Trauma-Informed Social Policy: A Conceptual Framework for Policy Analysis and Advocacy

Trauma-Informed Social Policy: A Conceptual Framework for Policy Analysis and Advocacy
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DOI:
10.2105/ajph.2015.302970
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发表时间:
2016-02-01
影响因子:
12.7
通讯作者:
Murshid, Nadine Shaanta
Murshid, Nadine Shaanta
中科院分区:
医学2区
文献类型:
--
作者:
Bowen, Elizabeth A.;Murshid, Nadine Shaanta

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创伤知情护理是一种在一系列实践环境中使用的服务提供模式。基于对创伤(广义上定义为产生持久情感疼痛和痛苦的经历)和健康结果的广泛研究,我们认为创伤知情护理的原则可以扩展到社会政策。引用各种与健康相关的政策例子,我们描述了政策如何更好地反映创伤知情护理的6个核心原则:安全,可信度和透明度,协作,赋权,选择和交叉性。这一框架传达了对创伤的政治化理解,反映了创伤及其影响分布不均的现实,并为公共卫生专业人员提供了一条途径,通过政策行动打破创伤驱动的健康差距。
Trauma-informed care is a service provision model used across a range of practice settings. Drawing on an extensive body of research on trauma (broadly defined as experiences that produce enduring emotional pain and distress) and health outcomes, we have argued that the principles of trauma-informed care can be extended to social policy. Citing a variety of health-related policy examples, we have described how policy can better reflect 6 core principles of trauma-informed care: safety, trustworthiness and transparency, collaboration, empowerment, choice, and intersectionality. This framework conveys a politicized understanding of trauma, reflecting the reality that trauma and its effects are not equally distributed, and offers a pathway for public health professionals to disrupt trauma-driven health disparities through policy action.