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Trauma-informed care training with HIV and related community service workers: Short and long term effects on attitudes.
Psychological Services ( IF 3.097 ) Pub Date : 2020-07-02 , DOI: 10.1037/ser0000465
Anne C Wagner 1 , Alysha A Bartsch 1 , Milaina Manganaro 1 , Candice M Monson 1 , Courtney N Baker 1 , Steven M Brown 2
Affiliation  

Although the experience of trauma is a widespread, global phenomenon, individuals living with HIV, who are two-spirit, lesbian, gay, bisexual, transgender, queer+ (2SLGBTQ+), who use injection drugs, and/or who have marginalized status, are disproportionately affected (Harris & Fallot, 2006; Hopper, Bassuk, & Olivet, 2009; Seedat, 2012). The need for trauma competent service provision, meaning integrating psychoeducation about trauma, and knowledge of its prevalence, impact, and outcomes, is clear. Numerous HIV service and affiliated agencies in Ontario requested a Trauma-Informed Care workshop for their staff and volunteers, and the current project reports on the outcomes of this workshop. There were 150 community, health, and social service providers in the HIV, hepatitis C, LGBTQ, harm reduction, and related sectors who participated in a full- or half-day Trauma-Informed Care workshop. Participants completed the Attitudes Related to Trauma-Informed Care scale (ARTIC-10) at preworkshop, postworkshop, and at 6-month follow-up, as well as a brief phone interview. There was a significant increase in ARTIC scores, indicating more favorable attitudes toward trauma-informed care, from preworkshop (M = 58.01, SE = 0.64) to postworkshop (M = 61.73, SE = 0.67), M = -3.72, BCa 95% confidence interval [-4.65, -2.82], t(149) = -7.79, p < .001, resulting in a medium-sized effect, d = 0.48. These gains were maintained at follow-up. Results were complemented by participant interviews. These results demonstrate that a brief workshop on Trauma-Informed Care can improve attitudes relatively quickly, that are generally maintained over time, creating a trauma-informed environment for clients. Future directions include assessing client outcomes as they may relate to changes in provider attitudes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

艾滋病毒和相关社区服务工作者的创伤知情护理培训:对态度的短期和长期影响。

尽管创伤经历是一种普遍的全球现象,但具有双重精神、女同性恋、男同性恋、双性恋、跨性别者、酷儿 + (2SLGBTQ+)、使用注射毒品和/或处于边缘地位的 HIV 感染者是(Harris & Fallot, 2006; Hopper, Bassuk, & Olivet, 2009; Seedat, 2012)。对创伤相关服务提供的需求,这意味着整合关于创伤的心理教育,及其流行、影响和结果的知识,是显而易见的。安大略省的许多 HIV 服务和附属机构要求为其员工和志愿者举办一场创伤知情护理研讨会,目前的项目报告了此次研讨会的成果。在 HIV、丙型肝炎、LGBTQ、减低伤害、参加全天或半天创伤知情护理研讨会的相关部门。参与者在研讨会前、研讨会后和 6 个月的随访中完成了与创伤知情护理相关的态度量表 (ARTIC-10),以及简短的电话采访。从研讨会前(M = 58.01,SE = 0.64)到研讨会后(M = 61.73,SE = 0.67),M = -3.72,BCa 95%,ARTIC 分数显着增加,表明对创伤知情护理的态度更积极置信区间 [-4.65, -2.82], t(149) = -7.79, p < .001,产生中等效应,d = 0.48。这些收益在后续行动中得以保持。结果得到了参与者访谈的补充。这些结果表明,关于创伤知情护理的简短研讨会可以相对较快地改善态度,这种态度通常会随着时间的推移而保持,为客户创造一个了解创伤的环境。未来的方向包括评估客户结果,因为它们可能与提供者态度的变化有关。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-07-02
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