For all in-house training enquiries, click here or call us on (02) 8920 3611 to speak to our training team. Download our In-house Training Booklet here

Blue Knot Foundation Blog

Check out our recent blog posts to stay up to date with our work, latest research and articles curated by the Blue Knot Foundation Marketing & Communications team. Should you have any suggestions or contributions please contact us via email: marketing@blueknot.org.au.

Articles

14

By Blue Knot Review editor Jane Macnaught

This article has been edited for Blue Knot Review, you can read the full version here:
http://onlinelibrary.wiley.com/wol1/doi/10.1111/inm.12344/full


Whilst mental health nurses (MHN) appreciate that the majority of people admitted to acute inpatient settings are likely to have been exposed to trauma at some point in their life, the system faces significant challenges to integrate trauma informed care (TIC) models in these settings. In this article we introduce the “Literature review of trauma-informed care: Implications for mental health nurses working in acute inpatient settings in Australia.” by Allyson Wilson, Marie Hutchinson and John Hurley. Recently published in International Journal Of Mental Health Nursing 2017. We provide the abstract for the article, a quote from the discussion and a link to the full document.

“Paternalistic-driven interventions stemming from the dominant biomedical model cultures in Australian mental health services (Lakeman 2013) are seemingly incompatible with TIC principles (Elliot et al.  2005). Consequently, a key barrier to embedding TIC into inpatient units is that the adoption of recovery into these settings is incomplete. While MHN widely understand the features and principles of recovery, within the context of inpatient care, most see it as commencing at the point of discharge from the unit into a community setting (Cleary et al.  2013). Thus, nursing interventions and cultures are focussed on preparing the consumer for recovery through more biomedical model-style interventions, such as medications (Cleary et al.  2013). Embedding recovery, choice, and control has traditionally been identified as ‘too risky’ by clinicians within the context of acute mental health settings (Harris & Fallot 2001). A lack of alternative interventions or workforce capability to deliver alternative interventions, and an unsatisfactory understanding of the impact of trauma has meant that staff members have traditionally adhered strictly to protocols to ensure their safety (Chandler 2008). However, mental health services do a disservice to themselves by failing to provide trauma survivors with the opportunity to maximize their choices and control their treatment goals (Elliot et al. 2005).” p.14-15

 

Abstract

The Challenges of Embedding Trauma-Informed Care“Trauma-informed care (TIC) is increasingly recognized as an approach to improving consumers’ experience of, and outcomes from, mental health services. Deriving consensus on the definition, successful approaches, and consumer experiences of TIC is yet to be attained. In the present study, we sought to clarify the challenges experienced by mental health nurses in embedding TIC into acute inpatient settings within Australia. A systematic search of electronic databases was undertaken to identify primary research conducted on the topic of TIC. A narrative review and synthesis of the 11 manuscripts retained from the search was performed. The main findings from the review indicate that there are very few studies focussing on TIC in the Australian context of acute mental health care. The review demonstrates that TIC can support a positive organizational culture and improve consumer experiences of care. The present review highlights that there is an urgency for mental health nurses to identify their role in delivering and evaluating TIC, inclusive of undertaking training and clinical supervision, and to engage in systemic efforts to change service cultures.”

“They found that interpersonal processes were integral to consumers’ perceptions of MHN care, with the therapeutic relationship the single most important predictor of consumers’ satisfaction (Clark et al.  2008).” p.3

“The themes from the present review suggest that while being distinct constructs, both TIC and recovery need to be adopted by MHN for either to be fully effective for consumers.” p.14

“Service policy that enables this passing of control and enhancement of consumer choice, and supports staff to do so, will of itself change the very culture of the services, with service culture and caring practices being mutually embedded (Lakeman 2013). As Chandler (2008) noted, passing control to consumers is part of the service’s transitional journey under TIC. The key differentiation between TIC and that of recovery or person-centred care is that TIC requires staff to look for and understand the connection between childhood trauma and adult psychopathology as a means of understanding consumer behaviours. (Elliot et al.  2005). The findings from this review indicate that TIC education and training can be an effective mechanism by which to embed TIC and promote recovery-based therapeutic relationships with consumers. TIC education offers an explanatory model for consumer behaviour that can manifest in the daily working life of acute inpatient MHN.” p.15


Trauma Informed Professional Development Training:

Want to learn the principles of trauma-informed practice and apply them?

Want to acquire new practice skills including around your own self-care?

Keen to learn about evidence-based clinical best practice around complex trauma?
Attend Blue Knot Foundation’s professional development training.

All of Blue Knot Foundation’s professional development training sessions are informative, interactive, engaging and based on adult learning principles. They are facilitated by skilled and experienced trainers and scheduled in selected locations around Australia.

Details can be found here: http://www.blueknot.org.au/Training-Services



 

Comments

There are currently no comments, be the first to post one!

Post Comment

Name (required)

Email (required)

CAPTCHA image
Enter the code shown above:

Donate Now!

Partners

Health Direct

 

Head to Health

Testimonials

“Blue Knot Foundation has a key role to play in the building of community capacity in care provision to those who have experienced childhood abuse and trauma in any environment.”

NIALL MULLIGAN Manager, Lifeline Northern Rivers

“I think Blue Knot Foundation is a fantastic support organisation for people who have experienced childhood trauma/abuse, for their families/close friends and for professionals who would like to learn how to more effectively work with these people.”

Psychologist Melbourne

“It's such a beautiful thing that you are doing. Helping people to get through this.”

ANONYMOUS

“It was only last September when I discovered the Blue Knot Foundation website and I will never forget the feeling of support and empathy that I received when I finally made the first phone call to Blue Knot Helpline, which was also the first time I had ever spoken about my abuse.”

STEVEN

"At last there is some sound education and empathetic support for individuals and partners impacted by such gross boundary violations.”

TAMARA

Contact Us

Phone: 02 8920 3611
Email: admin@blueknot.org.au
PO Box 597 Milsons Point NSW 1565
Hours: Mon-Fri, 9am-5pm AEST

Blue Knot Helpline
Phone: 1300 657 380
Email: helpline@blueknot.org.au 
Hours: Mon-Sun, 9am-5pm AEST

For media comment, please contact:
Dr Cathy Kezelman
+61 425 812 197
+61 2 8920 3611
or ckezelman@blueknot.org.au


For media enquiries, please contact: 
Jackie Hanafie
+61 3 9005 7353
+61 412 652 439
 or jackie@fiftyacres.com

 

The information and resources on this site are provided for general education and as information and/or a guide only. They do not replace, and should not be used as a substitute for, counselling, therapy or other services, and should at no time be regarded or treated as professional advice of any kind. Personal needs and circumstances should always be carefully and thoroughly considered to determine the optimal approach in each individual case.