Building Capacity for Trauma-Informed Care in the Child Welfare System: Initial Results of a Statewide Implementation
Building Capacity for Trauma-Informed Care in the Child Welfare System: Initial Results of a Statewide Implementation
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DOI：
10.1177/1077559516635273
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发表时间：
2016-05-01
影响因子：
5.1
通讯作者：
Connell, Christian M.
中科院分区：
文献类型：
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作者：
Lang, Jason M.;Campbell, Kimberly;Connell, Christian M.
暴露于童年创伤是一个主要的公共卫生问题，特别是在儿童福利系统（CWS）的儿童中普遍存在。州和部落CWS越来越注重通过创建创伤信息系统来识别和服务遭受创伤的儿童。康涅狄格州全州范围内的倡议的评估描述了用于创建一个创伤知情的CWS，包括劳动力发展，创伤筛查，政策变化，并在最初的2年实施期内改善获得循证创伤为重点的治疗策略。使用分层随机抽样的儿童福利工作人员谁完成了全面的评估之前（N = 223）和实施后2年（N = 231），系统准备和能力的变化，以提供创伤知情的护理进行了评估。结果表明，在创伤知情的知识，实践和合作，几乎所有的儿童福利领域的评估显着改善，这表明全系统的准备和能力，以提供创伤知情的护理。观察到各领域的差异，一线工作人员报告说，在某些领域，他们的改进比主管/管理人员更大。在儿童福利和其他儿童服务系统的创伤知情护理的实施和评估的经验教训和建议进行了讨论。
Exposure to childhood trauma is a major public health concern and is especially prevalent among children in the child welfare system (CWS). State and tribal CWSs are increasingly focusing efforts on identifying and serving children exposed to trauma through the creation of trauma-informed systems. This evaluation of a statewide initiative in Connecticut describes the strategies used to create a trauma-informed CWS, including workforce development, trauma screening, policy change, and improved access to evidence-based trauma-focused treatments during the initial 2-year implementation period. Changes in system readiness and capacity to deliver trauma-informed care were evaluated using stratified random samples of child welfare staff who completed a comprehensive assessment prior to (N = 223) and 2 years following implementation (N = 231). Results indicated significant improvements in trauma-informed knowledge, practice, and collaboration across nearly all child welfare domains assessed, suggesting system-wide improvements in readiness and capacity to provide trauma-informed care. Variability across domains was observed, and frontline staff reported greater improvements than supervisors/managers in some domains. Lessons learned and recommendations for implementation and evaluation of trauma-informed care in child welfare and other child-serving systems are discussed.