Confronting trauma as a team: therapists’ experience with providing intensive trauma-focused treatment, within a framework of therapist rotation

Background: Therapists report that working in a framework of therapist rotation decreases their fear of providing trauma-focused treatment, lessens avoidance behaviour and reduces therapists` drift from treatment protocol. In the present study we ask: How do therapists experience providing intensive, trauma-focused treatment within a framework of therapist rotation at Prompt Mental Health Care? Methods: Two focus group interviews were conducted with the team of therapists. Seven therapist meetings were observed, and field notes were made. Data was analysed using Reflexive Thematic Analysis. Results: The analysis yielded three themes: (1) It can be uncomfortable, but we stick to it, (2) Knowing that your team supports you, and (3) We need to treat people with trauma closer to home. Conclusion: This study demonstrates that teamwork can reduce barriers associated with providing trauma-focused treatment (TFT). It also shows that working in a functional team, within a framework of therapist rotation, has the potential to minimize therapist drift. The shared responsibility and support within the team makes it more feasible for therapists to provide TFTs. Consequently, a collaborative approach can enhance access to evidence-based treatments.