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Reductions in behavioural and emotional difficulties from a specialist, trauma-informed school

Published online by Cambridge University Press:  28 August 2020

Jesse Diggins
Jesse Diggins*
Affiliation:
MacKillop Education, MacKillop Family Services, Geelong, Victoria, Australia
*
Author for correspondence: Jesse Diggins, Email: [email protected]
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Abstract

There is a myriad of research that demonstrates the links between experiences of trauma and emotional and behavioural issues in children and adolescents. Evidence is now emerging that highlights that schools are a critical system to deliver support and interventions to address childhood trauma. The ReLATE trauma-informed model uses schoolwide trauma specific interventions to support students who require high levels of adjustment in education. The ReLATE trauma-informed model was evaluated as a 12-month intervention at a specialist school for emotional and behavioural difficulties. The intervention led to beneficial adjustment in various emotional and behavioural outcome domains. Significant reductions were found for parent-reported conduct problems, peer problems and total difficulties. The intervention displayed large effect sizes over the 12-month period. New students to the school demonstrated more positive adjustment. Existing students demonstrated nonsignificant positive adjustment. A reliable change was found for Global Impact, which indicated the benefits that occurred from the intervention generalised into homelife, friendships, learning and leisure activities. While previous literature has focused on teacher-observed adjustments, this study provides a parent perspective of student adjustment. This study also provides clarity around trauma-training and discusses the role that psychologists can play as consultants when implementing trauma-informed practice models in schools.

Keywords

trauma-informedschoolspecialisteducationbehaviourconduct problems
Type
Articles
Information
The Educational and Developmental Psychologist , First View , pp. 1 - 10
Copyright
© Australian Psychological Society Ltd, 2020

