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Purpose Practitioners, organisations and policy makers in health and social care settings are increasingly recognising the need for trauma-informed approaches in organisational settings, with morbidity and financial burdens a growing concern over the past few years. Servant leadership has a unique focus on emotional healing, service to others as the first priority, in addition to the growth, well-being and personal and professional development of key stakeholders. This paper aims to discuss Trauma Informed Servant Leadership (TISL). Design/methodology/approach A targeted review of the servant leadership and trauma-informed care literature was conducted. Relevant studies, including systematic review and meta-analysis, were sourced, with the resulting interpretation informing the conceptual model. Findings Although there are general guidelines regarding how to go about instituting trauma-informed approaches, with calls for organisational leadership to adapt the often cited six trauma-informed principles, to date there has not been a leadership approach elucidated which takes as its starting point and core feature to be trauma informed. At the same time, there is a paucity of research elucidating trauma outcomes for service users or employees in the literature when a trauma-informed approach is used. However, there is a large body of evidence indicating that servant leadership has many of the outcomes at the employee level that trauma-informed approaches are attempting to attain. Thus, the author builds on a previous conceptual paper in which a model of servant leadership and servant leadership supervision are proposed to mitigate against compassion fatigue and secondary trauma in the health and social care sector. The author extends that research to this paper by recasting servant leadership as a trauma-informed model of leadership that naturally operationalises trauma-informed principles. Research limitations/implications A lack of primary data limits the extent to which conclusions can be drawn on the effectiveness of this conceptual model. However, the model is based on robust research across the differential components used; therefore, it can act as a framework for future empirical research designs to be studies at the organisational level. Both the servant leadership and trauma-informed literatures have been extended with the addition of this model. Practical implications TISL can complement the trauma-informed approach and may also be viable as an alternative to trauma-informed approaches. This paper offers guidelines to practitioners and organisations in health and social care on how to operationalise important trauma-informed principles through leadership. Social implications This conceptual model may help reduce the burden of trauma and re-traumatisation encountered by practitioners and service users in health and social care settings, impacting on morbidity. Originality/value To the best of the author’s knowledge, this is a novel approach, the first of its kind.

ObjectiveThe use of deliberate practice (DP) as an adjunct method of training practitioners in the acquisition of therapy skills is gaining increasing attention. However, to date, no evidence synthesis has been reported on.MethodsA scoping review was conducted based on Arksey and O'Malley's five‐stage method, which was compliant with the preferred method for reporting items for systematic reviews and meta‐analysis extension for scoping reviews. Three databases (Scopus, Embase and PubMed) were searched for articles reporting on primary data, in English. The initial search yielded 1,087 articles, of which 14 are included in this review.ResultsFindings suggest that DP is still in its infancy and is being used to train practitioners in a host of therapeutic skills and practices in various training and educational contexts, including using technology as a platform. DP compares more favourably than usual didactic workshops for skill acquisition across variables such as techniques, communication skills and interpersonal and evidence‐based relationship factors.ConclusionFurther research needs to replicate and extend these initial findings, and recommendations for practice and research are considered. This is the first scoping review of this rapidly developing area of practice.

Purpose Peer support has gained increasing attention within the mental health literature, including the trauma informed approaches research where peer support is a key principle. The purpose of this paper is to outline a servant leadership model of trauma peer support. Design/methodology/approach A targeted literature search that incorporated systematic reviews, meta-analyses and randomised control trials in the areas of servant leadership, peer support and trauma informed approaches were sourced. Findings Servant leadership can be used to provide a theoretical model of trauma peer support. All three constructs share the idea of empowerment as a core principle. An ideographic model of servant leadership trauma peer support is put forward based on eight characteristics from the extant literature. Research limitations/implications As with all conceptual papers, a lack of empirical data means the findings need to be investigated using primary data. Future research may wish to use this theoretical model to test effectiveness in equivalence studies. Practical implications A theoretical model of trauma informed peer support based on servant leadership theory, with a clear guide to its utilisation. Originality/value This is a novel approach, a new addition to the literature.

Purpose This paper aims to set out a model of servant leadership that can be infused within a supervisory setting to mitigate employee burnout and negative stressful experiences in the health and social care sector. Design/methodology/approach A brief targeted review of the literature was undertaken to assess the prevalence of burnout in the health and social care sectors. The supervision literature was also explored. The outcomes associated with servant leadership were also distilled, focusing on employee well-being. Findings Research suggests that burnout and related concepts such as secondary trauma and compassion fatigue impact these professions disproportionately. At the same time, servant leadership is suggested to mitigate some of these factors. The author presents a conceptual model of servant leadership supervision consisting of an ideographic model of servant leadership, Servant Leadership Scale-28 (SLS-28), using the most recent meta-analysis defining this construct, and previously validated measures in the extant literature to inform its design. A Servant Leadership Supervision Scale (SLSS) is also presented aligning its use to several of the core characteristics of servant leadership practice. Research limitations/implications In doing so, the author proposes that this approach will help reduce burnout of health and social care sector employees. Limitations are considered in light of the conceptual paper and no primary data. Practical implications A model of servant leadership supervision that can be infused into health and social care supervision. Originality/value This is the first model of servant leadership supervision articulated for the health and social care sector.

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Trauma and toxic stress are growing public health concerns with increasing risks to morbidity and mortality. Trauma informed care is an organizational response that challenges providers to adapt principled based approaches that seek to reduce adverse effects of care and support healing. However, there is a scarcity of empirical evidence on how trauma informed care is implemented in systems. A preferred reporting items for systematic reviews and meta-analysis-compliant scoping review based on Arksey, and O’Malley’s five steps model was conducted. Four databases, PubMed, Scopus, Embase and PsychINFO were searched for English articles published since 2000. Studies were included if they reported on trauma informed care delivered by services that support adults and there was some reference to implementation or organizational implications. Of 1099 articles retrieved, 22 met the inclusion criteria. Findings suggest that trauma informed care is being implemented in a range of human services, including at the city/state level. While implementation research is still at an early stage in this field, the findings elucidate several challenges when implementing this approach across systems of care. An ecological lens is used to present findings at the macro, mezzo, and micro level, and these are further discussed with reference to practice, policy, and research.

Purpose The purpose of this study is to conduct a systematic search of the literature as it pertains to interventions delivered by peers to refugees and asylum seekers during the resettlement process. Design/methodology/approach A preferred reporting items for systematic reviews and meta-analysis-compliant scoping review based on Arskey and O’Malley’s (2006) five steps was used. Four databases, Scopus, Embase, Ebsco and ScienceDirect, were searched for peer-reviewed articles published in English from 2000 to 2021. Studies were included if they reported on interventions, outcomes or the training received by adult peers to support refugees and asylum seekers during the resettlement process. Of an initial 632 journal articles retrieved, 14 met the inclusion criteria for this review. Findings Most included studies were conducted in Western high-income countries, with the exception of one. Studies were heterogeneous in terms of the nationalities of peers and those receiving peer interventions, the outcomes reported on, the content of interventions and the methodologies used. Findings suggest that peer interventions seem to be effective in addressing many of the challenges faced by refugees and asylum seekers. Community integration, acculturation and reductions in psychological distress are some of the key benefits. When such interventions are co-produced in participatory research involving refugees, asylum seekers and the civil society organisations that support this population, they are naturally culturally responsive and can, therefore, address issues relative to different ethnic needs during the resettlement process. Originality/value To the best of the authors’ knowledge, this is the first scoping review to be conducted in this area and adds to what is a very limited body of research.