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Trauma‐informed Day Services for Individuals with Intellectual/Developmental Disabilities: Exploring Staff Understanding and Perception within an Innovative Programme
Author(s) -
Keesler John M.
Publication year - 2016
Publication title -
journal of applied research in intellectual disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 63
eISSN - 1468-3148
pISSN - 1360-2322
DOI - 10.1111/jar.12197
Subject(s) - empowerment , formative assessment , psychology , perception , occupational therapy , medical education , intellectual disability , service delivery framework , process (computing) , service (business) , nursing , pedagogy , medicine , psychiatry , business , marketing , neuroscience , political science , computer science , law , operating system
Background Trauma‐informed care ( TIC ) is a systems‐level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma‐informed day program for individuals with Intellectual/developmental disabilities . Methods Semi‐structured interviews queried staff members ( n = 20) regarding trauma and TIC , the integration of the five principles of TIC , associated challenges and recommendations for improvement. Results Inductive analyses revealed reasonable understandings of trauma and TIC , highlighting factors critical to the five principles of TIC . Differences were associated with duration of employment and the presence of specialized training. Challenges with TIC emerged at different system levels: individuals, staff, management and interorganizational. Conclusions This study presents preliminary insight for the innovative and formative process of integrating TIC with intellectual/developmental disabilities services.