Culturally Responsive Trauma-Informed Care

A special issue of Behavioral Sciences (ISSN 2076-328X). This special issue belongs to the section "Social Psychology".

Deadline for manuscript submissions: closed (31 May 2022) | Viewed by 24647

Special Issue Editors

School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA
Interests: refugee trauma; mental health and psychosocial support; refugee resettlement; social capital; community-based participatory research; community capacity building for trauma-informed care; cultural concept of distress; cultural psychology
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Guest Editor
McDaniel College, 2 College Hill, 228 Lewis Recitation Hall, Westminster, MD 21157, USA
Interests: Comparative international sociology focusing on the intersection of gender: i. Globalization, migration, race, and identity; ii. Health, HIV/AIDS, and well-being; iii. Land, food security, social policy, and social movements; iv.Gender, social change, urbanization, and family; v. Social demography and research methods
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Trauma-Informed Care (TIC) is widely accepted as a standard for assessment and intervention that not only acknowledges but also respects and integrates the cultural values, beliefs, and practices of patients and families. However, relatively little has been discussed as to how different cultural dimensions may or should be considered in TIC and how the intersection between trauma and culture can inform service access and delivery, staff competency, organizational policy, as well as service outcomes. Given that certain cultural dimensions (e.g., racial, gender, and social identities) tend to account for significant disparities in service access and needed support, special attention and caution will be requested in TIC for the populations who are culturally underrepresented or marginalized. This Special Issue is interested in how cultural humility and sensitivity can be incorporated into elements and principles of TIC and what lessons we have learned to create culturally responsive trauma-informed practice and policy in the current care systems.

Prof. Dr. Hyojin Im
Dr. Linda L. Semu
Guest Editors

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Keywords

  • trauma-informed care
  • culture-informed care
  • cultural competency, cultural humility, cultural safety
  • cultural minorities (immigrants, refugees, LGBTQIA, racial/ethnic minorities, etc.)

Published Papers (5 papers)

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Research

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15 pages, 300 KiB  
Article
The Impact of Life Trauma on Mental Health and Suicidal Behavior: A Study from Portuguese Language Countries
by Mariana Silva and Henrique Pereira
Behav. Sci. 2022, 12(4), 102; https://0-doi-org.brum.beds.ac.uk/10.3390/bs12040102 - 10 Apr 2022
Cited by 1 | Viewed by 2369
Abstract
Several studies report the incidence of traumatic experiences in community and clinical samples, and substantial research demonstrates the impact of traumatic events on mental health and suicidal behavior, but this area remains unexplored in the Community of Portuguese Language Countries (CPLC). Thus, this [...] Read more.
Several studies report the incidence of traumatic experiences in community and clinical samples, and substantial research demonstrates the impact of traumatic events on mental health and suicidal behavior, but this area remains unexplored in the Community of Portuguese Language Countries (CPLC). Thus, this study aims to (1) describe traumatic experiences, mental health levels and suicidal behavior among individuals from Portugal, Brazil and African Countries with Portuguese as an Official Language (ACPOL); (2) assess correlations between traumatic experiences and mental health and suicidal behavior; and (3) assess the impact of exposure to a traumatic event on mental health and suicidal behavior. The measurement instruments included a sociodemographic questionnaire, Brief Trauma Questionnaire, Brief Symptoms Inventory-18, and the Portuguese version of the Suicidal Behaviors Questionnaire-Revised. ACPOL participants reported greater impact of war, Portuguese participants reported greater impact of disasters, and Brazilian participants reported greater impact of psychological and sexual abuse, assault, and death of a family member. Brazilian participants showed the worst levels of mental health and suicidal thoughts. Strong correlations were found between traumatic experiences and mental health levels and suicidal behavior. Traumatic experiences contributed to the explanation of mental health levels and probability of committing suicide. Full article
(This article belongs to the Special Issue Culturally Responsive Trauma-Informed Care)
11 pages, 255 KiB  
Article
Next Steps: Applying a Trauma-Informed Model to Create an Anti-Racist Organizational Culture
by Nina Esaki, Maxine Reddy and Cameron T. Bishop
Behav. Sci. 2022, 12(2), 41; https://0-doi-org.brum.beds.ac.uk/10.3390/bs12020041 - 09 Feb 2022
Cited by 7 | Viewed by 3844
Abstract
Although there has been a significant increase in the delivery of evidence-supported, trauma-informed care over the past few years, there has been less discussion around the consideration of the broader cultural, political, and societal factors that contextualize client trauma and that also need [...] Read more.
Although there has been a significant increase in the delivery of evidence-supported, trauma-informed care over the past few years, there has been less discussion around the consideration of the broader cultural, political, and societal factors that contextualize client trauma and that also need to be recognized and understood to promote healing and prevent future trauma. In support of sharing some best practices and lessons learned, this article provides a case study of one agency that has used the Sanctuary Model®, an evidence-supported, trauma-informed organizational change model, to introduce the practice of cultural humility with staff as a facilitator of improved service delivery for clients from culturally marginalized communities. The model supports these endeavors through the adherence to the seven commitments, a set of organizational values for creating a trauma-informed community, allowing for all voices to be heard and considered and providing opportunities to begin the repair of previous experiences of inequity and suppression. Through the board of directors, leadership, and staff, the organization transformed its culture into one that truly supports and embraces diversity, equity, and inclusion in its operation for the benefit of both staff and clients alike. Full article
(This article belongs to the Special Issue Culturally Responsive Trauma-Informed Care)
18 pages, 278 KiB  
Article
Working towards Culturally Responsive Trauma-Informed Care in the Refugee Resettlement Process: Qualitative Inquiry with Refugee-Serving Professionals in the United States
by Hyojin Im and Laura E. T. Swan
Behav. Sci. 2021, 11(11), 155; https://0-doi-org.brum.beds.ac.uk/10.3390/bs11110155 - 07 Nov 2021
Cited by 8 | Viewed by 5432
Abstract
Trauma-informed care (TIC) approaches have gained popularity in various contexts of human services over the past decades. However, relatively little has been explored about how it is applicable and built into services for refugee populations in resettlement programs. This study explores the current [...] Read more.
Trauma-informed care (TIC) approaches have gained popularity in various contexts of human services over the past decades. However, relatively little has been explored about how it is applicable and built into services for refugee populations in resettlement programs. This study explores the current status of the application of TIC in refugee-serving agencies and identifies perceived and experienced challenges and opportunities for culturally responsive TIC in the United States. As designed as part of the evaluation of state-wide refugee health promotion programs, this study conducted individual interviews with 78 refugee service providers from five resettlement sites. Despite the burgeoning interest and attempt to embrace TIC, our findings show that there is clear inconsistency and inexperience in TIC adaptation in resettlement programs. This study highlights that TIC that is culturally responsive and relevant to refugee trauma and acculturation experiences is a vital way to address the chasms between refugee-specific programs and mainstream services including mental health care systems. This study also discusses community resources and opportunities to bridge the deep divide and substantial gaps between mental health services and refugee resettlement services and to address comprehensive needs around mental health and wellness in the refugee community. Full article
(This article belongs to the Special Issue Culturally Responsive Trauma-Informed Care)

