{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T20:41:14Z","timestamp":1764103274894,"version":"3.41.2"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T00:00:00Z","timestamp":1642636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This paper describes the implementation of training in trauma-informed care (TIC) across a mental health rehabilitation service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A mixed-methods approach was applied incorporating baseline measures of staff attitudes toward TIC, quantitative description of staff training participation, and semi-structured interviews of Team Leaders' views on the implementation of TIC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty-five of 123 staff responded to the Organizational Change Readiness Assessment (OCRA) survey (44.7%). Training completion varied considerably between the eight rehabilitation teams (4.8\u201378%). Analysis of the Team Leader interviews identified four broad themes: The need to respect the person's life journey including the risk of re-traumatization; the importance of considering the context of implementing TIC training; TIC being an essential part of mental health care; and staff may also have trauma histories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Staff working in mental health rehabilitation are supportive of the need for TIC. The variable training uptake did not reflect the staff comments about the importance of TIC. The burden of adjusting mental health care delivery to COVID-19 restrictions was reported as a major influence on the uptake of training. Systematically implementing training in TIC is required but needs to be complemented by a structured organizational approach to aid embedding this approach into daily mental healthcare delivery.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2021.810814","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T07:19:50Z","timestamp":1642663190000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Implementing Introductory Training in Trauma-Informed Care Into Mental Health Rehabilitation Services: A Mixed Methods Evaluation"],"prefix":"10.3389","volume":"12","author":[{"given":"Laura","family":"Nation","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Spence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Parker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maddison Paige","family":"Wheeler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Powe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mei","family":"Siew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Nevin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"McKay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances Louise","family":"Dark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,1,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e300","DOI":"10.1016\/S2468-2667(17)30104-4","article-title":"Childhood trauma: psychiatry's greatest public health challenge?","volume":"2","author":"Sara","year":"2017","journal-title":"Lancet Public Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e184493","DOI":"10.1001\/jamanetworkopen.2018.4493","article-title":"Association of childhood trauma exposure with adult psychiatric disorders and functional outcomes","volume":"1","author":"Copeland","year":"2018","journal-title":"JAMA Network Open."},{"volume-title":"A National Framework for Recovery-Oriented Mental Health Services: Guide for Practitioners and Providers","year":"2013","key":"B3"},{"article-title":"SAMHSA's concept of trauma and guidance for a trauma-informed approach","volume-title":"Substance and Administration","year":"2014","key":"B4"},{"key":"B5","article-title":"(Adults Surviving Child Abuse ASCA)","volume-title":"Trauma-Informed Care and Practice: Towards a cultural shift in policy reform across mental health and human services in Australia, A National Strategic Direction, Position Paper and Recommendations of the National Trauma-Informed Care and Practice Advisory Working Group","author":"Bateman","year":"2013"},{"key":"B6","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1002\/yd.23320018907","article-title":"Designing trauma-informed addictions services","volume":"2001","author":"Harris","year":"2001","journal-title":"New Direct Mental Health Serv."},{"key":"B7","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1177\/10398562211028625","article-title":"Is trauma informed care possible in the current public mental health system?","volume":"29","author":"Isobel","year":"2021","journal-title":"Austr Psychiatry."},{"key":"B8","doi-asserted-by":"publisher","first-page":"34","DOI":"10.7748\/mhp.2020.e1443","article-title":"Implementing trauma-informed care in mental health services","volume":"23","author":"Portman-Thompson","year":"2020","journal-title":"Mental Health Pract."},{"year":"2016","key":"B9","article-title":"NTTP, Scotland"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1598","DOI":"10.1176\/appi.ps.52.12.1598","article-title":"Strategies for disseminating evidence based practices to staff who treat people with serious mental illness","volume":"52","author":"Corrigan","year":"2001","journal-title":"Psychiatr Serv."},{"key":"B11","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1177\/1524838018791304","article-title":"Systematic review of evaluations of trauma-informed organizational interventions that include staff trainings","volume":"21","author":"Purtle","year":"2018","journal-title":"Trauma Violence Abuse."},{"key":"B12","doi-asserted-by":"publisher","first-page":"698","DOI":"10.3109\/01612840.2015.1025319","article-title":"A synthesis of the literature on trauma-informed care","volume":"36","author":"Reeves","year":"2015","journal-title":"Issues Mental Health Nurs."},{"key":"B13","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1192\/bja.2018.29","article-title":"A paradigm shift: relationships in trauma-informed mental health services","volume":"24","author":"Sweeney","year":"2018","journal-title":"BJPsych Adv."},{"key":"B14","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1186\/s12888-016-0827-4","article-title":"A history of childhood trauma is associated with slower improvement rates: findings from a one-year follow-up study of patients with a first-episode psychosis","volume":"16","author":"Aas","year":"2016","journal-title":"BMC Psychiatry."},{"key":"B15","doi-asserted-by":"crossref","DOI":"10.1002\/9781118715598.ch21","volume-title":"COREQ (Consolidated Criteria for Reporting Qualitative Studies).","author":"Booth","year":"2014"},{"volume-title":"Implementation Research: A Synthesis of the Literature","year":"2005","author":"Fixsen","key":"B16"},{"key":"B17","doi-asserted-by":"publisher","first-page":"100003","DOI":"10.1016\/j.arrct.2019.100003","article-title":"Adverse childhood experiences and trauma-informed care in rehabilitation clinical practice","volume":"1","author":"Ranjbar","year":"2019","journal-title":"Arch Rehabil Res Clin Transl."},{"key":"B18","doi-asserted-by":"publisher","first-page":"e0232076","DOI":"10.1371\/journal.pone.0232076","article-title":"A simple method to assess and report thematic saturation in qualitative research","volume":"15","author":"Guest","year":"2020","journal-title":"PLoS ONE."},{"key":"B19","unstructured":"MSAMHS: Introduction to trauma: Becoming Trauma Inofrmed, MSHLearn2020"},{"key":"B20","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1177\/1077558708317802","article-title":"Review: conceptualization and measurement of organizational readiness for change: a review of the literature in health services research and other fields","volume":"65","author":"Weiner","year":"2008","journal-title":"Medical Care Res Rev."},{"key":"B21","unstructured":"Organisation Change Readiness Assessment\n            InfowayCH"},{"key":"B22","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol."}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.810814\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T07:19:56Z","timestamp":1642663196000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.810814\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,20]]},"references-count":22,"alternative-id":["10.3389\/fpsyt.2021.810814"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2021.810814","relation":{},"ISSN":["1664-0640"],"issn-type":[{"type":"electronic","value":"1664-0640"}],"subject":[],"published":{"date-parts":[[2022,1,20]]},"article-number":"810814"}}