Lessons from the field: implementing a Trust-Based Relational Intervention (TBRI) pilot program in a child welfare system

Crawley, Rachel D.; Razuri, Erin Becker; Lee, Cindy; Mercado, Sarah

doi:10.1080/15548732.2020.1717714

Cited by 7 publications

(2 citation statements)

References 34 publications

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“…Interview data revealed that caregivers felt equipped with not only more understanding and awareness through gaining a trauma lens but also with practical connecting strategies to form healing The current study is the first international study of the usefulness of TBRI. While TBRI has been studied in various settings, including child welfare systems (Crawley et al, 2021), adoption preservation (Howard et al, 2014), residential treatment (Purvis et al, 2013), and congregate care (Purvis et al, 2012), the evidence has only been situated in the context of Western society. The current study broadens the application of TBRI outside of the United States in a rural, remote area of Rwanda.…”

Section: Semistructured Interview Resultsmentioning

confidence: 99%

Effectiveness of a trauma‐informed intervention in a deinstitutionalization programme in rural Rwanda

Hunsley

Crawley

Styffe

et al. 2021

Child & Family Social Work

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Rwanda established a programme to end institutional care and transition children to family-based care. As part of their process in a rural area of the country, caregivers who reunited with or adopted a child from institutional care received training in a trauma-informed intervention (Trust-Based Relational Intervention ® [TBRI ® ]). To evaluate the potential usefulness of this training, a mixed-methods, retrospective design was used to examine caregiver-perceived changes among their reunited/ adopted children from pre-TBRI training to the present day. Results revealed significant decreases in perceived challenging behaviours and trauma symptoms over time.Results from the phenomenological analysis demonstrated that caregivers perceived the training to be effective at equipping them with appropriate parenting strategies and reducing their children's struggles in the home. Findings suggest that training in a trauma-informed intervention, such as TBRI, may be useful to equip caregivers with strategies to meet the emotional needs of children who are reunited or adopted into families. Success of deinstitutionalization requires programming to support quality family-based care that meets both the emotional and physical needs of children, and efforts must be made to ensure these resources are included when reuniting or adopting children into families. Key Practitioner Message• Trust-Based Relational Intervention (TBRI) was used to train caregivers in Rwanda's programme to shift from institutional to family-based care.• Caregivers reported a decrease in reunited/adopted children's trauma symptoms and in intensity of problems from pre-to post-TBRI training.• Caregivers perceived TBRI training to be useful, giving them the parenting strategies necessary to care for their reunited/adopted children.

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Section: Semistructured Interview Resultsmentioning

confidence: 99%

Effectiveness of a trauma‐informed intervention in a deinstitutionalization programme in rural Rwanda

Hunsley

Crawley

Styffe

et al. 2021

Child & Family Social Work

Self Cite

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“…More recently, studies suggest that children whose parents receive TBRI training show reduced behavioral difficulties and trauma symptoms (Purvis et al , 2015; Razuri et al , 2016). The TBRI model has been applied to a range of contexts, including child welfare systems (Crawley et al , 2020), adoption preservation (Howard et al , 2014), residential treatment (Purvis et al , 2013) and congregate care (Purvis et al , 2012). TBRI has been used around the world, with over 3,500 child-serving professionals from 33 countries trained as TBRI Practitioners.…”

Section: Trust-based Relational Intervention In Rwandamentioning

confidence: 99%

Experiences of lay social workers trained in a trauma-informed intervention in the deinstitutionalization of Rwanda

Hunsley

Razuri

Kamanzi

et al. 2021

JCS

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Purpose Rwanda established a deinstitutionalization program to end institutional care and transition to family-based care for children. Part of their program involved training local volunteers in an evidence-based, trauma-informed caregiving model, Trust-Based Relational Intervention (TBRI), to provide education, support and TBRI training to caregivers who reunited or adopted children from institutional care in Rwanda. This study aims to describe the process of disseminating a trauma-informed intervention, TBRI, as part of the national deinstitutionalization program in Rwanda. Design/methodology/approach Semi-structured interviews were conducted with ten lay social workers about Rwanda’s care reform and their experience using TBRI. A phenomenological approach was used to qualitatively analyze the interviews. Findings Analysis revealed five themes centered on the usefulness and universality of TBRI, the power of community in meeting the needs of children and youth and the importance of connection in supporting children who have experienced institutional care. Originality/value A global call to end institutional care and shift to family-based care for children has organizations, governments and experts seeking pathways to implement care reform. Although care reform is a complex process, Rwanda created and implemented a deinstitutionalization program focused on spreading the message of care reform and providing sustainable support for caregivers and families.

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Start-Up and Implementation Costs for the Trust Based Relational Intervention

Bowser,

McCollister,

Berchtold

et al. 2024

J of Prevention

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Lessons from the field: implementing a Trust-Based Relational Intervention (TBRI) pilot program in a child welfare system

Cited by 7 publications

References 34 publications

Effectiveness of a trauma‐informed intervention in a deinstitutionalization programme in rural Rwanda

Effectiveness of a trauma‐informed intervention in a deinstitutionalization programme in rural Rwanda

Experiences of lay social workers trained in a trauma-informed intervention in the deinstitutionalization of Rwanda

Start-Up and Implementation Costs for the Trust Based Relational Intervention

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