Trauma-informed Day Services for Individuals with Intellectual/Developmental Disabilities: Exploring Staff Understanding and Perception within an Innovative Programme
Background Trauma‐informed care (TIC) is a systems‐level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma‐...
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| Veröffentlicht in: | Journal of applied research in intellectual disabilities 2016-09, Vol.29 (5), p.481-492 |
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| container_title | Journal of applied research in intellectual disabilities |
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| creator | Keesler, John M. |
| description | Background
Trauma‐informed care (TIC) is a systems‐level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma‐informed day program for individuals with Intellectual/developmental disabilities.
Methods
Semi‐structured interviews queried staff members (n = 20) regarding trauma and TIC, the integration of the five principles of TIC, associated challenges and recommendations for improvement.
Results
Inductive analyses revealed reasonable understandings of trauma and TIC, highlighting factors critical to the five principles of TIC. Differences were associated with duration of employment and the presence of specialized training. Challenges with TIC emerged at different system levels: individuals, staff, management and interorganizational.
Conclusions
This study presents preliminary insight for the innovative and formative process of integrating TIC with intellectual/developmental disabilities services. |
| doi_str_mv | 10.1111/jar.12197 |
| format | Article |
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Trauma‐informed care (TIC) is a systems‐level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma‐informed day program for individuals with Intellectual/developmental disabilities.
Methods
Semi‐structured interviews queried staff members (n = 20) regarding trauma and TIC, the integration of the five principles of TIC, associated challenges and recommendations for improvement.
Results
Inductive analyses revealed reasonable understandings of trauma and TIC, highlighting factors critical to the five principles of TIC. Differences were associated with duration of employment and the presence of specialized training. Challenges with TIC emerged at different system levels: individuals, staff, management and interorganizational.
Conclusions
This study presents preliminary insight for the innovative and formative process of integrating TIC with intellectual/developmental disabilities services.</description><identifier>ISSN: 1360-2322</identifier><identifier>EISSN: 1468-3148</identifier><identifier>DOI: 10.1111/jar.12197</identifier><identifier>PMID: 26040435</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Attitude of Health Personnel ; Caregiver Attitudes ; Caregivers - standards ; Day Care, Medical - standards ; Day Programs ; Developmental Disabilities ; Developmental Disabilities - nursing ; developmental disability ; Employment ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Innovation ; Integrated Services ; Intellectual disabilities ; Intellectual Disability ; Intellectual Disability - nursing ; Male ; Organizational Culture ; organizations ; Psychological Trauma - psychology ; Semi Structured Interviews ; Specialization ; staff ; Training ; Trauma ; trauma-informed care ; Young Adult</subject><ispartof>Journal of applied research in intellectual disabilities, 2016-09, Vol.29 (5), p.481-492</ispartof><rights>2015 John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons Ltd.</rights><rights>Copyright © 2016 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6567-eb98c40476d385905e24e742c91388b5a368c6204d3ea0d06f6f58ef8b8b18013</citedby><cites>FETCH-LOGICAL-c6567-eb98c40476d385905e24e742c91388b5a368c6204d3ea0d06f6f58ef8b8b18013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjar.12197$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjar.12197$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1109659$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26040435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keesler, John M.</creatorcontrib><title>Trauma-informed Day Services for Individuals with Intellectual/Developmental Disabilities: Exploring Staff Understanding and Perception within an Innovative Programme</title><title>Journal of applied research in intellectual disabilities</title><addtitle>J Appl Res Intellect Disabil</addtitle><description>Background
Trauma‐informed care (TIC) is a systems‐level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma‐informed day program for individuals with Intellectual/developmental disabilities.
Methods
Semi‐structured interviews queried staff members (n = 20) regarding trauma and TIC, the integration of the five principles of TIC, associated challenges and recommendations for improvement.
Results
Inductive analyses revealed reasonable understandings of trauma and TIC, highlighting factors critical to the five principles of TIC. Differences were associated with duration of employment and the presence of specialized training. Challenges with TIC emerged at different system levels: individuals, staff, management and interorganizational.
