Thesis (M.S.)--Catholic University of America. / Bibliography: p. 51-53.

Thesis (M.S.)--Catholic University of America. / Bibliography: p. 51-53.

Trauma has been described as a pressing public health concern and research evidence demonstrates how unresolved trauma can lead to multiple co-morbidities including chronic medical conditions such as cardiovascular disease. Furthermore, epidemiological evidence demonstrates the high prevalence of trauma histories amongst service users seeking care across a range of systems including child welfare, education, health, social services and the criminal justice system. In response, the concept of trauma-informed care (TIC) has emerged, but how TIC can be conceptually defined and utilized remains unclear in the scholarly literature. This dissertation utilizes a variety of methodological approaches to explore how and under what conditions TIC can be utilized within and across systems of care to address the prevalence of trauma-affected individuals seeking care. First, a critical interpretive synthesis of the TIC literature provides an overview of how TIC can be defined and utilized through the development of a conceptual framework situating TIC within and across systems of care. A theoretical framework outlines important contextual factors, such as system arrangements as well as the political system, that can act as either barriers or facilitators to the operationalization of TIC. Second, a document analysis examines how and under what conditions TIC is utilized in adult mental health policy documents in Ontario, Canada. Finally, a case study explores what factors led to the exclusion of TIC from Ontario’s first province-wide strategy on mental health and addictions. Collectively, these three studies add several substantive, methodological and theoretical contributions regarding a cohesive understanding of what is trauma, how TIC can be defined and operationalized and the role of TIC at various levels within and across systems of care. Mobilizing sustainable and effective TIC has been demonstrated to improve the overall health and well-being of both service users and services providers, leading to stronger systems of care and healthier communities and societies at large. / Thesis / Candidate in Philosophy / The concept of trauma-informed care (TIC) has emerged in response to increased awareness regarding the prevalence and impact of trauma. A growing body of empirical literature has demonstrated the effectiveness of TIC within specific programs and services as well as at the organizational and system levels. What constitutes trauma, however, and how TIC can be defined and operationalized at various levels remains unclear. This thesis aims to address these gaps in the literature by: (1) developing a conceptual framework on TIC and a theoretical framework outlining the barriers and facilitators of TIC (2) examining how and under what conditions can TIC be utilized in mental health policy documents (3) exploring what are the political factors that can lead governments to decide against utilizing TIC.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-01-26T17:08:53Z No. of bitstreams: 1 yvonearchanjomassucatebarbosa.pdf: 1825776 bytes, checksum: f88b10c17d0cd0a309e263a5d3b7267f (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-01-27T11:06:32Z (GMT) No. of bitstreams: 1 yvonearchanjomassucatebarbosa.pdf: 1825776 bytes, checksum: f88b10c17d0cd0a309e263a5d3b7267f (MD5) / Made available in DSpace on 2016-01-27T11:06:32Z (GMT). No. of bitstreams: 1 yvonearchanjomassucatebarbosa.pdf: 1825776 bytes, checksum: f88b10c17d0cd0a309e263a5d3b7267f (MD5) Previous issue date: 2014-07-17 / Com o advento do trabalho feminino, a utilização de estabelecimentos destinados à permanência de crianças com idade inferior a 5 (cinco) anos é avultada, e torna-se fundamental a avaliação dos preceitos determinados pelos órgãos competentes, no intuito de se conhecerem as premissas que determinam os elementos responsáveis por contribuir para o desenvolvimento físico e mental das crianças que fazem uso dessas instituições. Tendo em vista a importância da ciência sobre os princípios que regem a adequação para a garantia do bem-estar e da segurança dos usuários dos estabelecimentos de ensino infantil, esta pesquisa objetiva criar um instrumento para que pais, mães ou responsáveis pelas crianças possam escolher a instituição de ensino a ser utilizada por seu(s) filho(s), que melhor lhe atenda. Especificamente, esta pesquisa buscará analisar se este instrumento atende aos anseios dos pais no momento da escolha pela creche de seu filho, conseguindo ser útil e inteligível a eles. Espera-se que essa ferramenta possa avolumar as questões sobre bem-estar e segurança dentro das instituições de educação infantil e suscite nos pais e responsáveis a busca por qualidade dentro das mesmas, no intuito de preservar a integridade física e mental das crianças. / With the advent of the feminine work the need for childcare institutes for children until age 5 has increased. Therefore, the assessment of the infrastructure conditions of such institutes is essential. About their physical infrastructure, it is necessary to evaluate the rules dictated by the authorities aiming to understand the principles that determine the elements responsible for the contribution to the mental and physical development of children which attend such establishments. Regarding the importance of science on the principles governing the suitability for securing the welfare of users of pre-school establishments, this research aims to create an instrument so that parents and other people responsible for children can analyse the establishments to be used for them. More specifically, this research seeks to assess if such instrument is able to help parents to choose the right institute, being useful and intelligible for them. It is expected that this tool could swell the issues on comfort and welfare related to the early childhood establishments and inspire parents and guardians to search for quality in order to preserve the physical and mental integrity of children.