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References

Alisic, E. (2012). Teachers’ perspectives on providing support to children after trauma: A qualitative study. School Psychology Quarterly, 27, 51–59.CrossRefGoogle ScholarPubMed
Anda, R.F., Felitti, V.J., Bremner, J.D., Walker, J.D., Whitfield, C.H., Perry, B.D., & Giles, W.H. (2005). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry and Clinical Neuroscience, 256, 174–186.CrossRefGoogle ScholarPubMed
Australian Bureau of Statistics (ABS). (2016). Personal Safety Survey (PSS). https://www.abs.gov.au/ausstats/[email protected]/mf/4906.0Google Scholar
Berger, E. (2019). Multi-tiered approaches to trauma-informed care in schools: A systematic review. School Mental Health, 11, 650–664.CrossRefGoogle Scholar
Berger, R., Abu-Raiya, H., & Benatov, J. (2016). Reducing primary and secondary traumatic stress symptoms among educators by training them to deliver a resiliency program (ERASE-Stress) following the Christchurch earthquake in New Zealand. The American Journal of Orthopsychiatry, 86, 236–251.CrossRefGoogle ScholarPubMed
Berger, R., & Gelkopf, M. (2009). School-based intervention for the treatment of tsunami-related distress in children: A quasi-randomised controlled trial. Psychotherapy and Psychosomatics, 78, 364–371.CrossRefGoogle Scholar
Bloom, S. (1995). Creating sanctuary in the school. Journal for a Just and Caring Education, 4, 403–433.Google Scholar
Bloom, S. (1997). Creating sanctuary: Toward the evolution of sane societies. Routledge.Google Scholar
Brown, S.M., Baker, C.N., & Wilcox, P. (2012). Risking connection trauma training: A pathway toward trauma-informed care in child congregate care settings. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 507–514.CrossRefGoogle Scholar
Chafouleas, S.M., Johnson, A.H., Overstreet, S., & Santos, N.M. (2016). Towards a blueprint for trauma-informed service delivery in schools. School Mental Health, 8, 144–162.CrossRefGoogle Scholar
Cicchetti, C. (2017). A school-community collaboration model to promote access to trauma- informed behavioural health supports. Journal of the American Academy of Child and Adolescent Psychiatry, 56, S30.CrossRefGoogle Scholar
Cole, S., Greenwald, J., Gadd, M.G., Ristuccia, J., Wallace, D.L., & Gregory, M. (2009). Helping traumatized children learn: supporting school environments for children traumatized by family violence. Massachusetts Advocates for Children.Google Scholar
Cole, S.F., Eisner, A., Gregory, M., & Ristuccia, J. (2013). Helping traumatized children learn: Creating and advocating for trauma-sensitive schools. Massachusetts Advocates for Children.Google Scholar
Crosby, S.D., Day, A., Baroni, B.A., & Somers, C. (2019). Examining trauma-informed teaching and the trauma symptomatology of court-involved girls. The Urban Review, 51, 582–598.CrossRefGoogle Scholar
Daviss, W.B., Mooney, D., Racusin, R., Ford, J.D., Fleischer, A., & McHugo, G.J. (2000). Predicting posttraumatic stress after hospitalization for pediatric injury. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 576–583.CrossRefGoogle ScholarPubMed
Deci, E.L., & Ryan, R.M. (2002). The paradox of achievement: The harder you push, the worse it gets. In Improving academic achievement (pp. 61–87). Academic Press.CrossRefGoogle Scholar
Donovan, C.L., & Spence, S.H. (2000). Prevention of childhood anxiety disorders. Clinical Psychology Review, 20, 509–531.CrossRefGoogle ScholarPubMed
Dorado, J.S., Martinez, M., McArthur, L.E., & Leibovitz, T. (2016). Healthy Environments in Response to Trauma in Schools (HEARTS): A whole-school, multi-level, prevention and intervention program for creating trauma-informed, safe and supportive schools. School Mental Health, 8, 163–176.CrossRefGoogle Scholar
Downey, L. (2012). Calmer classrooms: A guide to working with traumatised children. Child Safety Commissioner.Google Scholar
DuPaul, G.J. (2007). School-based interventions for students with attention deficit hyperactivity disorder: Current status and future directions. School Psychology Review, 36, 183–194.Google Scholar
DuPaul, G.J., Eckert, T.L., & Vilardo, B. (2012). The effects of school-based interventions for attention deficit hyperactivity disorder: A meta-analysis 1996–2010. School Psychology Review, 41, 387–412.Google Scholar
DuPaul, G.J., & Weyandt, L.L. (2006). School-based Intervention for children with attention deficit hyperactivity disorder: Effects on academic, social, and behavioural functioning. International Journal of Disability, Development and Education, 53, 161–176.CrossRefGoogle Scholar
Esaki, N., Hopson, L.M., & Middleton, J.S. (2014). Sanctuary model implementation from the perspective of indirect care staff. Families in Society, 95, 261–268.CrossRefGoogle Scholar
Ferguson, R.J., Robinson, A.B., & Splaine, M. (2002). Use of the reliable change index to evaluate clinical significance in SF-36 outcomes. Quality of Life Research, 11, 509–516.CrossRefGoogle ScholarPubMed
Flood, S.J. (2010). The Life Space Interview in Therapeutic Crisis Intervention: An Action Research Study on Its Implementation in a Suburban High School (Doctoral dissertation). New York: St. John Fisher College.Google Scholar
Goodman, R. (2001). Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1337–1345.CrossRefGoogle ScholarPubMed
Green, B.L., Saunders, P.A., Power, E., Dass-Brailsford, P., Schelbert, K.B., Giller, E., Wissow, L, Hurtado-de-Mendoza, A., & Mete, M. (2015). Trauma-informed medical care: A CME communication training for primary care providers. Family Medicine, 47, 7–14.Google ScholarPubMed
Greene, R.W. (2011). Collaborative problem solving can transform school discipline. Phi Delta Kappan, 93, 25–29.CrossRefGoogle Scholar
Hansel, T.C., Osofsky, H., Osofsky, J.D., Costa, R.N., Kronenberg, M.E., & Selby, M.L. (2010). Attention to process and clinical outcomes of implementing a rural trauma treatment program. Journal of Traumatic Stress, 23, 708–715.CrossRefGoogle ScholarPubMed
