Attitudes towards trauma-informed care in residential out-of-home care

Galvin, Emma; O’Donnell, Renée; Mousa, Aya; Halfpenny, Nick; Skouteris, Helen

doi:10.1016/j.childyouth.2020.105346

Cited by 8 publications

(5 citation statements)

References 23 publications

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“…The results in relation to compassion satisfaction are generally positive and in line with previous findings demonstrating that an ethic of care and a desire to sustain positive interpersonal relationships are central drivers in teachers’ practices (O’Toole & Simovska, 2021 ). However, the ARTIC results recorded in this study were lower overall compared to those involving other research participants and in other jurisdictions, including frontline health and social care professionals in Ireland (O’Toole & Dobutowitsch, 2020 ), educators in the United States (Kim et al, 2021 ), residential care professionals in Australia (Galvin et al, 2020 ), and student teachers in Canada (Rodger et al, 2020 ). All of these studies reported average or median ARTIC scores between 5.08 and 6.10.…”

Section: Discussioncontrasting

confidence: 62%

The Courage to Care: Teacher Compassion Predicts More Positive Attitudes Toward Trauma-Informed Practice

O'Toole

Dobutowitsch²

2022

Journ Child Adol Trauma

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Purpose With greater awareness of the prevalence and impact of childhood trauma and adversity, teachers are now assuming a more active role in creating emotionally healthy environments and responding to student distress. However, supporting trauma-affected students can be a source of amplified teacher stress. Compassion has been identified as a promising construct for frontline professionals in terms of promoting psychological wellbeing, and increasing the sensitivity to detect, tolerate and respond to distress in others. It has also been identified as an important aspect of trauma-informed practice. Nevertheless, the role of compassion in teachers’ attitudes towards, and readiness for implementing trauma-informed practices has not yet been explored. This study aimed to address this gap. Methods A sample of 377 primary and post-primary teachers in Ireland completed the Attitudes Related to Trauma-Informed Care Scale, the Professional Quality of Life Scale, the Self-Compassion Scale, and a socio-demographic survey. Results Teachers were found to hold generally positive attitudes toward trauma-informed care. They exhibited low to moderate levels of secondary traumatic stress and burnout, and notably high levels of compassion satisfaction, indicating that they tend to embrace their caring role and find meaning and purpose in their work. Regression analyses showed that compassion satisfaction was the strongest predictor of positive attitudes toward trauma-informed care, followed by self-compassion. Older teachers were more likely to display positive attitudes toward trauma-informed care, whilst teachers in single-sex boys’ schools held attitudes that were less favorable. Conclusion This study suggests potential benefits for both teachers and students of positioning compassion at the center of educational policy and practice. The results are contextualized within the Irish and international educational landscape.

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Section: Discussioncontrasting

confidence: 62%

The Courage to Care: Teacher Compassion Predicts More Positive Attitudes Toward Trauma-Informed Practice

O'Toole

Dobutowitsch²

2022

Journ Child Adol Trauma

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“…In eight (53.3%) of the studies, outcomes were measured with a standardized instrument, five of which to assess staff’s perceptions and four to measure recipients’ functioning. Last, standardized instruments specifically designed to measure TIC framework were employed only in four (26.6%) studies: the Attitudes Related to Trauma-Informed Care (ARTIC) scale in Galvin et al (2020), the Trauma-Informed Organizational Toolkit (TIOT) in Gilmer et al (2021), and the Trauma-System Readiness Tool (TSRT) in Lang et al (2016) and Connell et al (2019).…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies had TIC as their main framework, except for Goetz and Taylor-Trujillo (2012) that was based on the patient-focused intervention (PFI) model, while specifying TIC as the core element. The TIC interventions were diverse and developed ad hoc in the majority of studies (e.g., Green et al, 2021; Suarez et al, 2014 as described in Slavin & Suarez, 2013), with only three implementing a protocolized model (The Sanctuary Model in Elwyn et al, 2015 and Galvin et al, 2020, and the Six Core Strategies in Hale & Wendler, 2020). In other articles, the intervention was an implementation of TIC principles from either SAMHSA (Ashby et al, 2019) or Harris and Fallot (Keesler & Isham, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Two of eight (25%) studies report positive results in perceptions of safety (Goetz & Taylor-Trujillo, 2012) and staff's satisfaction (Green et al, 2021) through descriptive analysis. In the last three (37.5%) of the eight studies measuring staff's perceptions, nonsignificant changes were reported in staff's knowledge and attitudes toward trauma-informed cognitive behavioral therapy (TF-CBT; Beidas et al, 2016), attitudes toward TIC (Galvin et al, 2020), and staff's experience with TIC organizational culture (Keesler & Isham, 2017).…”

