Trauma-Informed Care Outcome Study

Hales, Travis; Green, Susan A.; Bissonette, Suzanne; Warden, Alyssa; Diebold, Josal; Koury, Samantha; Nochajski, Thomas H.

doi:10.1177/1049731518766618

Cited by 53 publications

(69 citation statements)

References 27 publications

(27 reference statements)

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“…Such services are advised to take account of past trauma, adverse childhood experiences and the p s y c h o -s o c i o -s p i r i t u a l e x p e r i e n c e o f homelessness. As such, a trauma-informed approach to care is recommended (Hales et al, 2018), which embodies the following five guiding values of trauma-informed care: safety, trustworthiness, choice, collaboration and empowerment. Such an approach to care would respond to the concerns and priorities around EoL, expressed by participants in this study.…”

Section: Intentionality and Relationalitymentioning

confidence: 99%

Life's hard and then you die: the end-of-life priorities of people experiencing homelessness in the UK

et al. 2020

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Background: People experiencing homelessness often die young and without adequate support. In the UK, they fail to access palliative care services and their end-of-life priorities remain poorly understood. Aims: To explore the end-of-life concerns, fears, preferences and priorities of a sample of people experiencing homelessness in the UK. Methods: This is an interpretive phenomenology. Data collected through semi-structured, audio-recorded, face-to-face interviews with 21 homeless participants in the UK were analysed iteratively using thematic analysis. Findings have been interpreted through the lens of Merleau-Ponty's philosophy. Results: Eight themes are reported: spiritual concerns; practical concerns; fear of needing care; fear of being forgotten; preference for dying suddenly; preference for being somewhere comfortable where people know me; prioritising autonomy and self-determination; and prioritising authenticity. Conclusion: A strengths-based, trauma-informed, person-centred, collaborative ‘compassionate community’ approach to care is recommended for people experiencing homelessness at end of life.

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Section: Intentionality and Relationalitymentioning

confidence: 99%

Life's hard and then you die: the end-of-life priorities of people experiencing homelessness in the UK

et al. 2020

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“…The necessity of adherence to regulatory bodies helps to explain the reliance on centralization and formalization of activities. Nevertheless, there remain strategies that organizations can institutionalize that increase staff's experiences of choice, collaboration, and commitment (Hales et al, ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Previous research has discovered that implementing TI approaches has increased client retention in treatment (Amaro, Chernoff, Brown, Arévalo, & Gatz, ; Hales et al, ). Hales et al () identified that increases in staff's experiences of autonomy and participation were associated with a significant increase in client treatment retention. However, additional research is needed to understand the mechanisms through which TI values influence staff and client outcomes.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Through avoiding retraumatization and prioritizing TI values, clients will be more likely to engage in the agency's services. Previous research has discovered that implementing TI approaches has increased client retention in treatment (Amaro, Chernoff, Brown, Arévalo, & Gatz, 2007;Hales et al, 2018). Hales et al (2018) identified that increases in staff's experiences of autonomy and participation were associated with a significant increase in client treatment retention.…”

Section: Trauma-informed Approachesmentioning

confidence: 99%

“…Nevertheless, there remain strategies that organizations can institutionalize that increase staff's experiences of choice, collaboration, and commitment (Hales et al, 2018).…”

mentioning

confidence: 99%

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A structural regression analysis of trauma‐informed climate factors, organizational commitment, and burnout among behavioral healthcare providers in a large public hospital

Hales

Nochajski

2019

Journal Community Psychology

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As an approach to organizational change, trauma‐informed care is contextualized within the broader organizational literature by examining the associations between organizational conditions (i.e., psychological experiences of choice and collaboration in the work environment) with precursors to organizational effectiveness (i.e., affective commitment and burnout). The study occurred within a large public hospital's behavioral health department located in the Western New York region (N = 197). Structural regression analyses were conducted, and the primary findings, while nuanced, include support for choice and collaboration's prediction of employee commitment and burnout. Organizational interventions that improve worker's experiences of choice and collaboration may result in increased commitment, reduced burnout, and possibly improved effectiveness. Future research should employ longitudinal designs to further examine the condition–performance relationship and include direct measures of clinical effectiveness.

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Posttraumatic stress disorder, traumatic events, and longitudinal eating disorder treatment outcomes: A systematic review

Convertino

Mendoza

2023

Intl J Eating Disorders

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Objective Many individuals diagnosed with an eating disorder (ED) have been exposed to traumatic events, and some of these individuals are diagnosed with posttraumatic stress disorder (PTSD). Although theorized by researchers and clinicians, it is unclear whether traumatic event exposure or PTSD interferes with outcomes from ED treatment. The objective of the current study was to systematically review the literature on traumatic events and/or PTSD as either predictors or moderators of psychological treatment outcomes in EDs. Method A PRISMA search was conducted to identify studies that assessed the longitudinal association between traumatic events or PTSD and ED outcomes. Eighteen articles met the inclusion criteria for review. Results Results indicated that traumatic event exposure was associated with greater ED treatment dropout, but individuals with a traumatic event history benefited from treatment similarly to their unexposed peers. Findings also indicated that traumatic events may be associated with greater symptom relapse posttreatment. Discussion Given the limited number of studies examining PTSD, results are considered very tentative; however, similar to studies comparing trauma‐exposed and nontrauma‐exposed participants, individuals with PTSD may have similar treatment gains compared to individuals without PTSD, but individuals with PTSD may experience greater symptom relapse posttreatment. Future researchers are encouraged to examine whether trauma‐informed care or integrated treatment for EDs and PTSD mitigates dropout from treatment and improves symptom remission outcomes. Furthermore, researchers are encouraged to examine how the developmental timing of traumatic events, self‐perceived impact of trauma, and cumulative trauma exposure may be associated with differential ED treatment outcomes. Public Significance Eating disorders (EDs), trauma, and posttraumatic stress disorder (PTSD) often co‐occur. Individuals with traumatic event exposure and/or PTSD demonstrate greater ED symptoms; it is unclear whether these individuals benefit similarly in ED treatment to their peers. The current study found that individuals with traumatic event exposure are more likely to drop out of treatment but benefit from treatment with similar symptom remission. Traumatic history was associated with greater relapse posttreatment.

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Trauma-Informed Care Outcome Study

Cited by 53 publications

References 27 publications

Life's hard and then you die: the end-of-life priorities of people experiencing homelessness in the UK

Life's hard and then you die: the end-of-life priorities of people experiencing homelessness in the UK

A structural regression analysis of trauma‐informed climate factors, organizational commitment, and burnout among behavioral healthcare providers in a large public hospital

Posttraumatic stress disorder, traumatic events, and longitudinal eating disorder treatment outcomes: A systematic review

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