Implementing Trauma-Informed Care Through a Learning Collaborative: A Theory-Driven Analysis of Sustainability.

Autor: Snider MDH; Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, PA, USA.; Department of Psychology, West Virginia University, Morgantown, WV, USA., Taylor RM; Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, PA, USA., Bills LJ; Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, PA, USA., Hutchison SL; Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, PA, USA., Steinman SA; Department of Psychology, West Virginia University, Morgantown, WV, USA., Herschell AD; Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, PA, USA. herschella@ccbh.com.
Jazyk: angličtina
Zdroj: Community mental health journal [Community Ment Health J] 2023 Jul; Vol. 59 (5), pp. 881-893. Date of Electronic Publication: 2023 Jan 06.
DOI: 10.1007/s10597-022-01072-z
Abstrakt: This study investigated the sustainability of a multi-agency 15-month Learning Collaborative (LC) for implementing trauma-informed care in 23 rural Pennsylvania counties. Provider agencies (N = 22) were assessed three years following completion of the LC. Sustained trauma-informed practices were assessed through criteria indicating organizational achievement as a trauma-informed care center. A theoretical model of clinical training was applied to determine the extent to which training- and skill-related factors were associated with sustained trauma-informed care. Three years after the LC, trauma symptom screening rates and staff training improvements were sustained, while staff confidence in delivering trauma-informed care worsened across time. Sustained trauma-informed care was associated with implementation milestone completion and third-party ratings of quality improvement skills during the LC. Building capacity for organizational change through training and skill development during active phases of implementation is important for sustained trauma informed care in behavioral health service.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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