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The impact of a statewide trauma-informed care initiative in child welfare on the well-being of children and youth with complex trauma

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  • Bartlett, Jessica Dym
  • Griffin, Jessica L.
  • Spinazzola, Joseph
  • Fraser, Jenifer Goldman
  • Noroña, Carmen Rosa
  • Bodian, Ruth
  • Todd, Marybeth
  • Montagna, Crystaltina
  • Barto, Beth

Abstract

The current study examined the effectiveness of three trauma treatments in the context of a statewide, trauma-informed child welfare initiative to improve outcomes for children with complex trauma. Clinicians enrolled 842 children (birth-18years) involved in the child welfare system within the past year and administered measures at up to three time points (baseline, 6months, 12months) to assess children's behavior problems, symptoms of posttraumatic stress disorder (PTSD), and strengths and needs using parent/caregiver, youth, and clinician report measures. The results of four-level regression models specified to account for non-independence of observations within children, and among clinicians and within agencies, indicated that trauma treatment was associated with significant improvements in child behavior problems, PTSD symptoms, strengths, and needs. However, results differed by treatment model, with optimal outcomes for children receiving Attachment, Self-Regulation and Competency (ARC) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Positive findings across multiple child outcomes suggest that trauma treatment is an effective means of improving the developmental trajectories of children with complex trauma, but that each model has specific strengths and weaknesses that should be taken into account when selecting a treatment model for this population.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:cysrev:v:84:y:2018:i:c:p:110-117
    DOI: 10.1016/j.childyouth.2017.11.015
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    References listed on IDEAS

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    1. 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.
    2. Cary, Colleen E. & McMillen, J. Curtis, 2012. "The data behind the dissemination: A systematic review of trauma-focused cognitive behavioral therapy for use with children and youth," Children and Youth Services Review, Elsevier, vol. 34(4), pages 748-757.
    3. Weiner, Dana A. & Schneider, Alison & Lyons, John S., 2009. "Evidence-based treatments for trauma among culturally diverse foster care youth: Treatment retention and outcomes," Children and Youth Services Review, Elsevier, vol. 31(11), pages 1199-1205, November.
    4. Widom, C.S. & Czaja, S.J. & Bentley, T. & Johnson, M.S., 2012. "A prospective investigation of physical health outcomes in abused and neglected children: New findings from a 30-year follow-up," American Journal of Public Health, American Public Health Association, vol. 102(6), pages 1135-1144.
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    1. Troy, Jesse D. & Torrie, Ryan M. & Warner, Daniel N., 2021. "A machine learning approach for identifying predictors of success in a Medicaid-funded, community-based behavioral health program using the Child and Adolescent Needs and Strengths (CANS)," Children and Youth Services Review, Elsevier, vol. 126(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. Green, Rachael & Savaglio, Melissa & Tate, Ruby & Morris, Heather & Breman, Rachel & Vicary, Dave & Skouteris, Helen, 2021. "Barriers to nutrition and physical activity participation for Australian children in foster and kinship care," Children and Youth Services Review, Elsevier, vol. 127(C).
    4. Lee, Junghee & Powers, Laurie & Geenen, Sarah & Schmidt, Jessica & Blakeslee, Jennifer & Hwang, Insik, 2018. "Mental health outcomes among youth in foster care with disabilities," Children and Youth Services Review, Elsevier, vol. 94(C), pages 27-34.
    5. Lee, Hye Yeon & Kim, Isak & Nam, Sojeong & Jeong, Jeongwoon, 2020. "Adverse childhood experiences and the associations with depression and anxiety in adolescents," Children and Youth Services Review, Elsevier, vol. 111(C).
    6. 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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