Trauma Within the Psychiatric Setting

描述(由申请人提供)：明显缺乏经验性 关于潜在疾病的患病率、感知和后果的数据 精神环境中发生的创伤性或有害事件(Frueh et Al.，2000)。需要进行实证研究，以便更好地了解 这些重要的问题。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 的心理健康服务达到了可能是他们最重要的目标： 不会造成任何伤害。管理人员和临床医生最好记住，所有 精神健康服务的消费者，特别是那些接受/承诺 精神科住院病房，代表着我们最脆弱的人 社会。他们是一个经常遭受创伤的群体，可能 最难断言他们的需求和理解他们的原因 做精神病手术。从这个角度来看，似乎有责任 精神健康服务提供者需要做出额外的努力来确保 在精神病院(即庇护所)内提供的服务 以对潜在的不利后果最敏感的方式 创伤、恐惧或羞辱(即有害的)经历。这个 这项建议的研究目的是：增进我们对频率的理解 对潜在创伤性或有害事件的看法和后果 在精神病学环境中发生？通过检查这些因素 国家资助的心理健康系统中的心理健康消费者样本。 我们建议在南方服务的消费者中评估这些问题 卡罗莱纳州精神卫生部(SCDMH)。研究参与者将达到200岁 从两个项目中随机挑选的成年男性和女性消费者 隶属于查尔斯顿/多切斯特社区精神卫生中心。全 参与者将完成一组简短的自我报告测量，并将 图表复习的主题；40人的小组将完成一个短池 临床访谈和专题访谈。将制定措施以评估 避难所创伤和伤害，一般创伤暴露，创伤后应激障碍症状，以及 精神病学诊断。所获得的数据将通过量化和 定性研究方法。

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.