How trauma-informed are we? A comparative framework analysis of early intervention service guidelines for psychosis and trauma-informed principles.

Background: This study assessed the extent to which early intervention guidelines for psychosis align with trauma-informed care principles and identifies gaps in integration. Methods: Clinical guidelines were sourced through literature reviews and principles of trauma-informed care were identified f...

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Publicado en:Psychosis Vol. 18; no. 3; pp. 249 - 268
Autores principales: Kearns, Joshua, Davidson, Gavin, Shannon, Ciarán, Mulholland, Ciaran
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2026
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17522439.2025.2603435
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        atl: How trauma-informed are we? A comparative framework analysis of early intervention service guidelines for psychosis and trauma-informed principles.
      aug:
        au:
          Kearns, Joshua
          Davidson, Gavin
          Shannon, Ciarán
          Mulholland, Ciaran
        affil: School of Social Sciences, Education and Social Work, Queen's University Belfast, Belfast, UK
      sug:
        subj:
          Early Intervention
          Practice Guidelines
          Psychotic Disorders Therapy
          Psychological Trauma
          Human
          Comparative Studies
          Implementation Science
          Thematic Analysis
          Mental Health Services
          Quality Improvement
          Health Care Delivery
          Funding Source
      ab: Background: This study assessed the extent to which early intervention guidelines for psychosis align with trauma-informed care principles and identifies gaps in integration. Methods: Clinical guidelines were sourced through literature reviews and principles of trauma-informed care were identified from previous literature. Using a deductive approach to framework analysis, four overarching themes and sub-themes were developed from existing guidelines. Quantitative analysis allowed the use of scoring and cross-comparison across guideline sets. Results: Seven guideline documents, representing international perspectives (UK, Australia, British Columbia, United States) and published between 2005 and 2023, were selected for analysis. The findings revealed notable inconsistencies in the integration of trauma-informed principles across early intervention guidelines. Key areas such as staff supervision and trauma assessment are frequently underemphasised. Nevertheless, there is a clear temporal shift that suggests gradual progress toward the incorporation of trauma-informed principles over time. Discussion: This study highlights the necessity of comorbid trauma and psychosis guidelines. It further underscores the need for explicit trauma-informed recommendations in psychosis guidelines to enhance patient outcomes and clinician preparedness.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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