Abstract

The independent island nation of Saint Lucia and surrounding Caribbean countries have fairly well-documented high reported rates of trauma, but limited training infrastructure for trauma-related mental health support and treatment services. This study addresses this disparity between high trauma exposure and sparse trauma-related resources by studying how a one-day training workshop impacted self-rated knowledge about trauma and stigma towards trauma survivors. The training was provided by a licensed clinical psychologist in partnership with a local women’s rights group. Participants (n = 41) included school counselors, nurses, psychiatric providers, health educators, and advocates on the island. Participants completed pre- and post-workshop measures examining the variables of interest. The one-day workshop provided training on trauma types, post-trauma reactions, options for treatment, and hands-on training for trauma crisis-management and short-term interventions. Following the workshop, participants reported increased knowledge of trauma, more accurate perceptions of its prevalence, better understanding of evidence-based treatments, and lower trauma survivor-related stigma. This is the first trauma-focused workshop tested in St. Lucia, where the need for such training is considerable given few treatment options for trauma survivors in this area. Work is underway to provide more expansive services for trauma across the Caribbean region, given these preliminary promising findings.

Highlights

  • It is estimated that nearly 70% of the population across the globe will experience at least one traumatic event in their lifetimes [1], and approximately 10–15% of individuals experiencing such distressing events will go on to develop significant mental health problems as a result, such as post-traumatic stress disorder (PTSD), generalized anxiety disorder (GAD), specific phobias, depression, substance use disorder, and other related mental health issues [2,3]

  • This study is the first to our knowledge to systematically examine the impact of a one-day psychoeducation and training workshop for providers supporting trauma survivors in Saint Lucia

  • This relatively short training was of high interest, effectively improved knowledge around trauma and evidence-based treatments, and reduced stigma towards trauma survivors across a variety of stakeholders engaged in the care of trauma survivors

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Summary

Introduction

It is estimated that nearly 70% of the population across the globe will experience at least one traumatic event (e.g., physical/sexual abuse, natural disasters, automobile/man-made accidents, gun or other violence) in their lifetimes [1], and approximately 10–15% of individuals experiencing such distressing events will go on to develop significant mental health problems as a result, such as post-traumatic stress disorder (PTSD), generalized anxiety disorder (GAD), specific phobias, depression, substance use disorder, and other related mental health issues [2,3]. The occurrence of these mental health issues following exposure to a traumatic event is associated with significant healthcare burden and distress for those experiencing such events, including greater number of days missed from work, significantly higher overall healthcare costs, and a distinct reduction in quality of life and life functioning [4,5,6]. Public Health 2020, 17, 2255; doi:10.3390/ijerph17072255 www.mdpi.com/journal/ijerph

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