Trauma-informed approaches offer a new perspective for understanding how and why individuals with serious mental illness (SMI) become entangled in the criminal justice system. There is growing awareness that many individuals with SMI have experienced significant life trauma, and factors beyond SMI that contribute to criminalization are being identified; however, the role of trauma continues to be overlooked in many formulations. In trauma-blind systems, trauma-related behaviors are often misunderstood and met with responses that exacerbate psychiatric and behavioral problems. Trauma-informed approaches provide a richer understanding of underlying drivers of behavior, and view trauma as an integral component of risk management, case formulation, relationship-based care, and referral. Embedding trauma-informed principles across organizations promotes continuity of care, safety, and more compassionate cultures that help reduce the flow of individuals with SMI into the criminal justice system. An expanded view of the criminalization hypothesis is offered, which incorporates all factors addressed in current research.

中文翻译：

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从创伤盲到创伤知情：重新思考刑事定罪和创伤在严重精神疾病患者中的作用

创伤知情方法为理解患有严重精神疾病 (SMI) 的个人如何以及为何卷入刑事司法系统提供了新的视角。越来越多的人意识到，许多 SMI 患者都经历了重大的生活创伤，并且正在确定 SMI 以外导致刑事定罪的因素；然而，在许多表述中，创伤的作用仍然被忽视。在创伤盲系统中，与创伤相关的行为经常被误解，并遇到加剧精神和行为问题的反应。创伤知情方法提供了对潜在行为驱动因素的更丰富的理解，并将创伤视为风险管理、案例制定、基于关系的护理和转诊的一个组成部分。在组织中嵌入创伤知情原则可促进护理的连续性、安全性和更具同情心的文化，这有助于减少 SMI 患者进入刑事司法系统的人数。提供了刑事定罪假设的扩展视图，其中包含当前研究中涉及的所有因素。