High numbers of children and adolescents in South-East Asia are traumatized by either natural disasters or human-made violence. Addressing traumatic sequelae in local populations with empirically based trauma treatments is challenged by the insufficiency inappropriately trained mental health provision. To meet this need for qualified therapists, the humanitarian/trauma capacity-building organization, Trauma Aid Germany, trained 37 therapists in psychotraumatology, including trauma stabilization. This study analyses the impact of trauma stabilization as a sole treatment intervention for post-traumatic stress (PTS) problems in children and adolescents. Each client was screened for PTS problems pre- and post-treatment using the Child Behaviour Checklist. Trauma stabilization (including psychoeducation) was the focus for subsequent data analysis. Those excluded were clients in receipt of trauma confrontation interventions. Trauma stabilization, as a sole treatment intervention, appeared to be sufficiently effective in reducing the PTS problems. The data set suggests that trauma stabilization has the potential to be effective, efficient, and sufficient treatment intervention for PTS problems in children and adolescents. Trauma stabilization techniques have the advantage of being relatively straightforward to teach and easy to integrate into practice. They are clinically safe, flexible, adaptable to the development stage and age of the client, and culturally and spiritually sensitive. A further advantage of trauma stabilization interventions is that they are bespoke - adjusted and adapted to the specific needs of the client. The discussion considers the implications for the potential utilization of mental health nurses and paraprofessionals in low- and middle-income countries in trauma stabilization interventions.

译文

东南亚大量儿童和青少年受到自然灾害或人为暴力的创伤。通过基于经验的创伤治疗来解决当地人群的创伤后遗症,这是由于缺乏经过不适当培训的精神卫生提供而提出的挑战。为了满足对合格治疗师的需求,人道主义/创伤能力建设组织德国创伤援助组织对37名治疗师进行了精神创伤学培训,包括创伤稳定。这项研究分析了创伤稳定作为儿童和青少年创伤后应激 (PTS) 问题的唯一治疗干预措施的影响。使用儿童行为清单对每个客户进行治疗前和治疗后的PTS问题筛查。创伤稳定 (包括心理教育) 是后续数据分析的重点。被排除在外的是接受创伤对抗干预的客户。作为唯一的治疗干预措施,创伤稳定似乎在减少PTS问题方面足够有效。数据集表明,创伤稳定有可能对儿童和青少年的PTS问题进行有效,有效和充分的治疗干预。创伤稳定技术的优点是教学相对简单,易于融入实践。它们在临床上是安全的,灵活的,能够适应客户的发展阶段和年龄,并且在文化和精神上都很敏感。创伤稳定干预措施的另一个优点是,它们经过定制调整并适应客户的特定需求。讨论考虑了中低收入国家精神卫生护士和准专业人员在创伤稳定干预措施中的潜在利用的影响。

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