Review

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13 pages, 272 KiB  
Review
Building Trauma-Informed Approaches in Higher Education
by Lisa A. Henshaw
Behav. Sci. 2022, 12(10), 368; https://0-doi-org.brum.beds.ac.uk/10.3390/bs12100368 - 28 Sep 2022
Cited by 3 | Viewed by 3889
Abstract
Trauma-informed approaches serve as an essential framework for human service organizations and are now being applied in education settings, including higher education institutions (HEIs). The increasing incidence of traumatic events, including the global pandemic of COVID-19 and the systemic violence against persons of [...] Read more.
Trauma-informed approaches serve as an essential framework for human service organizations and are now being applied in education settings, including higher education institutions (HEIs). The increasing incidence of traumatic events, including the global pandemic of COVID-19 and the systemic violence against persons of color, has prompted HEIs to examine how culture and inclusivity are conceptualized in the curriculum and reflected in institutional policy and programming. Within this context, there is a need to identify how trauma-informed approaches at HEIs can be culturally responsive. This article briefly summarizes evidence supporting the rationale for trauma-informed approaches at HEIs and how culture has historically been addressed through cultural competency and cultural humility. Cultural sensitivity and responsiveness are then conceptualized from a trauma-informed lens as informed by the literature. Finally, key concepts and theory relevant to applying culturally responsive trauma-informed approaches at HEIs are defined, with recommendations for policy, research, and practice. Full article
(This article belongs to the Special Issue Culturally Responsive Trauma-Informed Care)
13 pages, 7070 KiB  
Review
Ketamine-Assisted and Culturally Attuned Trauma Informed Psychotherapy as Adjunct to Traditional Indigenous Healing: Effecting Cultural Collaboration in Canadian Mental Health Care
by Sherry-Anne Muscat, Geralyn Dorothy Wright, Kristy Bergeron, Kevin W. Morin, Courtenay Richards Crouch and Glenn Hartelius
Behav. Sci. 2021, 11(9), 118; https://0-doi-org.brum.beds.ac.uk/10.3390/bs11090118 - 31 Aug 2021
Cited by 3 | Viewed by 5545
Abstract
Ketamine therapy with culturally attuned trauma-informed psychotherapy in a collaborative cross-cultural partnership may provide a critical step in the operationalization and optimization of treatment effectiveness in diverse populations and may provide a foundation for an improved quality of life for Indigenous people. Decolonizing [...] Read more.
Ketamine therapy with culturally attuned trauma-informed psychotherapy in a collaborative cross-cultural partnership may provide a critical step in the operationalization and optimization of treatment effectiveness in diverse populations and may provide a foundation for an improved quality of life for Indigenous people. Decolonizing Indigenous health and wellbeing is long overdue, requiring an equal partnership between government and Indigenous communities, built upon an aboriginal culture holistic foundation of balance of mind, body, social and spiritual realms, and within the context of historical and lived experiences of colonialism. Culturally attuned trauma-informed psychotherapy paired with ketamine—a fast-acting antidepressant that typically takes effect within 4 hours, even in cases of acute suicidality—may be uniquely qualified to integrate into an Indigenous based health system, since ketamine’s therapeutic effects engage multiple neuropsychological, physiological, biological, and behavioral systems damaged by intergenerational complex developmental trauma. Ketamine holds the potential to serve as a core treatment modality around which culturally engaged treatment approaches might be organized since its brief alteration of normal waking consciousness is already a familiar and intrinsic element of healing culture in many Indigenous societies. There is great need and desire in Indigenous communities for respectful and sacred partnership in fostering more effective mental health outcomes and improved quality of life. Full article
(This article belongs to the Special Issue Culturally Responsive Trauma-Informed Care)
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