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Trauma-Informed day services: an initial conceptualization and preliminary assessment
- Authors:
- KEESLER John M., ISHAM Cory
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 14(2), 2017, pp.164-175.
- Publisher:
- Wiley
Trauma-informed care (TIC) is a systems-focused philosophy of service delivery based upon principles of choice, collaboration, empowerment, safety and trustworthiness that recognises the pervasive impact of trauma across the human experience. In a grassroots effort, one organization developed an innovative, trauma-informed day program to meet the needs of individuals with intellectual and developmental disabilities (IDD) who were recently deinstitutionalized. The present study is intended to provide an initial conceptualization and preliminary assessment of TIC within IDD services in order to understand its impact among individuals and staff. The study sought to answer the following questions: Has the program's culture been stable over time? How have individuals’ behaviours changed over time? What have been the experiences of the program's staff members with TIC? Through a mixed methods design, secondary data analysis and semi structured staff interviews were used to assess the impact of TIC. Findings revealed an initial strong presence of choice, collaboration, empowerment, safety, and trustworthiness within the program's culture, with non significant changes at follow-up. Significant reductions were noted in overall challenging behaviour, aggression, and PRN medication usage; while non significant changes were noted in physical interventions with the exception of “other” interventions (i.e., least restrictive) which significantly increased. Three major categories emerged from the qualitative data (making a difference, recognising progress and compromising factors), illuminating staff satisfaction with work experiences, individuals’ progress, and factors that challenged fidelity to TIC. The study provides a preliminary conceptualization and evidence for the efficacy of the integration of TIC into IDD services despite methodological limitations and concerns regarding the use of physical interventions. Directions for future research are presented. (Edited publisher abstract)
Planning for life: no.3; good practice in the independent sector; developing community services for people with complex multiple disabilities
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1997
- Pagination:
- 4p.
- Place of publication:
- London
Letter accompanying paper focusing on services and good practice in the independent sector for people with complex multiple disabilities.
Planning for life: no.3; good practice in the independent sector; developing community services for people with complex multiple disabilities
- Authors:
- FIEDLER Barrie, ELLIS David
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1997
- Pagination:
- 48p.
- Place of publication:
- London
Explores the contribution of independent sector organisations as providers of services for people with complex multiple disabilities. Aims to assist statutory and non-statutory agencies to develop appropriate quality community services for people with complex multiple disabilities by describing some examples of good practice in the independent sector and suggesting how good practice can be encouraged.
Services for people with learning disabilities
- Editor:
- MALIN Nigel
- Publisher:
- Routledge
- Publication year:
- 1995
- Pagination:
- 307p.,bibliogs.
- Place of publication:
- London
Explores new developments in service provision for people with learning difficulties. Contains chapters on: classification, causes and epidemiology of learning difficulties; historical development of service provision; residential and day services; services to families; education and assessment; leisure and recreation; empowerment and advocacy; financial services; and implementing the National Health Service and Community Care Act 1990.