迈向创伤知情和反应迅速的司法系统之旅:高级司法工作者的观点和经验。

IF 4.2 2区 医学 Q1 PSYCHIATRY
Nicola Cogan, Dwight Tse, Melanie Finlayson, Samantha Lawley, Jacqueline Black, Rhys Hewitson, Suzanne Aziz, Helen Hamer, Cherrie Short
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引用次数: 0

摘要

目标:与司法系统接触的创伤幸存者有再次遭受创伤的风险,因为他们高度倾向于遇到触发创伤反应的情况。虽然越来越多的研究从服务使用者的角度探讨了创伤知情实践(TIP)的经验,但很少有研究将司法系统从业人员在其服务环境中实施TIP方面的观点和经验纳入其中。方法:基于半结构化深度访谈的探索性定性研究设计。与高级司法工作人员(22人)进行了一对一的在线访谈,他们接受了理论上知情的TIP培训并负责执行。访谈录音、文字记录和分析采用归纳、反身性专题方法。结果:确定的主题为:(1)支持员工和用户的知识和福祉(培训、信任、安全、反思);(2)认可TIP的价值(反映在资源、监督、基础设施和物理环境上);(3)鼓励灵活、创造性和协作的工作方式(克服阻力)。结论:研究结果对服务使用者、提供者和组织层面都有影响。重点是克服实施TIP的障碍的重要性,方法是采用一整套系统方法,鼓励协作工作,同时支持工作人员的福利、获得持续的TIP培训、监督和资源,以建立一个安全的工作环境。在司法系统内实施以优势为基础、非病态化的TIP服务提供方法至关重要。建议进一步开展纵向工作,探索TIP有助于减少服务使用者和提供者的再创伤的机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A journey towards a trauma informed and responsive Justice system: the perspectives and experiences of senior Justice workers.

Objectives: There is a risk of re-traumatisation for survivors of trauma who engage with the Justice system, given their high propensity to encounter situations that trigger traumatic responses. While a growing body of research has explored the experience of trauma informed practice (TIP) from service user perspectives, little research has incorporated the views and experiences of practitioners working in the Justice system in terms of the implementation of TIP in their service setting.Method: An exploratory, qualitative research design based on semi-structured, in-depth interviews. One to one, online interviews were conducted with senior Justice workers (n = 22) who had undertaken theoretically informed TIP training and had responsibility for its implementation. Interviews were audio-recorded, transcribed and analysed using an inductive, reflexive thematic approach.Results: The themes identified were: (1) Supporting staff and user knowledge and well-being (training, trust, safety, reflection), (2) Recognition in the value of TIP (reflected in the resources, supervision, infrastructure and physical environment), (3) Encouraging flexible, creative and collaborative ways of working (overcoming resistance).Conclusions: The findings have implications at the service user, provider and organisational level. Emphasis is placed on the importance of overcoming barriers to implementing TIP through adopting a whole systems approach that encourages collaborative working while supporting staff well-being, access to ongoing TIP training, supervision and resources to establish a safe working environment. Implementing a strengths-based, non-pathologising approach to TIP service delivery within the Justice system is essential. Further longitudinal work to explore the mechanisms by which TIP can help reduce re-traumatisation to service users and providers is recommended.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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