ABSTRACT Young people living in residential care are more likely to have experienced past abuse, neglect, and adversity that result in the experience of trauma. Their subsequent behavior can present challenges to care-givers and hinder their engagement in services designed to help them understand and manage such experiences. This research aimed to explore young people’s views on what traumatized youth need from therapists to help them understand and respond to their experiences. Six young people aged 14 to 17 years old, residing in residential and secure care in the United Kingdom, were interviewed. Thematic analysis found three global themes related to the need for therapists to; involve young people in decision-making, take time to build trusting relationships, and create the right environment for treatment. Additionally, the findings indicated that alternatives to trauma therapy could be useful, which did not necessarily involve trauma exposure, and that this could be facilitated by primary care-givers as well as therapists, implying a need for more structured and integrated approaches between multi-disciplines involved in the residential care of young people. Young people’s views can assist in the development and design of future trauma-informed and trauma-focused treatment services within residential care settings.

中文翻译：

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创伤治疗：探索年轻人在护理中的观点

摘要生活在寄托机构中的年轻人更有可能经历过过去的虐待，忽视和逆境，从而导致遭受创伤的经历。他们随后的行为可能给护理人员带来挑战，并阻碍他们参与旨在帮助他们理解和管理此类经历的服务。这项研究旨在探讨年轻人对心理治疗师需要哪些遭受创伤的年轻人的看法，以帮助他们理解和回应自己的经历。采访了六名年龄在14至17岁的年轻人，他们居住在英国的住宅区并获得安全的照料。主题分析发现了与治疗师需要相关的三个全球主题；让年轻人参与决策，花时间建立信任关系，并创造合适的治疗环境。此外，研究结果表明，创伤治疗的替代方法可能是有用的，不一定涉及创伤暴露，并且初级护理人员和治疗师可以促进这一点，这意味着所涉及的多学科之间需要采取更加结构化和综合化的方法在年轻人的住所护理中。年轻人的观点可以帮助在住宅护理机构中开发和设计未来的以创伤为中心且以创伤为中心的治疗服务。