Trauma-informed child welfare systems and children's well-being: A longitudinal evaluation of KVC's bridging the way home initiative

Murphy, Kelly; Moore, Kristin Anderson; Redd, Zakia; Malm, Karin

doi:10.1016/j.childyouth.2017.02.008

Cited by 38 publications

(37 citation statements)

References 22 publications

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“…Hunter, 2016). Trauma-informed organisations can be constructed using a whole-of-system recognition of the impact of trauma, and the development of an understanding of trauma in the workforce (including carers) (Murphy et al, 2017). The overall aim of this approach is to reduce the experience of trauma (including previous, ongoing and vicarious trauma) for staff, carers, and, most importantly, children and young people (Bloom, 2016).…”

Section: What This Paper Addsmentioning

confidence: 99%

“…This approach aims to provide an overarching strategy and a common language that is employed across all levels of the organisation, including staff, carers, children, and young people (Wall, Higgins, & Hunter, ). Trauma‐informed organisations can be constructed using a whole‐of‐system recognition of the impact of trauma, and the development of an understanding of trauma in the workforce (including carers) (Murphy et al., ). The overall aim of this approach is to reduce the experience of trauma (including previous, ongoing and vicarious trauma) for staff, carers, and, most importantly, children and young people (Bloom, ).…”

Section: Introductionmentioning

confidence: 99%

“…These children are therefore likely to have experienced high rates of complex trauma and adversity (Fraser et al, 2014). Failure to understand and address issues arising for children with a traumatic history can inadvertently aggravate symptoms, and traumatise the child further (Murphy, Moore, Redd, & Malm, 2017). Figure 1 displays the process of a child being placed in OoHC.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

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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.

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Section: What This Paper Addsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

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“…TIC conceptualises, and reframes, problem behaviour in the context of an individual's traumatic experience(s), and involves anticipating and avoiding institutional and individual practices that could increase the risk of traumatic re-enactment [25]. Besides addressing the needs of traumatised individuals, TIC further aims to promote the self-efficacy and work related resilience of youth welfare staff, by guiding them to a better understanding of their countertransference and personal stress symptoms and by promoting their self-care [23,[26][27][28]. Continuous selfawareness and self-care may reduce stress and distress among social-service professionals, thereby enhancing work satisfaction and quality of care in the institution [29,30].…”

Section: Introductionmentioning

confidence: 99%

“…While TIC has proved beneficial to social functioning, emotion and behavioural regulation of children and adolescents served by the youth welfare system [27], studies on the effectiveness or benefits of TIC on staff level are still lacking. One study reported that trauma-informed self-care strategies may increase compassion and job satisfaction, as well as reduce symptoms and burnout among youth welfare staff [28].…”

Section: Introductionmentioning

confidence: 99%

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

et al. 2020

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Background: Professional caregivers working in child and youth welfare institutions are frequently faced with the complex mental health issues, emotional needs and challenging coping strategies of clients with cumulated traumatic experiences, leaving them prone to developing high levels of stress, burn-out and compassion fatigue. Trauma-informed care (TIC) is a milieu-therapeutic approach that aims to promote the self-efficacy and self-care of youth welfare staff by guiding them to a better understanding of their own and their clients' stress symptoms and countertransference. Despite increasing efforts to implement TIC practices, and more widespread recognition of their value in youth welfare systems, there is a lack of studies evaluating the effectiveness of this approach. The aim of this study was to assess the effects of TIC practices in youth welfare institutions on both the physiological stress of staff members and clients' physical aggression towards their caregivers. . Methods:Data was obtained from a longitudinal study investigating the effectiveness of TIC in 14 residential youth welfare institutions. Our sample consisted of 47 youth welfare employees (66.0% female) aged from 23 to 60 years (M = 37.4, SD = 10.4 years). Hair cortisol concentration (HCC) and occurrences of client physical aggression were assessed at four annual measurement time points (T1 to T4). Results: Participants in five institutions employing TIC practices (intervention group) showed significantly lower HCC at T4 than staff members from institutions who did not receive training in TIC (control group), indicating reduced physiological stress levels. At T4, the intervention group reported significantly less physical aggression than the control group.Conclusions: TIC might be a promising approach for reducing the emotional burden of employees and institutions should invest in training their staff in TIC practices. More research is necessary, to investigate the benefits and efficacy of TIC, both to youths and staff members, and to foster a better understanding of which specific factors may contribute to stress reduction.

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Enhancing Capacity for Trauma‐informed Care in Child Welfare: Impact of a Statewide Systems Change Initiative

Connell

Lang

Zorba

et al. 2019

American J of Comm Psychol

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Trauma-informed child welfare systems and children's well-being: A longitudinal evaluation of KVC's bridging the way home initiative

Cited by 38 publications

References 22 publications

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

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

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

Enhancing Capacity for Trauma‐informed Care in Child Welfare: Impact of a Statewide Systems Change Initiative

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