Department of Psychiatry, Dartmouth Trauma Interventions Research Center, Geisel School of Medicine at Dartmouth and Dartmouth- Hitchcock Medical Center.
The Dartmouth Institute for Health Policy and Clinical Practice, Center for Program Design and Evaluation at Dartmouth.
Psychol Trauma. 2019 Jan;11(1):73-81. doi: 10.1037/tra0000357. Epub 2018 May 3.
Caring for children in foster or adoptive care with behavioral health needs can severely stress parents, contributing to adverse outcomes for children and families. Trauma-informed services from the child welfare and mental health sectors may help prevent poor outcomes by helping children and parents identify and understand trauma and its impact on children's behavioral health and receive effective treatment. To help understand the role of trauma-informed services for the child welfare population, we examined whether trauma-informed child welfare and mental health services moderated the relationship between children's behavioral health needs and parent satisfaction and commitment.
The researchers analyzed data from a cross-sectional statewide survey of foster and adoptive parents (n = 512 respondents, 42% of 1,206 contacted) from one state.
Foster (but not adoptive) parent ratings of trauma-informed mental health services significantly moderated the relationship between children's behavioral health needs and foster and adoptive parent satisfaction and commitment. As ratings of trauma-informed mental health services increased, the association between child behavioral health needs and parent satisfaction and commitment became nonsignificant, suggesting a buffering effect. Trauma-informed child welfare services did not moderate the relationship for foster or adoptive parents.
Leaders and policymakers are urged to promote trauma-informed mental health services for children involved with child welfare to potentially buffer foster parents against lower parenting satisfaction and commitment. More research is needed to replicate and expand on these findings and to examine the effectiveness of trauma-informed services on other relevant child and family outcomes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
照顾有行为健康需求的寄养或收养儿童会给父母带来巨大压力，导致儿童和家庭的不良后果。来自儿童福利和心理健康部门的以创伤为中心的服务可以通过帮助儿童和父母识别和理解创伤及其对儿童行为健康的影响，并提供有效的治疗，帮助预防不良后果。为了帮助了解以创伤为中心的服务对儿童福利人群的作用，我们研究了以创伤为中心的儿童福利和心理健康服务是否调节了儿童行为健康需求与父母满意度和承诺之间的关系。
研究人员分析了来自一个州的寄养和收养父母的横断面全州调查数据（n = 512 名受访者，联系的 1206 人中的 42%）。
寄养父母（但不是收养父母）对创伤知情的心理健康服务的评分显著调节了儿童行为健康需求与寄养和收养父母满意度和承诺之间的关系。随着创伤知情心理健康服务评分的增加，儿童行为健康需求与父母满意度和承诺之间的关联变得不显著，表明存在缓冲效应。创伤知情的儿童福利服务并没有调节寄养或收养父母的关系。
敦促领导者和政策制定者为涉及儿童福利的儿童推广以创伤为中心的心理健康服务，以潜在地缓冲寄养父母的育儿满意度和承诺降低。需要进行更多的研究来复制和扩展这些发现，并研究以创伤为中心的服务对其他相关儿童和家庭结果的有效性。（APA，所有权利保留）。
