The first paper presents findings from an evaluation of a statewide, trauma-informed care intervention in child welfare. Authors used quantitative methods to assess and contrast the effects of three evidence-based trauma treatments, Attachment, Self-Regulation and Competency (ARC; Kinniburgh et al., 2005) Child-Parent Psychotherapy (CPP; Lieberman & VanHorn, 2004/2016), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT; Cohen et al., 2006), on behavior and posttraumatic stress symptoms among maltreated children (n=842; birth-age 18). The results highlight variation in the effectiveness of different trauma therapies and potential explanations for differences in treatment outcomes.
The second paper is a descriptive evaluation of the effects of trauma on children's behavioral and emotional functioning, and the role of attachment in treatment outcomes among children who experience traumatic events at the hands of their caregivers. The evaluation was conducted with children (n=333; ages 2-8 years) and families who participated in therapy due to child trauma. Findings indicate that children with normal attachment may be less impacted by trauma and exhibit more resilience to trauma compared to children with low levels of attachment.
The third paper reports on select findings from a mixed methods evaluation of a dyadic, attachment-based parenting intervention for mothers in treatment for substance dependence. The evaluation utilized a newly developed measure of parents' reflective functioning (RF) and interview data where participants shared perceptions of change in parental RF. Qualitative findings served to unpack the meaning of the quantitative measure offering greater understanding of the process of change in parenting capacities.
Taken together, the three papers will highlight successful intervention outcomes for young children and caregivers who experience trauma. Our discussant, a widely respected expert in program evaluation, parent-child interventions, child maltreatment, and other forms of trauma, will identify key questions and common themes about these interventions and parental and child outcomes with a focus on implications for social work research, policy, and practice.