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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

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

Abstract

This study evaluated the effectiveness of a system-wide reform effort to implement trauma-informed care (Trauma Systems Therapy [TST]) across a large, private child welfare system. The longitudinal associations among implementation of TST and four measures of children's well-being (functioning, emotional regulation, and behavioral regulation) and placement stability were examined. A description of the implementation of TST can be found in a separate article in this issue. Latent growth curve models were estimated using child-level administrative data on children's well-being, placement stability, and exposure to TST dosage for 1499 children in out-of-home placements. Results indicate that, as children's care teams implement TST, children demonstrate greater improvements in functioning, emotional regulation, and behavioral regulation and they experience increased placement stability. Moreover, results demonstrate that positive effects of implementation of TST are produced by both those who work closely with the child (caregivers, case managers, and therapists) and those who work more distally with the child (case manager supervisors and family service coordinators), suggesting that no one staff member or caregiver is central to providing trauma-informed care; rather it may be the confluence of the TST skills of the child's entire care team that produces better outcomes.

Suggested Citation

  • Murphy, Kelly & Moore, Kristin Anderson & Redd, Zakia & Malm, Karin, 2017. "Trauma-informed child welfare systems and children's well-being: A longitudinal evaluation of KVC's bridging the way home initiative," Children and Youth Services Review, Elsevier, vol. 75(C), pages 23-34.
    • Handle: RePEc:eee:cysrev:v:75:y:2017:i:c:p:23-34
    DOI: 10.1016/j.childyouth.2017.02.008
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    References listed on IDEAS

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    1. Landsverk, John & Davis, Inger & Ganger, William & Newton, Rae & Johnson, Ivory, 1996. "Impact of child psychosocial functioning on reunification from out-of-home placement," Children and Youth Services Review, Elsevier, vol. 18(4-5), pages 447-462.
    2. Lloyd, E. Christopher & Barth, Richard P., 2011. "Developmental outcomes after five years for foster children returned home, remaining in care, or adopted," Children and Youth Services Review, Elsevier, vol. 33(8), pages 1383-1391, August.
    3. Kristin Anderson Moore & Alysha Ramirez, 2016. "Adverse Childhood Experience and Adolescent Well-being: Do Protective Factors Matter?," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(2), pages 299-316, June.
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    Cited by:

    1. Prévost-Lemire, Madeleine & Paquette, Geneviève & Lanctôt, Nadine, 2021. "Trauma symptoms as factors associated with early motherhood among young women who had contact with child protective services," Children and Youth Services Review, Elsevier, vol. 126(C).
    2. Lisa Bunting & Lorna Montgomery & Suzanne Mooney & Mandi MacDonald & Stephen Coulter & David Hayes & Gavin Davidson, 2019. "Trauma Informed Child Welfare Systems—A Rapid Evidence Review," IJERPH, MDPI, vol. 16(13), pages 1-22, July.
    3. Zanti, Sharon & Berkowitz, Emily & Katz, Matthew & Nelson, Amy Hawn & Burnett, T.C. & Culhane, Dennis & Zhou, Yixi, 2022. "Leveraging integrated data for program evaluation: Recommendations from the field," Evaluation and Program Planning, Elsevier, vol. 95(C).
    4. Bartlett, Jessica Dym & Rushovich, Berenice, 2018. "Implementation of Trauma Systems Therapy-Foster Care in child welfare," Children and Youth Services Review, Elsevier, vol. 91(C), pages 30-38.

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