Section: Results Of Synthesismentioning

confidence: 99%

“…In studies in which a protocolized intervention model was cited but not detailed (e.g., Sanctuary Model in Galvin et al, 2020; or Trauma-Informed Elementary Schools [TIES] in Rishel et al, 2019, and Tabone et al, 2020), a Google search was performed to read more about the intervention components and decide whether the article met the inclusion criteria.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of trauma-informed care interventions at the organizational level: A systematic review.

Fernández¹,

Gausereide-Corral²,

Valiente³

et al. 2023

Psychological Services

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Due to the recognition of the high prevalence and widespread effects of trauma, trauma-informed care (TIC) framework has emerged to address its impact and prevent retraumatization in the systems of care. Since organizational support has been identified as crucial in TIC implementation and sustainability, this systematic review assessed the status quo of TIC interventions which explicitly incorporate an organizational component. Our search yielded 880 articles, and 15 met the inclusion criteria. All the studies were carried out in the United States, more than half in mental health and Child Welfare Services, through longitudinal designs with no randomization or control group. All the studies utilized one to six organizational components, the most frequent related to presence of a defined leadership, procedures against retraumatization and provision of strength-based services. A wide variety of measures were used to assess the effectiveness of TIC interventions, with staff perceptions and safety management indicators being the most frequently used. In summary, the review indicates a positive trend in relation to the effectiveness of the interventions included in the study, with an improved functioning of beneficiaries, enhanced accessibility, and quality of services. However, the low quality and high heterogeneity of the studies make it difficult to draw conclusions with certainty. Therefore, the primary endeavor in TIC research is to provide more solid evidence. Partnerships between academic and community stakeholders will be of high value in this process. Impact StatementTrauma-informed care (TIC) literature advocates for organizational interventions as necessary conditions to implement and sustain change. This article represents a first attempt to systematically review the characteristics and effectiveness of TIC studies which incorporate at least one organizational component. Studies display positive results in beneficiaries' functioning and quality of care, yet their significant disparity and methodological limitations make comparison difficult.

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Implementing the HEALing Matters program in residential out‐of‐home care: Evaluation of carers' commitment to promoting healthy lifestyle behaviours

Cox (nee Green),

Hatzikiriakidis,

Tate

et al. 2024

Aust J Social Issues

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HEALing Matters is an online professional development training program being implemented across the Victorian out‐of‐home care sector. HEALing Matters uses a trauma‐informed philosophy to guide carers' understanding of the link between young people's healthy lifestyle behaviours and improved physical and psychosocial outcomes. This article reports the findings of a qualitative evaluation, which sought to understand whether participation in HEALing Matters fostered a sense of commitment, dedication and/or the introduction of new practices to create a healthy “home.” Semistructured interviews were conducted with 27 residential carers who completed the training and transcripts underwent thematic analysis. Four major themes evidencing healthy lifestyle behaviours were developed: (1) promotion of a healthy eating environment, (2) making physical activity a habit, (3) building connection through food and physical activity and (4) improved predictability and consistency. Implementation of HEALing Matters facilitated positive changes in health behaviours, supported carers to use food and activity to provide responsive caregiving and created a sense of safety and security through the introduction of household routines. The findings emphasise the importance of upskilling carers in preventative health practices and approaches to best support the health and well‐being of young people in care.

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Attitudes towards trauma-informed care in residential out-of-home care

Cited by 8 publications

References 23 publications

The Courage to Care: Teacher Compassion Predicts More Positive Attitudes Toward Trauma-Informed Practice

The Courage to Care: Teacher Compassion Predicts More Positive Attitudes Toward Trauma-Informed Practice

Effectiveness of trauma-informed care interventions at the organizational level: A systematic review.

Implementing the HEALing Matters program in residential out‐of‐home care: Evaluation of carers' commitment to promoting healthy lifestyle behaviours

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