Implementation of a workforce initiative to build trauma-informed child welfare practice and services: Findings from the Massachusetts Child Trauma Project
Implementation of a workforce initiative to build trauma-informed child welfare practice and services: Findings from the Massachusetts Child Trauma Project
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DOI：
10.1016/j.childyouth.2014.06.016
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发表时间：
2014-09-01
影响因子：
3.3
通讯作者：
Bartlett, Jessica Dym
中科院分区：
文献类型：
--
作者：
Fraser, Jenifer Goldman;Griffin, Jessica L.;Bartlett, Jessica Dym
参与儿童保护服务的儿童经历慢性和累积的人际创伤和逆境的比率很高，被称为复杂创伤，这可能对整个生命过程中的福祉产生深远的负面影响。儿童福利机构在满足有复杂创伤的儿童的需求方面面临着无数挑战。作为回应，马萨诸塞州启动了儿童创伤项目（MCTP），作为全州范围内的倡议，以提高儿童福利工作者和儿童心理健康提供者的能力，以识别，应对和早期有效地干预因长期损失，虐待，忽视和暴力而受到创伤的儿童。具体而言，这种大规模的多系统改进工作正在通过该州所有地区的三个关键机制推动实践变革：（1）培训儿童福利工作人员和资源父母识别和应对儿童创伤，（2）通过密集学习合作者的连续队列，在社区精神卫生机构中传播三种以创伤为重点的EBT，以及（3）实施由儿童福利组织领导的创伤知情领导小组（TILT），将心理健康提供者、儿童福利工作者和消费者聚集在一起，持续努力实施、维护和传播创伤知情实践。本文介绍了这一多年期倡议的制定和实施情况，以及迄今为止吸取的一些重要经验教训。(C)2014爱思唯尔有限公司版权所有。
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. (C) 2014 Elsevier Ltd. All rights reserved.