Implementing Trauma-Informed Research-Supported Treatment: Fidelity, Feasibility, and Acceptability

Korchmaros, Josephine D.; Greene, Alison; Murphy, Stephanie

doi:10.1007/s10560-020-00671-7

Cited by 6 publications

(14 citation statements)

References 54 publications

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“…Six studies, referring to five different settings (58, 67, 68, 70–72), employed the ‘Sanctuary Model’ (84) as a TIC model of clinical and organisational change. One further study (67) combined the ‘Sanctuary Model’ with ‘Seeking Safety’, an integrated treatment programme for substance misuse and trauma. All studies were conducted in child and adolescent residential emotional and behavioural health settings in the USA.…”

Section: Resultsmentioning

confidence: 99%

“…Staff received The Sanctuary Model positively (67, 70) and it gave them a sense of hopefulness (71). However, it was widely acknowledged that it was resource intensive for staff to implement TIC in practice and additional training may be needed (70).…”

Section: Resultsmentioning

confidence: 99%

“…One study reported a reduction in staff compensation claims due to a reduction in harms from physical interventions (67).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A scoping review of trauma informed approaches in acute, crisis, emergency and residential mental health care

Saunders

McGuinness

Barnett

et al. 2023

Preprint

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Experiences of trauma in childhood and adulthood are highly prevalent among service users accessing acute, crisis, emergency, and residential mental health services. These settings, and restraint and seclusion practices used, can be extremely traumatic, leading to a growing awareness for the need for trauma informed care (TIC). The aim of TIC is to acknowledge the prevalence and impact of trauma and create a safe environment to prevent re-traumatisation. This scoping review maps the TIC approaches delivered in these settings and reports related service user and staff experiences and attitudes, staff wellbeing, and service use outcomes. We searched seven databases (EMBASE; PsycINFO; MEDLINE; Web of Science; Social Policy and Practice; Maternity and Infant Care Database; Cochrane Library Trials Register) between 24/02/2022-10/03/2022, used backwards and forwards citation tracking, and consulted academic and lived experience experts, identifying 4244 potentially relevant studies. Thirty-one studies were included. Most studies (n=23) were conducted in the USA and were based in acute mental health services (n=16). We identified few trials, limiting inferences that can be drawn from the findings. The Six Core Strategies (n=7) and the Sanctuary Model (n=6) were the most commonly reported approaches. Rates of restraint and seclusion reportedly decreased. Some service users reported feeling trusted and cared for, while staff reported feeling empathy for service users and having a greater understanding of trauma. Staff reported needing training to deliver TIC effectively. TIC principles should be at the core of all mental health service delivery. Implementing TIC approaches may integrate best practice into mental health care, although significant time and financial resources are required to implement organisational change at scale. Most evidence is preliminary in nature, and confined to acute and residential services, with little evidence on community crisis or emergency services. Clinical and research developments should prioritise lived experience expertise in addressing these gaps.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A scoping review of trauma informed approaches in acute, crisis, emergency and residential mental health care

Saunders

McGuinness

Barnett

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Staff received the Sanctuary Model positively [ 72 , 73 ] and it gave them a sense of hopefulness [ 75 ]. However, it was widely acknowledged that it was resource intensive for staff to implement TIC in practice and additional training may be needed [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

A scoping review of trauma informed approaches in acute, crisis, emergency, and residential mental health care

Saunders,

McGuinness,

Barnett

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

Experiences of trauma in childhood and adulthood are highly prevalent among service users accessing acute, crisis, emergency, and residential mental health services. These settings, and restraint and seclusion practices used, can be extremely traumatic, leading to a growing awareness for the need for trauma informed care (TIC). The aim of TIC is to acknowledge the prevalence and impact of trauma and create a safe environment to prevent re-traumatisation. This scoping review maps the TIC approaches delivered in these settings and reports related service user and staff experiences and attitudes, staff wellbeing, and service use outcomes.We searched seven databases (EMBASE; PsycINFO; MEDLINE; Web of Science; Social Policy and Practice; Maternity and Infant Care Database; Cochrane Library Trials Register) between 24/02/2022-10/03/2022, used backwards and forwards citation tracking, and consulted academic and lived experience experts, identifying 4244 potentially relevant studies. Thirty-one studies were included.Most studies (n = 23) were conducted in the USA and were based in acute mental health services (n = 16). We identified few trials, limiting inferences that can be drawn from the findings. The Six Core Strategies (n = 7) and the Sanctuary Model (n = 6) were the most commonly reported approaches. Rates of restraint and seclusion reportedly decreased. Some service users reported feeling trusted and cared for, while staff reported feeling empathy for service users and having a greater understanding of trauma. Staff reported needing training to deliver TIC effectively.TIC principles should be at the core of all mental health service delivery. Implementing TIC approaches may integrate best practice into mental health care, although significant time and financial resources are required to implement organisational change at scale. Most evidence is preliminary in nature, and confined to acute and residential services, with little evidence on community crisis or emergency services. Clinical and research developments should prioritise lived experience expertise in addressing these gaps.

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“…They focus not only on narrow goals related to change in specific health behaviors, but also on facilitating change across the full range of influences and harms associated with this behavior ( 42 ). Also, interventions that are explicitly trauma-informed through for example reparative, trustworthy relationships ( 43 ) are promising ways of engaging directly with how gender shapes women's health. Finally, gender-transformative interventions are strengths-based and focus on restoring and building health, rather than identifying women's shortcomings ( 44 ).…”

Section: Introductionmentioning

confidence: 99%

Treatment providers' perspectives on a gender-responsive approach in alcohol and drug treatment for women in Belgium

2022

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BackgroundGender inequity is a pervasive challenge to health equity on a global scale, and research shows the impact of sex and gender on substance use regarding for example epidemiology, treatment needs, treatment admission and treatment outcomes. The gender-transformative approach to action and health indicates that health interventions may maintain, exacerbate or reduce gender-related health inequalities, depending on the degree and quality of gender-responsiveness within the programme or policy. However, research shows a lack of gender-responsive initiatives in the alcohol and drug addiction field.AimsThe purpose of this study is to explore in depth how alcohol and drug treatment can be made more sensitive to female users' treatment needs from the perspective of service providers. Consequently, study findings can inform the development of gender-responsive treatment options and aid to a deeper understanding of how these trends are designated on the continuum of approaches to action and health in the alcohol and drug field.MethodsFour focus groups were organized across different regions in Belgium with a total of 43 participants, including service providers, policy makers and women who use(d) drugs.ResultsThe perspective of the participants on substance use prevention and treatment for female users incorporates some crucial gender-specific and gender-transformative features. Next to implementing mother-child options, a holistic approach, experts by experience and empowering women in treatment, professionals report the relevance of awareness raising campaigns targeting all levels and sectors in society. Also, recurring attention was given to the role of men in the narratives of female users.ConclusionStudy findings show that the field of alcohol and drug prevention and treatment is being looked at through the lens of gender-responsiveness. However, to achieve improvement in the lives of both women and men, and hence creating more equal chances and opportunities in substance abuse treatment, the gender-transformative approach in addiction care needs to be further explored, criticized and established in practice and future research.

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Implementing Trauma-Informed Research-Supported Treatment: Fidelity, Feasibility, and Acceptability

Cited by 6 publications

References 54 publications

A scoping review of trauma informed approaches in acute, crisis, emergency and residential mental health care

A scoping review of trauma informed approaches in acute, crisis, emergency and residential mental health care

A scoping review of trauma informed approaches in acute, crisis, emergency, and residential mental health care

Treatment providers' perspectives on a gender-responsive approach in alcohol and drug treatment for women in Belgium

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