A Call for the Integration of Trauma- Informed Care Among Intellectual and Developmental Disability Organizations

作者：Keesler John M^*

来源：Journal of Policy and Practice in Intellectual Disabilities, 2014, 11(1): 34-42.

DOI：10.1111/jppi.12071

<jats:title>Abstract</jats:title><jats:p>Research exploring the occurrence of trauma among adults with intellectual and developmental disabilities (<jats:styled-content style="fixed-case">I</jats:styled-content>/<jats:styled-content style="fixed-case">DD</jats:styled-content>) has grown over the past decade. Yet there is a dearth of literature investigating the impact of organizational factors on the trauma experience despite this population's need for organizational supports. Trauma‐informed care (<jats:styled-content style="fixed-case">TIC</jats:styled-content>), a systems‐focused model for service delivery, is a fast‐developing interest among the broader field of trauma in the general population. It recognizes the prevalence and impact of trauma, and creates a culture of safety, trustworthiness, choice, collaboration, and empowerment. The author synthesized relevant literature from both the intellectual and developmental disabilities areas and integrated this with <jats:styled-content style="fixed-case">TIC</jats:styled-content> and trauma literature drawn from the general population. Explored are the implications of organizations for service delivery and the potential assimilation of <jats:styled-content style="fixed-case">TIC</jats:styled-content> within <jats:styled-content style="fixed-case">I</jats:styled-content>/<jats:styled-content style="fixed-case">DD</jats:styled-content> organizations. The effectiveness of <jats:styled-content style="fixed-case">TIC</jats:styled-content> applications and their potential barriers are discussed and related to the philosophy of quality of life and organizational culture. The author notes that some individuals with <jats:styled-content style="fixed-case">I</jats:styled-content>/<jats:styled-content style="fixed-case">DD</jats:styled-content> comprise a vulnerable subgroup of the population that in large part relies upon the support of organizational services to foster quality of life. Given the implications of the focus on quality of life, he posits that <jats:styled-content style="fixed-case">TIC</jats:styled-content> presents as a viable response for organizations, complimenting and augmenting current efforts.</jats:p>

• 出版日期2014-3