Trauma-informed care: A qualitative study exploring the views and experiences of professionals in specialist health services for adults with intellectual disabilities

J Appl Res Intellect Disabil. 2019 Nov;32(6):1437-1445. doi: 10.1111/jar.12634. Epub 2019 Jun 6.

Abstract

Background: Trauma and its sequelae is recognised as a major morbidity factor in people with intellectual disabilities, however, a lack of inquiry into how health care professionals address trauma in this adult population exists.

Aims: To explore specialist intellectual disability practitioners perspectives on current health provision and developments to address trauma.

Methods: Twenty-five qualitative interviews were conducted with practitioners across 6 health service areas in the UK. Data were analysed using thematic content analysis.

Findings: Seven central themes emerged: (a) unmasked trauma; (b) trauma informed care; (c) person-centred care and support; (d) multi-disciplinary working; (e) reasonable adjustments; (f) barriers to treatment and (g) awareness, training and education.

Conclusion: Trauma-informed care and multi-disciplinary working are essential components for future service development. Advances in the evidence-base for effective psychological interventions for PTSD and training and education of health care staff are needed in order to improve service provision amongst this population.

Keywords: health care professionals; intellectual disabilities; qualitative; trauma.

MeSH terms

  • Allied Health Personnel
  • Female
  • Health Personnel*
  • Humans
  • Intellectual Disability / complications
  • Intellectual Disability / psychology*
  • Male
  • Nurses
  • Patient-Centered Care
  • Psychiatry
  • Psychological Trauma / complications
  • Psychological Trauma / diagnosis
  • Psychological Trauma / psychology
  • Psychological Trauma / therapy
  • Psychology
  • Qualitative Research
  • Social Support
  • Social Workers
  • Stress Disorders, Post-Traumatic / complications
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress Disorders, Post-Traumatic / therapy
  • United Kingdom

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