Trauma-informed care: A qualitative study exploring the views and experiences of professionals in specialist health services for adults with intellectual disabilities.

Autor: Truesdale M; School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK., Brown M; School of Nursing & Midwifery, Queen's University Belfast, Belfast, UK., Taggart L; School of Nursing, Ulster University, Londonderry, UK., Bradley A; School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK., Paterson D; NHS Ayrshire and Arran, Kilmarnock, UK., Sirisena C; NHS Borders, Earlston, UK., Walley R; School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK., Karatzias T; School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK.; Rivers Centre for Traumatic Stress, NHS Lothian, Edinburgh, UK.
Jazyk: angličtina
Zdroj: Journal of applied research in intellectual disabilities : JARID [J Appl Res Intellect Disabil] 2019 Nov; Vol. 32 (6), pp. 1437-1445. Date of Electronic Publication: 2019 Jun 06.
DOI: 10.1111/jar.12634
Abstrakt: Background: Trauma and its sequelae is recognised as a major morbidity factor in people with intellectual disabilities, however, a lack of inquiry into how health care professionals address trauma in this adult population exists.
Aims: To explore specialist intellectual disability practitioners perspectives on current health provision and developments to address trauma.
Methods: Twenty-five qualitative interviews were conducted with practitioners across 6 health service areas in the UK. Data were analysed using thematic content analysis.
Findings: Seven central themes emerged: (a) unmasked trauma; (b) trauma informed care; (c) person-centred care and support; (d) multi-disciplinary working; (e) reasonable adjustments; (f) barriers to treatment and (g) awareness, training and education.
Conclusion: Trauma-informed care and multi-disciplinary working are essential components for future service development. Advances in the evidence-base for effective psychological interventions for PTSD and training and education of health care staff are needed in order to improve service provision amongst this population.
(© 2019 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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