Hawes, D.J., & Dadds, M.R. (2004). Australian data and psychometric properties of the Strengths and Difficulties Questionnaire. Australian & New Zealand Journal of Psychiatry, 38, 644–651.CrossRefGoogle ScholarPubMed
Holmes, C., Levy, M., Smith, A., Pinne, S., & Neese, P. (2015). A model for creating a supportive trauma-informed culture for children in preschool settings. Journal of Child and Family Studies, 24, 1650–1659.CrossRefGoogle Scholar
Howard, J. (2018). A systemic framework for trauma-aware schooling in Queensland. Queensland University of Technology.Google Scholar
Hymel, S., & Henderson, N.R. (2006). Helping students who are experiencing persistent and/or serious discipline problems to succeed in school: The state of the evidence. Paper presented at the Ontario Ministry of Education Research Symposium.Google Scholar
Jacobson, N.S., Follette, W.C., & Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. Behavior Therapy, 15, 336–352.CrossRefGoogle Scholar
Lawrence, D., Johnson, S., Hafekost, J., Boterhoven de Haan, K., Sawyer, M., Ainley, J., & Zubrick, S.R. (2015). The mental health of children and adolescents: Report on the second Australian child and adolescent survey of mental health and wellbeing. University of Western Australia.Google ScholarPubMed
Loeber, R., Burke, J.D., Lahey, B.B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: A review of the past 10 years, Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1468–1484CrossRefGoogle ScholarPubMed
Long, N.J., Wood, M.H., & Fecser, F.A. (2001). Life space crisis intervention (2nd ed.). Pro-Ed Inc.Google Scholar
Kearney, C.A., & Albano, A.M. (2004). The functional profiles of school refusal behavior: Diagnostic aspects. Behavior Modification, 28, 147–161.CrossRefGoogle ScholarPubMed
Kuypers, L. (2013). The zones of regulation: A framework to foster self-regulation. Sensory Integration Special Interest Section Quarterly, 36, 1–4.Google Scholar
Mellor, D. (2004). Furthering the use of the Strengths and Difficulties Questionnaire: Reliability with younger child respondents. Psychological Assessment, 16, 396–401.CrossRefGoogle ScholarPubMed
Mission Australia. (2019). National Survey of Young Australians (2019).Google Scholar
National Child Traumatic Stress Network. (2016). National child traumatic stress network empirically supported treatments and promising practices. Retrieved from http://www.nctsn.org/resources/topics/treatments-that-work/promising-practices.Google Scholar
Ogden, P. (2009). Emotion, mindfulness, and movement. The healing power of emotions, affective neuroscience, development, and clinical practice. Norton.Google Scholar
Perfect, M.M., Turley, M.R., Carlson, J.S., Yohanna, J., & Saint Gilles, M.P. (2016). School- related outcomes of traumatic event exposure and traumatic stress symptoms in students: A systematic review of research from 1990 to 2015. School Mental Health, 8, 7–43.CrossRefGoogle Scholar
Perry, D., & Daniels, M. (2016). Implementing trauma-informed practices in the school setting: A pilot study. School Mental Health, 8, 177–188.CrossRefGoogle Scholar
Postlethwait, A.W., Barth, R.P., & Guo, S. (2010). Gender variation in delinquent behavior changes of child welfare-involved youth. Children and Youth Services Review, 32, 318–324.CrossRefGoogle Scholar
Residential Child Care Project. (2016). Therapuetic Crisis Intervention (TSI) system overview. Cornell University. http://rccp.cornell.edu/tci/tci-1_system.htmlGoogle Scholar
Ryan, J.P., Jacob, B.A., Gross, M., Perron, B.E., Moore, A., & Ferguson, S. (2018). Early exposure to child maltreatment and academic outcomes. Child Maltreatment, 23, 365-375.CrossRefGoogle ScholarPubMed
Sanctuary Model. (2012). Community meetings.Google Scholar
Siegel, D. (1999). The developing mind. Guilford.Google Scholar
Stempel, H., Cox-Martin, M., Bronsert, M., Dickinson, L.M., & Allison, M.A. (2017). Chronic school absenteeism and the role of adverse childhood experiences. Academic Pediatrics, 17, 837–843.CrossRefGoogle ScholarPubMed
Stevens, J.E. (2012). Lincoln High School in Walla Walla, WA tries new approach to school discipline— Suspensions drop 85%. ACEs Too High. http://acestoohigh.com/2012/04/23/Iincoln-high-schooI-in-waIla-walia-wa-tries-new-approach-to-school-discipline-expulsions-drop-85/Google Scholar
Stevens, J.E. (2013a). At Cherokee Point Elementary, kids don’t conform to school; school conforms to kids. ACEs Too High. http://acestoohigh.com/2013/07/22/at-cherokee-point-elementary-kids-dont-conform-to-school-school-conforms-to-kids/Google Scholar
Stevens, J.E. (2013b). There’s no such thing as a bad kid in these Spokane, WA, trauma-informed elementary schools. ACEs Too High. http://acestoohigh.com/2013/08/20/spokaneschools/Google Scholar
Stokes, H., & Turnbull, M. (2016). Evaluation of the Berry Street Education Model: Trauma informed positive education enacted in mainstream schools. University of Melbourne Graduate School of Education, Youth Research Centre.Google Scholar
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA) 14-4884.Google Scholar
Tucci, J., Mitchell, J., & Goddard, C. (2007). Children’s fears, hopes and heroes. Melbourne: Australian Childhood Foundation.Google Scholar
Vygotsky, L.S. (1978). Mind in Society. Harvard University Press, Cambridge, MA.Google Scholar
Weathers, F.F., & Ford, J. (1996). Psychometric properties of the PTSD Checklist (PCL-C, PCL-S, PCL-M, PCL-PR). In Measurement of stress, trauma, and adaptation (pp. 250–252). Sidran Foundation & Press.Google Scholar
Wolpow, R., Johnson, M., Hertel, R., & Kincaid, S. (2009). The heart of learning and teaching: compassion, resiliency, and academic success. Washington State Office of Superintendent of Public Instruction Compassionate Schools.Google Scholar
Yanosy, S.M., Harrison, L.C., & Bloom, S.L. (2009). Sanctuary staff training manual for direct care staff. Yonkers, NY: The Sanctuary Institute at Andrus.Google Scholar
Zahra, D., & Hedge, C. (2010). The reliable change index: Why isn’t it more popular in academic psychology. Psychology Postgraduate Affairs Group.Google Scholar