Advancing Trauma-Informed Care System-Change in Disability Organizations: A National Learning Collaborative

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES
John M. Keesler, Jade Presnell, Steven Brown
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Abstract

Organizations supporting people with intellectual and developmental disabilities (IDD) are increasingly becoming aware of the impact of trauma, yet have often fallen short in their efforts to respond through trauma-informed care (TIC). This study describes and evaluates the first-of-its-kind learning collaborative (LC) to advance system-wide TIC among four IDD organizations, occurring during the COVID-19 pandemic. A multi-method approach, including a pre- and post-survey for staff, process notes, and a liaison survey, was used to monitor and assess organizational change and experience with the LC. Quantitative analyses demonstrated mixed results associated with staff-level change. The process notes revealed the complexity of organizational change and a positive learning experience that was further supported by the liaison survey. Limitations, implications, and future directions are discussed.

Abstract Image

推进创伤知情护理系统的变化在残疾组织:一个国家学习协作
支持智力和发育障碍(IDD)患者的组织越来越意识到创伤的影响,但他们在通过创伤知情护理(TIC)做出回应方面的努力往往不足。本研究描述并评估了在COVID-19大流行期间发生的四个IDD组织之间的首个此类学习协作(LC),以推进全系统TIC。采用了多种方法,包括对工作人员进行前后调查、过程说明和联络调查,以监测和评估组织变革和LC的经验。定量分析表明,与员工级别变化相关的结果好坏参半。进程说明揭示了组织变革的复杂性和积极的学习经验,联络调查进一步支持了这一点。讨论了局限性、影响和未来的发展方向。
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来源期刊
CiteScore
4.10
自引率
5.90%
发文量
38
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