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A statewide introduction of trauma-informed care in a child welfare system

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  • Kramer, Teresa L.
  • Sigel, Benjamin A.
  • Conners-Burrow, Nikki A.
  • Savary, Patricia E.
  • Tempel, Ashley

Abstract

Most children in the care of the child welfare system have been exposed to multiple traumas in addition to the stressor of being removed from their home. Because the risk for mental health problems following exposure to trauma is high, a critical need exists to introduce trauma-informed practices into the child welfare system. The purpose of this study is to evaluate initial stages of a trauma-informed training program for the Arkansas Division of Child and Family Services (DCFS). In Phase 1, 102 (75%) of DCFS area directors and supervisors participated in 10 regional, two-day workshops modeled after the National Child and Traumatic Stress Network (NCTSN) trauma-informed training for child welfare. Pre- and post-training evaluations demonstrated significant improvements in participants' knowledge of trauma-informed practices. A three-month follow-up with directors and supervisors indicated that use of trauma-informed practices increased significantly and that such changes were correlated with pre- versus post-training improvement in knowledge. Most participants were able to partially implement action steps established at the time of training; however, a number of barriers were cited as preventing full implementation, including time constraints, heavy caseloads, lack of staff, and limited resources. Results are discussed in light of plans under way for Phase II training for all DCFS front-line staff.

Suggested Citation

  • Kramer, Teresa L. & Sigel, Benjamin A. & Conners-Burrow, Nikki A. & Savary, Patricia E. & Tempel, Ashley, 2013. "A statewide introduction of trauma-informed care in a child welfare system," Children and Youth Services Review, Elsevier, vol. 35(1), pages 19-24.
    • Handle: RePEc:eee:cysrev:v:35:y:2013:i:1:p:19-24
    DOI: 10.1016/j.childyouth.2012.10.014
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    References listed on IDEAS

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    1. Antle, Becky F. & Barbee, Anita P. & van Zyl, Michiel A., 2008. "A comprehensive model for child welfare training evaluation," Children and Youth Services Review, Elsevier, vol. 30(9), pages 1063-1080, September.
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    1. Beehag, Nathan & Dryer, Rachel & McGrath, Andrew & Krägeloh, Chris & Medvedev, Oleg, 2023. "Design and development of the trauma informed care beliefs scale-brief," Children and Youth Services Review, Elsevier, vol. 153(C).
    2. Salloum, Alison & Choi, Mi Jin & Stover, Carla Smith, 2018. "Development of a trauma-informed self-care measure with child welfare workers," Children and Youth Services Review, Elsevier, vol. 93(C), pages 108-116.
    3. Edwards, Emily E. & Middleton, Jennifer & Crosby, Shantel & Vides, Beatriz & Pasquale, Lina & Goggin, Rebecca, 2023. "“Change is always hard”: A qualitative exploration of the Trauma Resilient Communities (TRC) model implementation process within the context of the pandemics," Children and Youth Services Review, Elsevier, vol. 149(C).
    4. Kenny, Maureen C. & Vazquez, Alejandro & Long, Haiying & Thompson, Dawn, 2017. "Implementation and program evaluation of trauma-informed care training across state child advocacy centers: An exploratory study," Children and Youth Services Review, Elsevier, vol. 73(C), pages 15-23.
    5. Damian, April Joy & Gallo, Joseph J. & Mendelson, Tamar, 2018. "Barriers and facilitators for access to mental health services by traumatized youth," Children and Youth Services Review, Elsevier, vol. 85(C), pages 273-278.
    6. Yang, Mi-Youn & Font, Sarah A. & Ketchum, McKenzie & Kim, Youn Kyoung, 2018. "Intergenerational transmission of child abuse and neglect: Effects of maltreatment type and depressive symptoms," Children and Youth Services Review, Elsevier, vol. 91(C), pages 364-371.
    7. Conners-Burrow, Nicola A. & Kramer, Teresa L. & Sigel, Benjamin A. & Helpenstill, Kathy & Sievers, Chad & McKelvey, Lorraine, 2013. "Trauma-informed care training in a child welfare system: Moving it to the front line," Children and Youth Services Review, Elsevier, vol. 35(11), pages 1830-1835.
    8. Lenz-Rashid, Sonja, 2018. "A transitional housing program for older foster youth: How do youth fare after exiting?," Children and Youth Services Review, Elsevier, vol. 88(C), pages 361-365.

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