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Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study

AIM: The current study sought to conceptualize and reach consensus on the principles of trauma‐informed care in early intervention psychosis services. METHODS: A three‐phase Delphi method was employed in this study. Experts included researchers, service providers and Experts by Experience in the are...

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Autores principales: Mitchell, Sinéad, Shannon, Ciaran, Mulholland, Ciaran, Hanna, Donncha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451918/
https://www.ncbi.nlm.nih.gov/pubmed/33169532
http://dx.doi.org/10.1111/eip.13068
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author Mitchell, Sinéad
Shannon, Ciaran
Mulholland, Ciaran
Hanna, Donncha
author_facet Mitchell, Sinéad
Shannon, Ciaran
Mulholland, Ciaran
Hanna, Donncha
author_sort Mitchell, Sinéad
collection PubMed
description AIM: The current study sought to conceptualize and reach consensus on the principles of trauma‐informed care in early intervention psychosis services. METHODS: A three‐phase Delphi method was employed in this study. Experts included researchers, service providers and Experts by Experience in the area of early intervention in psychosis. In the initial qualitative phase, an expert panel (n = 57) shared their views on the constituents of trauma‐informed care in early intervention psychosis services. Thematic analysis led to the generation of statement items. The expert panel was asked to rate the extent to which each statement item was an essential principle of trauma‐informed care, leading to consensus of endorsed principles. RESULTS: Qualitative analysis of the first phase data led to the identification of 185 distinct statements which were compiled into an online questionnaire for the panel to rate in Phase 2. The Phase 2 questionnaire was completed by 42 experts, with the endorsement of seven principles. In Phase 3, the panel were invited to re‐rate 24 statements. This phase was completed by 39 panel members, with the acceptance of a further nine principles. Consensus was achieved resulting in the endorsement of 16 essential principles of trauma‐informed care. CONCLUSIONS: The study offers novel understanding of the conceptualisation of trauma‐informed care in early intervention services and suggests principles which are widely agreed by experts in the field. The recommendations may inform the adoption of consistently delivered trauma‐informed care in early interventions in psychosis and facilitate the evaluation and development of services.
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spelling pubmed-84519182021-09-27 Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study Mitchell, Sinéad Shannon, Ciaran Mulholland, Ciaran Hanna, Donncha Early Interv Psychiatry Early Intervention in the Real World AIM: The current study sought to conceptualize and reach consensus on the principles of trauma‐informed care in early intervention psychosis services. METHODS: A three‐phase Delphi method was employed in this study. Experts included researchers, service providers and Experts by Experience in the area of early intervention in psychosis. In the initial qualitative phase, an expert panel (n = 57) shared their views on the constituents of trauma‐informed care in early intervention psychosis services. Thematic analysis led to the generation of statement items. The expert panel was asked to rate the extent to which each statement item was an essential principle of trauma‐informed care, leading to consensus of endorsed principles. RESULTS: Qualitative analysis of the first phase data led to the identification of 185 distinct statements which were compiled into an online questionnaire for the panel to rate in Phase 2. The Phase 2 questionnaire was completed by 42 experts, with the endorsement of seven principles. In Phase 3, the panel were invited to re‐rate 24 statements. This phase was completed by 39 panel members, with the acceptance of a further nine principles. Consensus was achieved resulting in the endorsement of 16 essential principles of trauma‐informed care. CONCLUSIONS: The study offers novel understanding of the conceptualisation of trauma‐informed care in early intervention services and suggests principles which are widely agreed by experts in the field. The recommendations may inform the adoption of consistently delivered trauma‐informed care in early interventions in psychosis and facilitate the evaluation and development of services. Wiley Publishing Asia Pty Ltd 2020-11-09 2021-10 /pmc/articles/PMC8451918/ /pubmed/33169532 http://dx.doi.org/10.1111/eip.13068 Text en © 2020 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Early Intervention in the Real World
Mitchell, Sinéad
Shannon, Ciaran
Mulholland, Ciaran
Hanna, Donncha
Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study
title Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study
title_full Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study
title_fullStr Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study
title_full_unstemmed Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study
title_short Reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: A Delphi study
title_sort reaching consensus on the principles of trauma‐informed care in early intervention psychosis services: a delphi study
topic Early Intervention in the Real World
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451918/
https://www.ncbi.nlm.nih.gov/pubmed/33169532
http://dx.doi.org/10.1111/eip.13068
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