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Implementation of a workforce initiative to build trauma-informed child welfare practice and services: Findings from the Massachusetts Child Trauma Project

Author

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  • Fraser, Jenifer Goldman
  • Griffin, Jessica L.
  • Barto, Beth L.
  • Lo, Charmaine
  • Wenz-Gross, Melodie
  • Spinazzola, Joseph
  • Bodian, Ruth A.
  • Nisenbaum, Jan M.
  • Bartlett, Jessica Dym

Abstract

Children involved with Child Protective Services experience high rates of chronic and cumulative interpersonal trauma and adversity, referred to as complex trauma, that can have a profoundly negative impact on well being across the life course. Child welfare agencies face myriad challenges in addressing the needs of children with complex trauma. In response, the Massachusetts Child Trauma Project (MCTP) was launched as a statewide initiative to enhance the capacity of child welfare workers and child mental health providers to identify, respond, and intervene early and effectively with children traumatized by chronic loss, abuse, neglect, and violence. Specifically, this large-scale multi-system improvement effort is driving practice change through three key mechanisms in all regions of the state: (1) training child welfare staff and resource parents to recognize and respond to child trauma, (2) disseminating three trauma-focused EBTs in community-based mental health agencies via sequential cohorts of intensive Learning Collaboratives, and (3) implementing child welfare-led Trauma-Informed Leadership Teams (TILTs) that bring mental health providers, child welfare workers, and consumers together to sustain efforts to implement, maintain and spread trauma-informed practices. The article describes the development and implementation of this multiyear initiative and a number of key lessons learned to date.

Suggested Citation

  • Fraser, Jenifer Goldman & Griffin, Jessica L. & Barto, Beth L. & Lo, Charmaine & Wenz-Gross, Melodie & Spinazzola, Joseph & Bodian, Ruth A. & Nisenbaum, Jan M. & Bartlett, Jessica Dym, 2014. "Implementation of a workforce initiative to build trauma-informed child welfare practice and services: Findings from the Massachusetts Child Trauma Project," Children and Youth Services Review, Elsevier, vol. 44(C), pages 233-242.
  • Handle: RePEc:eee:cysrev:v:44:y:2014:i:c:p:233-242
    DOI: 10.1016/j.childyouth.2014.06.016
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    References listed on IDEAS

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    1. Sigel, Benjamin A. & Kramer, Teresa L. & Conners-Burrow, Nicola A. & Church, Janice K. & Worley, Karen B. & Mitrani, Nicholas A., 2013. "Statewide dissemination of trauma-focused cognitive-behavioral therapy (TF-CBT)," Children and Youth Services Review, Elsevier, vol. 35(6), pages 1023-1029.
    2. Hopkins, Karen M. & Cohen-Callow, Amy & Kim, Hae Jung & Hwang, Jeongha, 2010. "Beyond intent to leave: Using multiple outcome measures for assessing turnover in child welfare," Children and Youth Services Review, Elsevier, vol. 32(10), pages 1380-1387, October.
    3. Aarons, G.A. & Wells, R.S. & Zagursky, K. & Fettes, D.L. & Palinkas, L.A., 2009. "Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2087-2095.
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    Cited by:

    1. 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.
    2. Giordano, Keri & LaTourette, Richard & O'Rourke, Sarah & Baker, Sadaysia & Breen, Emily, 2021. "Availability & willingness of psychologists to treat infants and young children: Data from one state," Children and Youth Services Review, Elsevier, vol. 129(C).
    3. Hanson, Rochelle F. & Saunders, Benjamin E. & Peer, Samuel O. & Ralston, Elizabeth & Moreland, Angela D. & Schoenwald, Sonja & Chapman, Jason, 2018. "Community-based learning collaboratives and participant reports of interprofessional collaboration, barriers to, and utilization of child trauma services," Children and Youth Services Review, Elsevier, vol. 94(C), pages 306-314.
    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.
    5. Bartlett, Jessica Dym & Griffin, Jessica L. & Spinazzola, Joseph & Fraser, Jenifer Goldman & Noroña, Carmen Rosa & Bodian, Ruth & Todd, Marybeth & Montagna, Crystaltina & Barto, Beth, 2018. "The impact of a statewide trauma-informed care initiative in child welfare on the well-being of children and youth with complex trauma," Children and Youth Services Review, Elsevier, vol. 84(C), pages 110-117.
    6. 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.
    7. Winters, Andrew M. & Collins-Camargo, Crystal & Antle, Becky F. & Verbist, A. Nathan, 2020. "Implementation of system-wide change in child welfare and behavioral health: The role of capacity, collaboration, and readiness for change," Children and Youth Services Review, Elsevier, vol. 108(C).
    8. Day, Angelique & Willis, Tamarie & Vanderwill, Lori & Resko, Stella & Patterson, Debra & Henneman, Kris & Cohick, Sue, 2018. "Key factors and characteristics of successful resource parents who care for older youth: A systematic review of research," Children and Youth Services Review, Elsevier, vol. 84(C), pages 152-158.

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