Child-Adult Relationship Enhancement (CARE): An evidence-informed program for children with a history of trauma and other behavioral challenges
Child-Adult Relationship Enhancement (CARE): An evidence-informed program for children with a history of trauma and other behavioral challenges
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DOI：
10.1016/j.chiabu.2015.10.016
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发表时间：
2016-03-01
影响因子：
4.8
通讯作者：
Putnam, Frank W.
中科院分区：
文献类型：
--
作者：
Gurwitch, Robin H.;Messer, Erica Pearl;Putnam, Frank W.
儿童虐待每年影响约 200 万儿童，其中身体虐待和忽视是最常见的虐待形式。这些儿童面临身心健康问题的风险，形成积极的社会关系的能力也受到不利影响。儿童成人关系增强 (CARE) 是一套旨在改善成人与儿童或青少年互动的技能。基于家长培训计划，包括强有力的循证治疗、亲子互动疗法 (PCIT)，CARE 最初的开发是为了填补为任何年龄的被认为有遭受虐待或其他问题风险的儿童提供心理健康服务的重要空白。随后，CARE 的使用范围扩大到在现有心理健康治疗服务之外与儿童和青少年互动的成年人，并补充儿童或青少年可能正在接受的其他服务。 CARE 是通过与亲子互动治疗 (PCIT) 治疗师的讨论以及对非心理健康专业人员进行类似于 PCIT 的培训的请求而制定的，CARE 不是治疗，而是由一组可以支持向家庭提供的其他服务的技能组成。自 2006 年以来，已有 2000 多名护理人员、心理健康、儿童福利、教育工作者和其他专业人员接受了 CARE 培训，重点关注遭受创伤和虐待的儿童。本文介绍了创伤知情培训的实施成功和挑战，该培训旨在帮助成年人与高危儿童建立联系并加强他们的关系。 (C) 2015 Elsevier Ltd. 保留所有权利。
Child maltreatment impacts approximately two million children each year, with physical abuse and neglect the most common form of maltreatment. These children are at risk for mental and physical health concerns and the ability to form positive social relationships is also adversely affected. Child Adult Relationship Enhancement (CARE) is a set of skills designed to improve interactions of any adult and child or adolescent. Based on parent training programs, including the strong evidence-based treatment, Parent-Child Interaction Therapy (PCIT), CARE was initially developed to fill an important gap in mental health services for children of any age who are considered at-risk for maltreatment or other problems. CARE subsequently has been extended for use by adults who interact with children and youth outside of existing mental health therapeutic services as well as to compliment other services the child or adolescent may be receiving. Developed through discussions with Parent-Child Interaction Therapy (PCIT) therapists and requests for a training similar to PCIT for the non-mental health professional, CARE is not therapy, but is comprised of a set of skills that can support other services provided to families. Since 2006, over 2000 caregivers, mental health, child welfare, educators, and other professionals have received CARE training with a focus on children who are exposed to trauma and maltreatment. This article presents implementation successes and challenges of a trauma-informed training designed to help adults connect and enhance their relationships with children considered at-risk. (C) 2015 Elsevier Ltd. All rights reserved.