation, and semi-structured interviews of Team Leaders' views on the implementation of TIC.ResultsFifty-five of 123 staff responded to the Organizational Change Readiness Assessment (OCRA) survey (44.7%). Training completion varied considerably between the eight rehabilitation teams (4.8–78%). Analysis of the Team Leader interviews identified four broad themes: The need to respect the person's life journey including the risk of re-traumatization; the importance of considering the context of implementing TIC training; TIC being an essential part of mental health care; and staff may also have trauma histories.ConclusionsStaff working in mental health rehabilitation are supportive of the need for TIC. The variable training uptake did not reflect the staff comments about the importance of TIC. The burden of adjusting mental health care delivery to COVID-19 restrictions was reported as a major influence on the uptake of training. Systematically implementing training in TIC is required but needs to be complemented by a structured organizational approach to aid embedding this approach into daily mental healthcare delivery. |
| first_indexed | 2024-12-20T16:41:57Z |
| format | Article |
| id | doaj.art-db78cfdec2b0419a9cf8fb358b78b3e2 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-20T16:41:57Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-db78cfdec2b0419a9cf8fb358b78b3e22022-12-21T19:33:01ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-01-011210.3389/fpsyt.2021.810814810814Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods EvaluationLaura Nation0Nicola Spence1Stephen Parker2Stephen Parker3Maddison Paige Wheeler4Kate Powe5Mei Siew6Tamara Nevin7Michelle McKay8Michelle White9Frances Louise Dark10Metro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaFaculty of Medicine, The University of Queensland, Herston, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaMetro South Addiction and Mental Health Services, Brisbane, QLD, AustraliaObjectiveThis paper describes the implementation of training in trauma-informed care (TIC) across a mental health rehabilitation service.MethodA mixed-methods approach was applied incorporating baseline measures of staff attitudes toward TIC, quantitative description of staff training participation, and semi-structured interviews of Team Leaders' views on the implementation of TIC.ResultsFifty-five of 123 staff responded to the Organizational Change Readiness Assessment (OCRA) survey (44.7%). Training completion varied considerably between the eight rehabilitation teams (4.8–78%). Analysis of the Team Leader interviews identified four broad themes: The need to respect the person's life journey including the risk of re-traumatization; the importance of considering the context of implementing TIC training; TIC being an essential part of mental health care; and staff may also have trauma histories.ConclusionsStaff working in mental health rehabilitation are supportive of the need for TIC. The variable training uptake did not reflect the staff comments about the importance of TIC. The burden of adjusting mental health care delivery to COVID-19 restrictions was reported as a major influence on the uptake of training. Systematically implementing training in TIC is required but needs to be complemented by a structured organizational approach to aid embedding this approach into daily mental healthcare delivery.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.810814/fulltrauma-informed caretrainingrecovery orientated mental health rehabilitationimplementationcompetency framework |
| spellingShingle | Laura Nation Nicola Spence Stephen Parker Stephen Parker Maddison Paige Wheeler Kate Powe Mei Siew Tamara Nevin Michelle McKay Michelle White Frances Louise Dark Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation Frontiers in Psychiatry trauma-informed care training recovery orientated mental health rehabilitation implementation competency framework |
| title | Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation |
| title_full | Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation |
| title_fullStr | Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation |
| title_full_unstemmed | Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation |
| title_short | Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation |
| title_sort | implementing introductory training in trauma informed care into mental health rehabilitation services a mixed methods evaluation |
| topic | trauma-informed care training recovery orientated mental health rehabilitation implementation competency framework |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.810814/full |
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