The implementation of trauma informed care in acute mental health inpatient units : a comparative study : a thesis presented in fulfilment of the requirements for the degree of Master of Public Health at Massey University, Wellington, New Zealand
Loading...
Date
2013
DOI
Open Access Location
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Massey University
Rights
The Author
Abstract
Trauma informed care (TIC); particularly related to interpersonal violence, is a
burgeoning topic for mental health services in both New Zealand and Australia. This
thesis compares the implementation of trauma informed care, particularly in relation to
interpersonal violence, in an acute mental health inpatient unit in New Zealand and a
similar unit in New South Wales, Australia. A policy analysis was undertaken of
current policy documents that guide each unit, along with semistructured interviews
with ten senior staff, five from each unit to investigate implementation of key features
of trauma informed care, particularly in relation to interpersonal violence. Results
showed a difference in overall implementation between the two units. Single
interventions rather than a whole of service change of philosophy were evident.
Differences were identified in relation to policies referring to interpersonal violence,
staff knowledge and understanding of trauma informed care, access to training and
resources, how safety was provided for, collaborative care arrangements and workplace
power dynamics for both clients and staff. Across both units were identified a lack of
guidance to inform implementation of TIC, consumer involvement and practice around
diversity. Contributing factors for TIC implementation include having a clear definition
of TIC, commitment at all governance levels, access to TIC training for all staff, and
policies underpinned by TIC. Further research investigating these results may enhance
service delivery, resulting in better outcomes for the promotion of recovery and healing
of those with histories of interpersonal violence.
Description
Keywords
Psychic trauma, Psychiatric hospital patients, Care, Victims of violent crimes, Mental health, New Zealand, New South Wales, Research Subject Categories::MEDICINE::Psychiatry