退伍军人治疗法庭专业人员的创伤知情培训:项目发展和初步反馈。

Alisha Desai, Ryan Holliday, Matthew Stimmel, Lauren M Borges
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引用次数: 0

摘要

背景:参与司法的退伍军人比参与司法的非退伍军人和没有犯罪史的退伍军人表现出更大的心理健康和社会心理需求。对于犯罪风险被认为与精神健康症状有关的退伍军人,退伍军人治疗法庭(VTCs)是一种替代监禁的办法。尽管成功完成职训课程后,在功能和再犯风险方面有明显改善,但阻碍他们参加职训课程的因素却鲜为人知。本文描述了一个创伤知情培训计划,包括心理教育、技能培训和咨询,是为法庭专业人员开发的,以促进退伍军人参与职业培训。观察:需求评估和法庭观察为项目发展提供了信息。在确定需求的基础上,培训结合了辩证行为疗法、接受与承诺疗法和动机访谈的技巧。落基山脉地区的两个VTCs参加了飞行员创伤知识培训,每个培训持续约90至120分钟。与会者的反馈表明,专注于技能培训——特别是管理强烈的情绪,解决矛盾心理,以及如何处理制裁和奖励——是非常有用的。创伤后应激障碍症状的功能和循证治疗的结构被确定为有用的教育组成部分。结论:退伍军人健康管理局的心理健康专业人员在促进职业训练中心专业人员的有效实践方面可以发挥重要作用。这个试点项目提供了初步的技能培训支持,以加强退伍军人法庭参与者之间的沟通、动力、痛苦容忍和参与。该计划的未来方向可能包括将培训扩展为全天的研讨会,进行全面的需求评估,并检查计划成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trauma-Informed Training for Veterans Treatment Court Professionals: Program Development and Initial Feedback.

Background: Justice-involved veterans demonstrate greater mental health and psychosocial needs relative to justice-involved nonveterans and veterans without a criminal history. Veterans treatment courts (VTCs) serve as an alternative to incarceration for veterans whose criminogenic risk is believed to be related to mental health symptoms. Despite observed improvements in functioning and recidivism risk following successful VTC completion, little is known about factors that impede engagement with VTCs. This paper describes a trauma-informed training program that included psychoeducation, skills training, and consultation and was developed for court professionals to facilitate veteran engagement in VTCs.

Observations: Needs assessments and court observations informed program development. Based on identified needs, the training incorporated skills from dialectical behavior therapy, acceptance and commitment therapy, and motivational interviewing. Two VTCs in the Rocky Mountain region participated in the pilot trauma-informed training, each lasting about 90 to 120 minutes. Feedback from attendees indicated that the focus on skills training-specifically, managing intense emotions, addressing ambivalence, and approaching sanctions and rewards-was uniquely helpful. The function of posttraumatic stress disorder symptoms and structure of evidence-based treatments were identified as useful educational components.

Conclusions: Veterans Health Administration mental health professionals can serve an important role in facilitating effective practices for professionals working within VTCs. This pilot program provided preliminary support for skills-based training to bolster communication, motivation, distress tolerance, and engagement among veterans court participants. Future directions of this program may include expanding the training into a full-day workshop, conducting comprehensive needs assessments, and examining program outcomes.

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