Outside the Clinic Door: How Neighborhood Sociodemographic Disadvantage is Associated with Community Therapist Secondary Traumatic Stress and Emotional Exhaustion.
Outside the Clinic Door: How Neighborhood Sociodemographic Disadvantage is Associated with Community Therapist Secondary Traumatic Stress and Emotional Exhaustion.
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诊所门外：社区社会人口劣势如何与社区治疗师的二次创伤性压力和情绪疲惫相关。
DOI：
10.1080/23794925.2024.2310512
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Brookman-Frazee,Lauren
中科院分区：
文献类型：
--
作者：
Kuckertz,Mary;Lind,Teresa;Lau,AnnaS;Motamedi,Mojdeh;Wright,Blanche;Le,Kenny;Brookman-Frazee,Lauren
在社区心理健康诊所为创伤暴露率较高的家庭提供服务的治疗师面临着经历继发性创伤压力和情绪疲惫的潜在风险，这两者都对循证实践的实施和维持构成障碍。先前的研究记录了生活在社会经济弱势社区对儿童发展的负面影响，但没有研究在这些社区工作对治疗师福祉的影响。目前的研究合并了公开数据、心理健康服务的行政索赔数据和治疗调查数据，以：1）确定社区社会人口劣势与两种社区治疗师幸福感结构之间的关联，特别是继发性创伤应激和情绪衰竭； 2）检查社区社会人口劣势与治疗师福祉之间关联的潜在临床和治疗师层面的解释因素。应用累积风险指数方法来计算邻里社会人口劣势。较大的社区社会人口劣势与较高水平的治疗师继发创伤应激显着相关（B= .09，p< .05），但与情绪耗竭无关。由于高风险社区的治疗师面临较高的继发性创伤压力水平，因此需要进行更多研究来更好地了解如何最好地支持这些治疗师，从而支持接受治疗和实施循证实践的家庭。
Therapists serving families with high rates of trauma exposure in community mental health clinics face the potential risk of experiencing secondary traumatic stress and emotional exhaustion, both of which pose barriers for the implementation and sustainment of evidence-based practices. Previous research documents negative effects of living in socioeconomic disadvantaged neighborhoods on child development but has not examined the effects of working in these neighborhoods on therapist well-being. The current study merges publicly available data, administrative claims data on mental health services, and therapy survey data to 1) identify associations between neighborhood sociodemographic disadvantage and two community therapist well-being constructs, specifically secondary traumatic stress and emotional exhaustion; and 2) examine potential clinic- and therapist-level explanatory factors in the associations between neighborhood sociodemographic disadvantage and therapist well-being. A cumulative risk index approach was applied to calculate neighborhood sociodemographic disadvantage. Greater neighborhood sociodemographic disadvantage was significantly associated with higher levels of therapist secondary traumatic stress (B= .09,p< .05) but not emotional exhaustion. Because therapists in higher risk neighborhoods face higher secondary traumatic stress levels, additional research is needed to better understand how these therapists can be best supported, thus supporting families receiving treatment and implementation of evidence-based practices.
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