Perspectives of trauma informed care in public services: a framework synthesis and analysis

Roberts, Helen (2021) Perspectives of trauma informed care in public services: a framework synthesis and analysis. D Clin Psy thesis, University of Glasgow.

Abstract

Introduction: There has been an increased focus over the past thirty years on recognising and responding to trauma. This has led to a shift towards developing trauma-informed policies and approaches across service settings, systems and jurisdictions in Western counties. Trauma Informed Care (TIC) has been found to improve service user experiences, enhance working relationships for staff and increase job satisfaction. This review aimed to synthesise stakeholders’ perspectives on the implementation of TIC across public services, as well as identifying barriers and facilitators. Method: Six databases (EMBASE, PubMed (MEDLINE), PsycArticles, PsycINFO, Scopus and Sociological Abstracts) were electronically searched in September 2020. Reference lists were searched, and forward citation searches were conducted on the included papers. Results were analysed utilising best-fit framework synthesis, using the NHS Education for Scotland TIC framework. Results: 1589 records were screened, and twelve papers were eligible for inclusion in the review and quality appraisal. Synthesis identified that stakeholders’ perspectives were captured by the TIC principles of safety, trust, collaboration, choice and empowerment. Multi-level community and systemic barriers were identified, including a lack of support for staff and vicarious trauma. Positive relationships, leadership, a commitment to long-term training and staff support were highlighted as key facilitators of TIC across services. 10 Conclusions: Stakeholders’ perspectives reflected the principles of TIC, with individuals relating their experiences to the five core principles outlined above. Complex interacting factors were highlighted, including how professionals’ prior training and systemic stressors can contradict a trauma-informed approach. Further research into TIC is needed, particularly focusing on client perspectives, TIC applied to staff and experiences of TIC across diverse cultures.

• Item Type: Thesis (D Clin Psy)
• Qualification Level: Doctoral
• Colleges/Schools: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Supervisor's Name: Gumley, Prof. Andrew, Stuart, Dr. Simon and Allan, Ms. Stephanie
• Date of Award: 2021
• Depositing User: Theses Team
• Unique ID: glathesis:2021-82467
• Copyright: Copyright of this thesis is held by the author.
• Date Deposited: 01 Oct 2021 13:42
• Last Modified: 01 Oct 2021 13:45
• Thesis DOI: 10.5525/gla.thesis.82467
• URI: https://theses.gla.ac.uk/id/eprint/82467