Department of Psychology, York University, Canada.
School of Social Work, McGill University, Canada.
Child Abuse Negl. 2022 Aug;130(Pt 3):105361. doi: 10.1016/j.chiabu.2021.105361. Epub 2021 Oct 19.
Little is known about the benefits of implementing trauma-informed care (TIC) training programs for child welfare workers serving in out-of-home treatment settings, or about how staff, child and youth characteristics affect adoption of favorable attitudes towards TIC.
This study aimed to understand how attitudes towards TIC changed over time for child welfare workers receiving training and monthly supervision sessions.
Child welfare workers (n = 429) serving juveniles mandated to protection or offender units (ages = 3-20 years), across 11 child protection agencies in Quebec, Canada.
Participants completed the ARTIC-35 at pre-training, 6 months post-training, and 1 year follow-up. Multilevel mixed effect regression models were fit to examine outcomes for all subscales.
Participants reported small improvements in attitudes towards TIC at post-training and 1 year follow-up for subscales related to problematic child/youth behavior (β = 0.23-0.32, p's < 0.001). Multilevel modeling revealed that age group (adolescent), unit gender (boys) and legal mandate (offender) predicted higher pre-training TIC ratings for staff in management versus frontline positions across three subscales related to problematic child/youth behavior (β = 0.77-0.93, p's < 0.05) and two subscales related to trauma work and support needs (β = 0.66/0.84, p's < 0.05).
Results extend previous research demonstrating an association between TIC training and improved attitudes towards TIC over time, and highlight specific contexts in which frontline staff may experience more difficulty applying TIC-based principles than colleagues in management positions.
对于在家庭外治疗环境中为儿童福利工作者实施创伤知情护理（TIC）培训计划的益处，以及员工、儿童和青年特征如何影响对 TIC 的有利态度的采用，知之甚少。
本研究旨在了解接受培训和每月监督会议的儿童福利工作者的 TIC 态度随时间的变化情况。
在加拿大魁北克的 11 个儿童保护机构中，为被强制进入保护或犯罪单位的青少年（年龄为 3-20 岁）服务的儿童福利工作者（n=429）。
参与者在培训前、培训后 6 个月和 1 年随访时完成了 ARTIC-35 问卷。采用多水平混合效应回归模型来检验所有子量表的结果。
在培训后和 1 年随访时，参与者报告在与儿童/青年问题行为相关的 TIC 子量表上的态度有较小的改善（β=0.23-0.32，p<0.001）。多层次建模显示，年龄组（青少年）、单位性别（男孩）和法律授权（犯罪者）预测了在与儿童/青年问题行为相关的三个子量表（β=0.77-0.93，p<0.05）和两个与创伤工作和支持需求相关的子量表（β=0.66/0.84，p<0.05）上，管理岗位的工作人员比一线岗位的工作人员的 TIC 评分更高。
结果扩展了先前的研究，证明了 TIC 培训与随着时间的推移 TIC 态度的改善之间存在关联，并强调了在某些情况下，一线工作人员在应用基于 TIC 的原则方面可能比管理职位的同事更困难。
