Purpose:

To test an empirical model of the effects of a trauma-informed organizational environment on service user outcomes in the context of concurrent disorder treatment.

Methods:

Service users (n = 172) were surveyed while in treatment to determine the effects of trauma-informed organizational dynamics (i.e., safety, trust, choice, collaboration, and empowerment) on service user intrapersonal development outcomes (i.e., self-awareness, outlook, coping ability, self-worth, and self-determination) and improvements with concurrent disorder behaviors. After testing for validity and reliability of latent factors, data were analyzed using multivariate analysis.

Results:

As a concise analytical model, the trauma-informed organizational environment was found to significantly positively predict all service user intrapersonal outcomes as well as a reduction in concurrent disorder behaviors.

Conclusions:

This study informs developments in the design and implementation of trauma-informed practice frameworks for concurrent disorder treatment and emphasizes the importance of adapting organizational environments to support improved client outcomes.

中文翻译：

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并发疾病治疗中创伤知情的组织动力学和客户结果

目的：

在并发疾病治疗的背景下，测试创伤知情的组织环境对服务用户结果的影响的经验模型。

方法：

在治疗期间对服务使用者（n = 172）进行了调查，以确定创伤知情的组织动力（即安全，信任，选择，协作和授权）对服务使用者个人内在发展成果（即自我意识，展望）的影响，应对能力，自我价值和自决能力）以及并发疾病行为的改善。在测试潜在因素的有效性和可靠性之后，使用多变量分析对数据进行分析。

结果：

作为一种简明的分析模型，发现受创伤知情的组织环境可以显着肯定地预测所有服务使用者的个人内部结果以及并发疾病行为的减少。

结论：

这项研究为针对并发疾病治疗的创伤知情实践框架的设计和实施提供了信息，并强调了适应组织环境以支持改善的患者结果的重要性。