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Forensic health-care workers are frequently exposed to behaviours that challenge and traumatic material, with notably high levels in developmental disorder (DD) services. The provision of support is key in alleviating distress and improving work functioning. This paper aims to incite clarity on whether staff in DD services are more likely to access trauma support. The prevailing needs and outcomes for this population are also explored.

Data was extracted retrospectively from a database held by an internal trauma support service (TSS) for staff working in a secure psychiatric hospital. Overall, 278 permanent clinical staff accessed the TSS between 2018 and 2020, 102 (36.7%) of whom worked in an adult DD forensic inpatient service.

Staff working in DD services were over-represented in referrals to the TSS with a greater number of referrals per bed in DD services than in non-DD services (0.94 vs 0.33). DD staff were comparatively more likely to access support for non-physical, psychologically traumatic experiences. Psychological needs and outcomes following support were comparable between staff across services.

The findings highlight the more frequent need for trauma support of staff in forensic inpatient DD settings. Embedding a culture of safety and openness, and establishing appropriate and responsive models of staff support reflect key priorities for inpatient DD health-care providers, for the universal benefit of the organisation, workforce and service users.

This study offers novel insight into levels of access to support for staff working with people with DDs.

Purpose – Having concluded that the long-term and ongoing murders and disappearances of Indigenous women, girls, and 2SLGBTQQIA (MMIWG2S+) people is genocide, the National Inquiry into Missing and Murdered Indigenous Women and Girls (NIMMIWG) (2019) made 231 Calls for Justice in relation to culture, health, security, and criminal justice to broadly address the ongoing colonial dispossession and systemic, racialized, and gendered violence against MMIWG2S+ people. In response to these Calls for Justice, this article traces Indigenous grassroots initiatives to show the many ways that justice can be broadly conceived and mobilized to address the murders and disappearances.

Methodology/Approach – Drawing on the Unearthing Justices Resource Collection of 500+ Indigenous grassroots initiatives for the MMIWG2S+ people, this work theorizes a spatial approach to justice using mapping methodologies.

Findings – Not only have Indigenous families and communities been calling for justice, but they have also been cultivating justice across the land by building constellations of resource and support. The author traces the land-based activities specific to community patrols, land-based commemorations, search support, and walks and journeys to show the vast resources, skills, and strengths that already exist in Indigenous communities and how justice can be conceptualized within its local and spatial arrangements, and beyond the imaginaries of a criminal justice system.

Originality/Value – Where the ongoing colonial dispossession and systemic, racialized, and gendered violence against MMIWG2S+ people is well documented, there has been less consideration of how Indigenous families and communities have navigated a terrain where justice continues to be absent,elusive, or invasive.