Implementing a Trauma-Informed Public Health System in San Francisco, California
Implementing a Trauma-Informed Public Health System in San Francisco, California
复制标题
DOI：
10.1177/1090198118806942
复制
发表时间：
2019-04-01
影响因子：
4.2
通讯作者：
Dolce, Lynn
中科院分区：
文献类型：
--
作者：
Loomis, Briana;Epstein, Kenneth;Dolce, Lynn
背景。创伤是一个普遍存在且有害的公共卫生问题。就像个人一样，组织也会经历创伤，并将其嵌入到他们的文化中。如果不加以解决，创伤会阻碍员工面对问题、有效沟通和产生解决方案，这些因素会破坏组织的运作。为了应对创伤的深远影响，最近的努力集中在创建强调安全并避免再次创伤的“创伤知情”系统。创伤知情系统与关系有着独特的联系，因为创伤的影响不仅会损害关系，而且在缺乏高质量关系的情况下会加剧。因此，发展基于创伤的关系对于创建治愈性组织文化至关重要。目标。本文的目的是描述旧金山公共卫生部 (SFDPH) 制定和实施其创伤信息系统 (TIS) 计划的过程，这是一种在系统层面解决创伤的组织模型。文章强调了创伤知情关系对该倡议的指导原则、活动和实施过程的中心作用。讨论。 SFDPH 的 TIS 计划工作以六项核心原则为基础：(1) 了解创伤和压力，(2) 同情心和可靠性，(3) 安全和稳定，(4) 协作和赋权，(5) 文化谦逊和响应，(6) 复原力和恢复。计划的组成部分侧重于创建和维持创伤相关知识（即基础培训、培训师培训计划）和组织实践（即协调一致的努力、领导力和支持者参与）。结论。创伤知情系统代表了一种紧急的组织级干预措施，旨在解决创伤及其后遗症。 SFDPH 的 TIS 计划正在通过对创伤影响的创新反应来创建一个治疗组织。
Background. Trauma is a ubiquitous and harmful public health concern. Much like individuals, organizations experience trauma and can embed it within their culture. Left unaddressed, trauma inhibits staff from confronting problems, communicating effectively, and generating solutions, factors that undermine organizational functioning. In response to trauma's far-reaching impact, recent efforts have focused on creating "trauma-informed" systems that emphasize safety and avoid retraumatization. Trauma-informed systems are uniquely connected to relationships, as the impact of trauma both impairs relationships and is heightened in the absence of quality relationships. Developing trauma-informed relationships is therefore critical to creating a healing organizational culture. Aims. The objective of this article is to describe the process through which the San Francisco Department of Public Health (SFDPH) developed and implemented their Trauma-Informed Systems (TIS) Initiative, an organizational model to address trauma at the systems level. The article highlights the centrality of trauma-informed relationships to the initiative's guiding principles, activities, and implementation process. Discussion. Six core principles underlie the work of the SFDPH's TIS Initiative: (1) Understanding Trauma & Stress, (2) Compassion & Dependability, (3) Safety & Stability, (4) Collaboration & Empowerment, (5) Cultural Humility & Responsiveness, (6) Resilience & Recovery. Initiative components focus on creating and sustaining trauma-informed knowledge (i.e., foundational training, train-the-trainer program) and organizational practices (i.e., aligned efforts, leadership, and champion engagement). Conclusion. Trauma-informed systems represent an emergent organization-level intervention designed to address trauma and its sequelae. SFDPH's TIS Initiative is creating a healing organization through its innovative response to the impact of trauma.