通过创伤知情的解决方案建立社区恢复力:从北卡罗来纳州农村社会加速器中学到的经验教训。

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES
Community Mental Health Journal Pub Date : 2025-07-01 Epub Date: 2025-02-13 DOI:10.1007/s10597-024-01435-8
Alison M Elliott, Bethany Jana, Thi Vu, Macie Rush, Aaliyah Belk, Dane Emmerling, Vichi Jagannathan, Seth Saeugling, Abigail Hatcher
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引用次数: 0

摘要

不良的童年经历和代际创伤与各种负面的健康结果有关,在有色人种和农村社区居民中尤为普遍。社会加速器模型提供了一种帮助组织扩大其倡议和增加其影响的新方法。本研究调查了在农村环境中采用社会加速模式解决社区创伤和建立复原力的经验教训。我们对项目工作人员和“韧性领袖倡议”的首批参与者进行了定性访谈。“韧性领袖倡议”是一个为北卡罗来纳州埃奇科姆县的公共机构设计的创伤信息社会加速器。参与的社区组织包括当地的一所高中、教堂和法院。深度访谈(n = 23)探讨了该项目的优势、挑战和预期结果,并进行了主题分析。该项目深厚的社区联系在学员之间建立了牢固的关系,并为参与者创造了一个解决创伤的安全空间。受访者认为虚拟程序的灵活结构是一个关键优势,但也报告了在角色、结果和程序语言方面的困惑。参与者和工作人员对建立社区复原力的共同热情是整个项目的关键动力。研究结果表明,灵活的环境、牢固的人际关系和深厚的社区根基对于通过社会加速器模型促进社区组织之间建立创伤知情解决方案至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Building Community Resilience Through Trauma-Informed Solutions: Lessons Learned from a Social Accelerator in Rural North Carolina.

Adverse childhood experiences and intergenerational trauma are associated with a variety of negative health outcomes and are particularly prevalent among people of color and those living in rural communities. The social accelerator model offers a novel means of assisting organizations in scaling up their initiatives and increasing their impact. This study investigates the lessons learned from adapting the social accelerator model to address community-level trauma and build resilience in a rural setting. We conducted qualitative interviews with program staff and the initial cohort of participants of the Resilient Leaders Initiative: a trauma-informed social accelerator designed for public institutions in Edgecombe County, North Carolina. Participating community organizations included a local high school, church, and courthouse. In-depth interviews (n = 23) explored strengths, challenges, and perceived outcomes of the program and were thematically analyzed. The program's deep community ties generated strong relationships among the cohort and created a safe space for participants to address trauma. Those interviewed identified the virtual program's flexible structure as a key strength, but also reported experiencing confusion around roles, outcomes, and program language. A shared passion for building community resilience among participants and staff served as a key motivator throughout the program. Findings indicate that a flexible environment, strong interpersonal relationships, and deep community roots are essential to facilitating the creation of trauma-informed solutions among community organizations via the social accelerator model.

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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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