Untitled

Bloom, Sandra L.; Bennington-Davis, Maggie; Farragher, Brian; McCorkle, David; Nice-Martini, Kelly; Wellbank, Kathy

doi:10.1023/a:1021359828022

Cited by 47 publications

(7 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These approaches include TF-CBT (Cohen, Deblinger, Mannarino, & Steer, 2004; Cohen & Mannarino, 1998) and Prolonged Exposure (PE; Foa et al, 2005), both evidence-based cognitive-behavioral therapies for the treatment of PTSD in children and adults (respectively). Additionally, DBHIDS provided training in the Sanctuary Model (Bloom et al, 2003), an evidence-informed approach to building trauma-informed organizations.…”

Section: Contextmentioning

confidence: 99%

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

Beidas

Adams

Kratz

et al. 2016

Evaluation and Program Planning

View full text Add to dashboard Cite

Exposure to traumatic experiences among youth is a serious public health concern. A trauma-informed public behavioral health system that emphasizes core principles such as understanding trauma, promoting safety, supporting consumer autonomy, sharing power, and ensuring cultural competence, is needed to support traumatized youth and the providers who work with them. This article describes a case study of the creation and evaluation of a trauma-informed publicly funded behavioral health system for children and adolescents in the City of Philadelphia (the Philadelphia Alliance for Child Trauma Services; PACTS) using the Exploration, Preparation, Implementation, and Sustainment (EPIS) as a guiding framework. We describe our evaluation of this effort with an emphasis on implementation determinants and outcomes. Implementation determinants include inner context factors, specifically therapist knowledge and attitudes (N = 114) towards evidence-based practices. Implementation outcomes include information on rate of PTSD diagnoses in agencies over time, number of youth receiving TF-CBT over time, and penetration (i.e., number of youth receiving TF-CBT divided by the number of youth screening positive on trauma screening). We describe lessons learned from our experiences building a trauma-informed public behavioral health system in the hopes that this case study can guide other similar efforts.

show abstract

Section: Contextmentioning

confidence: 99%

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

Beidas

Adams

Kratz

et al. 2016

Evaluation and Program Planning

View full text Add to dashboard Cite

show abstract

“…Cohesion was described to enhance the capacity of an MHT to support client success in recovery. Integrated healthcare providers highlighted how the sentiment that we can do this together is important for the productivity of an MHT to accomplish client-centered recovery goals and prevent provider burnout and compassion fatigue (Bloom et al, 2003; Esaki et al, 2013). MHT cohesion is an important factor to enable crisis prevention and the well-being of both integrated healthcare providers and clients (Rosen et al, 2018).…”

Section: Discussion and Implications For Policymentioning

confidence: 99%

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

Stanley

2023

Journal of Psychotherapy Integration

View full text Add to dashboard Cite

The purpose of this study was to inform the development of a crisis prevention process model focusing on the qualities present in relationships among unhoused Indigenous peoples and integrated healthcare providers when crisis is prevented. The scope of the study is on multidisciplinary healthcare teams (MHT) and removing barriers for clients to access the resources they need. This key-informant study conducted 24 semistructured interviews including (14) unhoused Indigenous people and (10) members of their MHT in 2021. The study consisted of two phases beginning with identifying study and interview questions through a participatory evaluation process. During the second phase, interviews were conducted and recorded by researcher. Coding assistance by the research team supported heuristic content analysis. An integrated healthcare provider's cultural understanding of a client emerged as a fundamental tenant for a client to experience a sense of belonging on their MHT. Seventy-two significant statements were identified, two themes were acquired, structured into three categories, and synthesized into eight codes: cultural understanding, sense of belonging, focusing, strengths, listen, communication, informed, and intraorganizational systems. Ethical distress contributed to escalated crises and prevention barriers while MHT cohesion enhanced the capacity to support a client's success. Participant experiences shaped theoretical integration of the relational-cultural theory, motivational interviewing, and the Community Resiliency Model prevention process model to improve MHT safety planning. The implications for integrated healthcare and housing policy are to increase multilevel support for organizations to sustain MHT cohesion and maintain intraorganizational systems. Public Health Significance StatementThis study addresses the problem of health disparities among unhoused Indigenous peoples with focus on reducing safety incidents in community behavioral health settings. The integration of relational and somatic clinical models expands on trauma-informed care to further the paradigm shift from a deficit model to an emphasis on resilience and healing in recovery. Public health implications are identified on the interpersonal, multidisciplinary, organizational, and structural policy and practice levels.

show abstract

“…Only one of the seven papers was rated as moderate on the risk of bias assessment (Izzo et al, 2016), with all other studies rated as weak. Five of the seven papers we assessed had weak study designs (Arvidson et al, 2011;Bloom et al, 2003;Hodgdon et al, 2013Hodgdon et al, , 2016Kramer, 2016), and only one study accounted for confounding variables (Izzo et al, 2016). No studies mentioned blinding of participants or researchers, and all except one study (Izzo et al, 2016) were rated as weak on withdrawals/dropouts of participants from studies.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Three papers were found in the search that evaluated the Sanctuary Model Kramer, 2016;Rivard et al, 2005). In the first of these papers, Bloom et al (2003) evaluated the use of the Sanctuary Model in five diverse organisational settings. Two of these settings were residential treatment programmes for children, and a third setting was a group home for disturbed adolescents.…”

Section: The Sanctuary Modelmentioning

confidence: 99%

Systematic review of organisation‐wide, trauma‐informed care models in out‐of‐home care (Oo HC ) settings

Bailey

Klas

Green

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

Trauma in early childhood has been shown to adversely affect children's social, emotional, and physical development. Children living in out-of-home care (OoHC) have better outcomes when care providers are present for children, physically, psychologically, and emotionally. Unfortunately, the high turnover of out-of-home carers, due to vicarious trauma (frequently resulting in burnout and exhaustion) can result in a child's trauma being re-enacted during their placement in OoHC. Organisation-wide therapeutic care models (encompassing the whole organisation, from the CEO to all workers including administration staff) that are trauma-informed have been developed to respond to the complex issues of abuse and neglect experienced by children who have been placed in OoHC. These models incorporate a range of therapeutic techniques, and provide an overarching approach and common language that is employed across all levels of the organisation. The aim of this study was to investigate the current empirical evidence for organisation-wide, trauma-informed therapeutic care models in OoHC. A systematic review searching leading databases was conducted for evidence of organisation-wide, trauma-informed, out-of-home care studies, between 2002 and 2017. Seven articles were identified covering three organisational models. Three of the articles assessed the Attachment Regulation and Competency framework (ARC), one study assessed the Children and Residential Experiences programme (CARE), and three studies assessed The Sanctuary Model. Risk of bias was high in six of the seven studies. Only limited information was provided on the effectiveness of the models identified through this systematic review, although the evidence did suggest that trauma-informed care models may have significantly positive outcomes for children in OoHC. Future research should focus on evaluating components of trauma-informed care models and assessing the efficacy of the various organisational care models currently available.

show abstract

Untitled

Cited by 47 publications

References 3 publications

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

Systematic review of organisation‐wide, trauma‐informed care models in out‐of‐home care (Oo HC ) settings

Contact Info

Product

Resources

About