Purpose

This study examines a three-day trauma informed workshop with 32 mental health providers in a rural community that borders an American Indian reservation to determine if there is an association with positive trauma-informed care (TIC) attitudes.

Methods

Thirty-two workshop participants were invited to take the Attitudes Related to Trauma Informed Care (ARTIC-45) scale pre-workshop, post-, and six months- after the workshop. Results were analyzed at the group-level using t-tests and Wilcoxon signed-rank tests for subscales that were not normally distributed.

Results

Pre- to Post- (Time 1) findings reveal statistically significant positive changes in all ARTIC subscales. However, post-workshop to six months follow-up (Time 2) four subscales showed statistically significant decreases. This seems to be an indication that these trauma-informed attitudes, knowledge, and beliefs had gotten worse with time. There were three subscales without significant change.

Conclusion

The findings should be interpreted with caution but point to plausible implications related to the decline in trauma-informed attitudes such as, lack of ongoing training following the workshop, limitations in workforce and resources within the rural community, unaddressed implicit bias, and needing more organizational leadership buy-in and resources.

中文翻译：

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针对与部落土地接壤的农村、种族多元化社区中心理健康提供者的态度的创伤知情研讨会

目的

本研究考察了在与美洲印第安人保留地接壤的一个农村社区中，由 32 名心理健康服务提供者参加的为期三天的创伤知情研讨会，以确定是否与积极的创伤知情护理 (TIC) 态度存在关联。

方法

32 名研讨会参与者受邀在研讨会前、研讨会后和研讨会后六个月进行了与创伤知情护理相关的态度 (ARTIC-45) 量表。使用 t 检验和 Wilcoxon 符号秩检验对非正态分布的子量表在组一级对结果进行分析。

结果

前后（时间 1）的结果显示所有 ARTIC 分量表均出现统计上显着的积极变化。然而，研讨会后至六个月的随访（时间 2），四个分量表显示出统计上显着的下降。这似乎表明这些受创伤影响的态度、知识和信念随着时间的推移而变得更糟。三个分量表没有显着变化。

结论

应谨慎解释研究结果，但指出与创伤知情态度下降相关的合理影响，例如研讨会后缺乏持续培训、农村社区内劳动力和资源的限制、未解决的隐性偏见以及需要更多的组织性领导力的支持和资源。