Complexity and Context: Staff Support Systems in Mental Health after Critical Incidents and Traumatic Events

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dc.contributor.advisor Munford, R en
dc.contributor.advisor O'Brien, MA en
dc.contributor.author Adamson, Carole en
dc.date.accessioned 2012-01-03T21:53:14Z en
dc.date.issued 2006 en
dc.identifier.citation Complexity and Context: Staff Support Systems in Mental Health after Critical Incidents and Traumatic Events. Sub type: PhD Thesis. Massey University Wellington, 2006 en
dc.identifier.uri http://hdl.handle.net/2292/10318 en
dc.description.abstract This thesis presents an ecological exploration of the experiences of mental health workers faced with critical incidents and traumatic events in the course of their work. A qualitative study, it takes the experiences of twenty workers from a range of disciplines and environments, and examines their preparation for exposure to extreme stress, their passage through the incidents that they chose to relate, and the organisational response to the events. The central research question explores the knowledge bases currently utilised within trauma and critical incident response, and the degree to which these provide adequate explanatory, practice and evaluation models for responses to workplace incidents. It is examined through the narratives of the mental health workers, who self-define and explore the nature of their preparation for, and experience of, critical incidents and traumatic events in their workplace. The question is contextualised through a review of the knowledge bases of trauma and extreme stress, and of the mental health environment in which the workers practice. A case study of the workplace support known as debriefing illustrates the tensions between current knowledge bases in the area. Informed by this, the key issues of what did or did not work for the participants are explored. The thesis argues that the paradigm shift signalled by the latest developments within conceptualisations of trauma is not yet complete, and that the ensuing tensions have created debate and confusion in the creation of adequate responses to workplace incidents. The findings of the research raise issues of complexity in the design and implementation of appropriate support systems, and lend a perspective to the critique of debriefing that has been missing from existing debates. Key principles for the development of safe and sound support systems, and their evaluation, are developed. en
dc.publisher Massey University en
dc.relation.ispartof PhD Thesis - University of Auckland en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Complexity and Context: Staff Support Systems in Mental Health after Critical Incidents and Traumatic Events en
dc.type Thesis en
thesis.degree.grantor Massey University Wellington en
thesis.degree.level Doctoral en
thesis.degree.name PhD en
dc.rights.holder Copyright: the author en
pubs.author-url http://mro.massey.ac.nz/bitstream/handle/10179/1573/02_whole.pdf?sequence=1 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.elements-id 87410 en
pubs.org-id Education and Social Work en
pubs.org-id Counselling,HumanServ &Soc.Wrk en
pubs.record-created-at-source-date 2010-09-01 en


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