Trauma Within the Psychiatric Setting

描述（由申请人提供）：有一个惊人的，缺乏经验的 关于潜在的流行率、看法和后果的数据 创伤性或有害的事件发生在精神病设置（Frueh等 例如，2000年）。需要进行实证研究，以便更好地了解 这些重要问题。这些数据将有助于发展心理健康 政策、程序和临床培训计划，以确保提供者 精神卫生服务的目标也许是他们最重要的目标： 不会造成伤害管理人员和临床医生最好记住， 心理健康服务的消费者，特别是那些承认/承诺 精神病住院部，代表了我们国家最脆弱的人群， 社会他们是一个经常受到创伤的群体， 最难表达他们的需求和理解原因 进行精神治疗从这个角度来看， 心理健康服务提供商？做出额外的努力，以确保 在精神病机构内提供的服务（即，避难所）交付 以一种对潜在的不利后果最敏感的方式 创伤的、可怕的或羞辱的（即，有害的）经验。的 本研究的目的是：提高我们对频率的认识 可能造成创伤或有害事件的看法和后果 发生在精神病患者身上通过检查这些因素， 在国家资助的精神卫生系统内的精神卫生消费者样本。 我们建议在南方国家内接受服务的消费者中评估这些问题 卡罗莱纳精神卫生部。研究参与者将为200人 从两个项目中随机选择成年男性和女性消费者 隶属于查尔斯顿/多切斯特社区精神健康中心。所有 参与者将完成一系列简短的自我报告措施， 图表审查的主题;一个40人的小组将完成一个短电池 临床和专题访谈的机会将制定措施， 避难所创伤和伤害，一般创伤暴露，PTSD症状， 精神病诊断获得的数据将通过定量和 定性方法。

DESCRIPTION (provided by applicant): There is a striking, lack of empirical data regarding the prevalence, perceptions, and consequence of potentially traumatic or harmful events occurring within the psychiatric setting (Frueh et al., 2000). Empirical studies are needed to provide a better understanding of these important issues. Such data would be helpful in developing mental health policies, procedures, and clinical training programs to ensure that providers of mental health services meet what is perhaps their most important objective: to do no harm. Administrators and clinicians would do well to remember that all consumers of mental health services, especially those admitted/committed to psychiatric inpatient units, represent the most vulnerable people in our society. They are a group that has quite frequently been traumatized, and may have the most difficulty asserting their needs and understanding the reasons for psychiatric procedures. Viewed in this light, it seems incumbent upon mental health service providers to ?Make an extra effort to ensure that services delivered within psychiatric settings (i.e., sanctuary) are delivered in a manner that is most sensitive to the potentially adverse consequences of traumatic, frightening, or humiliating (i.e., harmful) experiences. The research aim of this proposal is: To advance our understanding of the frequency perceptions, and consequences of potentially traumatic or harmful events occurring within the psychiatric setting ?by examining these factors among a sample of mental health consumers within a state-funded-mental health system. We propose to evaluate these issues among consumers served within the South Carolina Department of Mental Health (SCDMH). Study participants will be 200 randomly selected adult male and female consumers recruited from two programs affiliated with the Charleston/Dorchester Community Mental Health Center. All participants will complete a short battery of self-report measures and will be the subject of a chart review; a subgroup of 40 will complete a short battery of clinical and thematic interviews. Measures will be designed to assess sanctuary trauma and harm, general trauma exposure, PTSD symptoms, and psychiatric diagnoses. The obtained data will be analyzed via quantitative and qualitative methods.