Sometimes trauma is not the presenting mental health complaint, and it can often be missed. Interpersonal trauma is particularly common in people seeking or requiring mental health care. Trauma can follow acute single events or result from accumulative traumas over a lifetime. “Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual's functioning and mental, physical, social, emotional, or spiritual well-being” ( 4). The Substance Abuse and Mental Health Services Administration (SAMHSA) reviewed the definitions and developed the following concept: There are multiple definitions of trauma. The Australian National Framework for Recovery-Oriented Mental Health Services ( 3) was endorsed in 2013 and emphasizes the importance of Trauma-Informed Care (TIC). The pervasiveness of trauma and its impact on the development presentation and management of people experiencing mental illness is well established. Systematically implementing training in TIC is required but needs to be complemented by a structured organizational approach to aid embedding this approach into daily mental healthcare delivery.Ī history of experiencing trauma is common in people seeking help from mental health services ( 1, 2). The burden of adjusting mental health care delivery to COVID-19 restrictions was reported as a major influence on the uptake of training. The variable training uptake did not reflect the staff comments about the importance of TIC. Analysis of the Team Leader interviews identified four broad themes: The need to respect the person's life journey including the risk of re-traumatization the importance of considering the context of implementing TIC training TIC being an essential part of mental health care and staff may also have trauma histories.Ĭonclusions: Staff working in mental health rehabilitation are supportive of the need for TIC. Training completion varied considerably between the eight rehabilitation teams (4.8–78%). Results: Fifty-five of 123 staff responded to the Organizational Change Readiness Assessment (OCRA) survey (44.7%). Method: A mixed-methods approach was applied incorporating baseline measures of staff attitudes toward TIC, quantitative description of staff training participation, and semi-structured interviews of Team Leaders' views on the implementation of TIC. Objective: This paper describes the implementation of training in trauma-informed care (TIC) across a mental health rehabilitation service. 2Faculty of Medicine, The University of Queensland, Herston, QLD, Australia.1Metro South Addiction and Mental Health Services, Brisbane, QLD, Australia. Laura Nation 1, Nicola Spence 1, Stephen Parker 1,2, Maddison Paige Wheeler 1, Kate Powe 1, Mei Siew 1, Tamara Nevin 1, Michelle McKay 1, Michelle White 1 and Frances Louise Dark 1 *
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