Date of Award
Summer 8-22-2021
Degree Type
Dissertation
Degree Name
Doctor of Philosophy (PhD)
Department
Psychology
First Advisor
Molly Brown, PhD
Second Advisor
Anne Saw, PhD
Third Advisor
Megan Greeson, PhD
Abstract
Research indicates that most individuals in the general population experience some form of trauma (Kilpatrick et al., 2013) and that factors such as homelessness place individuals at higher risk of experiencing traumatic events (Deck & Platt, 2015; Ellsworth, 2019; Kushel, Evans, Perry, Robertson, & Moss, 2003). Considering that environments may both promote and impede the trauma recovery process, Trauma-Informed Care (TIC) is a service framework intended to create a culture of trauma awareness and responsiveness (Fallot & Harris, 2006). Preliminary research demonstrates that TIC has positive outcomes for clients and staff (Damian, Mendelson, Bowie, & Gallo, 2018; Hales et al., 2018; Kusmaul et al., 2018). Service environments such as homeless service providers often create settings, or milieus, in which relational and interpersonal factors among clients may impact experiences of TIC. The present qualitative study explores how client-to-client interactions (a) impact client and staff experiences of TIC in homelessness services and (b) highlight TIC principles and their dynamics. The following inductive themes were identified based on 29 client and staff interviews: accessibility, confidentiality and privacy, conflict and conflict management, general environment, individualizing care, mutual support and community building, and policies and policy enforcement. All five TIC principles based on the Fallot & Harris (2006) framework were identified within the dataset: safety, trustworthiness, choice, empowerment, and collaboration. Findings also highlighted inter-principle and intra-principle dynamics, and how they occurred. Specifically, how and the extent to which TIC principles were implemented at times had additional effects for TIC principles. Findings have practical implications for issues relevant to TIC within milieu settings and conceptual implications for ways in which TIC principles interact.
Recommended Citation
Mihelicova, Martina, "Trauma-Informed Care Within the Homeless Service Milieu: Practical and Conceptual Considerations" (2021). College of Science and Health Theses and Dissertations. 393.
https://via.library.depaul.edu/csh_etd/393
SLP Collection
no