Conclusions
This study presents preliminary insight for the innovative and formative process of integrating TIC with intellectual/developmental disabilities services.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Caregiver Attitudes</subject><subject>Caregivers - standards</subject><subject>Day Care, Medical - standards</subject><subject>Day Programs</subject><subject>Developmental Disabilities</subject><subject>Developmental Disabilities - nursing</subject><subject>developmental disability</subject><subject>Employment</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Innovation</subject><subject>Integrated Services</subject><subject>Intellectual disabilities</subject><subject>Intellectual Disability</subject><subject>Intellectual Disability - nursing</subject><subject>Male</subject><subject>Organizational Culture</subject><subject>organizations</subject><subject>Psychological Trauma - psychology</subject><subject>Semi Structured Interviews</subject><subject>Specialization</subject><subject>staff</subject><subject>Training</subject><subject>Trauma</subject><subject>trauma-informed care</subject><subject>Young Adult</subject><issn>1360-2322</issn><issn>1468-3148</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctuEzEUhkcIREthwQOALLGBxTS-jC_DrkrSm6oQaCuWlmfmTHGYG7YnbV6I58Rt2iyQkPDmWL-_8x8f_UnyluBDEs9kZdwhoSSXz5J9kgmVMpKp5_HOBE4po3QveeX9CmOsCJcvkz0qcIYzxveT31fOjK1JbVf3roUKzcwGXYJb2xI8iho66yq7ttVoGo9ubfgRhQBNA2WI0mQGa2j6oYUumAbNrDeFbWyw4D-j-d3Q9M52N-gymLpG110FzgcTDaMWC1qCK2EItu8erG0X1ejf9WsT7BrQ0vU3zrQtvE5e1PED8OaxHiTXx_Or6Wl68eXkbHp0kZaCC5lCkasybiZFxRTPMQeagcxomROmVMENE6oUFGcVA4MrLGpRcwW1KlRBFCbsIPm49R1c_2sEH3RrfRnXNR30o9dEMSkwz7P8P1Cc8zznjEf0w1_oqh9dFxfRlNBMSowljdSnLVW63nsHtR6cbY3baIL1fc465qwfco7s-0fHsYip7cinYCPwbguAs-XueX5OCM4Fv__9ZPt-axvY_HuSPj_69jQy3XZYH-Bu12HcTy0kk1x_X5zor3gxW0yXx_qU_QGo4swl</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Keesler, John M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201609</creationdate><title>Trauma-informed Day Services for Individuals with Intellectual/Developmental Disabilities: Exploring Staff Understanding and Perception within an Innovative Programme</title><author>Keesler, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6567-eb98c40476d385905e24e742c91388b5a368c6204d3ea0d06f6f58ef8b8b18013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Caregiver Attitudes</topic><topic>Caregivers - standards</topic><topic>Day Care, Medical - standards</topic><topic>Day Programs</topic><topic>Developmental Disabilities</topic><topic>Developmental Disabilities - nursing</topic><topic>developmental disability</topic><topic>Employment</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Innovation</topic><topic>Integrated Services</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability</topic><topic>Intellectual Disability - nursing</topic><topic>Male</topic><topic>Organizational Culture</topic><topic>organizations</topic><topic>Psychological Trauma - psychology</topic><topic>Semi Structured Interviews</topic><topic>Specialization</topic><topic>staff</topic><topic>Training</topic><topic>Trauma</topic><topic>trauma-informed care</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keesler, John M.</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied research in intellectual disabilities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keesler, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1109659</ericid><atitle>Trauma-informed Day Services for Individuals with Intellectual/Developmental Disabilities: Exploring Staff Understanding and Perception within an Innovative Programme</atitle><jtitle>Journal of applied research in intellectual disabilities</jtitle><addtitle>J Appl Res Intellect Disabil</addtitle><date>2016-09</date><risdate>2016</risdate><volume>29</volume><issue>5</issue><spage>481</spage><epage>492</epage><pages>481-492</pages><issn>1360-2322</issn><eissn>1468-3148</eissn><abstract>Background
Trauma‐informed care (TIC) is a systems‐level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma‐informed day program for individuals with Intellectual/developmental disabilities.
Methods
Semi‐structured interviews queried staff members (n = 20) regarding trauma and TIC, the integration of the five principles of TIC, associated challenges and recommendations for improvement.
Results
Inductive analyses revealed reasonable understandings of trauma and TIC, highlighting factors critical to the five principles of TIC. Differences were associated with duration of employment and the presence of specialized training. Challenges with TIC emerged at different system levels: individuals, staff, management and interorganizational.
Conclusions
This study presents preliminary insight for the innovative and formative process of integrating TIC with intellectual/developmental disabilities services.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26040435</pmid><doi>10.1111/jar.12197</doi><tpages>12</tpages></addata></record> |
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| ispartof | Journal of applied research in intellectual disabilities, 2016-09, Vol.29 (5), p.481-492 |
| issn | 1360-2322 1468-3148 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; EBSCOhost Education Source |
| subjects | Adult Attitude of Health Personnel Caregiver Attitudes Caregivers - standards Day Care, Medical - standards Day Programs Developmental Disabilities Developmental Disabilities - nursing developmental disability Employment Female Health Knowledge, Attitudes, Practice Humans Innovation Integrated Services Intellectual disabilities Intellectual Disability Intellectual Disability - nursing Male Organizational Culture organizations Psychological Trauma - psychology Semi Structured Interviews Specialization staff Training Trauma trauma-informed care Young Adult |
| title | Trauma-informed Day Services for Individuals with Intellectual/Developmental Disabilities: Exploring Staff Understanding and Perception within an Innovative Programme |
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