Dissertation/Thesis Abstract

Historical Trauma: What They Did Not Leave Behind, An Exploratory Study
by Silva, Amanda, M.S.W., California State University, Long Beach, 2019, 72; 13814811
Abstract (Summary)

This study described trauma-informed care at a rural Indian health clinic where clients are impacted by historical trauma. Qualitative data were gathered through convenience sampling from a client focus group and staff key informant interviews. The total sample size of 11 consisted of 7 Native clients, 2 Native staff members, and 2 non-Native staff members.

Client themes identified were: stolen identity, smoldering ashes; internalized colonization and shame; reconnection, community, and cultural reawakening; the Indian health clinic as home; and community is medicine. Staff themes identified were: bearing witness to the legacy of trauma; right amount, right time; relationship-based care; a safe container; empowerment through choice; walking the battlefield and the soul wound; and culture is intervention.

Future research recommendations include a quantitative study of the effects of trauma-informed interventions for historical trauma. Implications for practice include highlighting the importance of culturally-based interventions. Trauma-informed treatment for this population should focus on both historical and intergenerational trauma. Policy changes in Indian health funding and service delivery are also indicated.

Indexing (document details)
Advisor: Potts, Marilyn
Commitee: Wilson, Steve, Pasztor, Eileen Mayers
School: California State University, Long Beach
Department: Social Work, School of
School Location: United States -- California
Source: MAI 81/1(E), Masters Abstracts International
Source Type: DISSERTATION
Subjects: Social work, Public health
Keywords: Rural Indian health clinic, Historical trauma, Trauma-informed treatment
Publication Number: 13814811
ISBN: 9781085565387
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