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Common practice elements of school-based trauma interventions for children and adolescents exhibiting symptoms of post-traumatic stress disorder: a systematic review

Published online by Cambridge University Press:  24 April 2020

Georgina du Mello Kenyon  and
Jim Schirmer
Georgina du Mello Kenyon*
Affiliation:
School of Nursing, Midwifery & Social Work, The University of Queensland, Brisbane, Queensland, Australia
Jim Schirmer
Affiliation:
School of Nursing, Midwifery & Social Work, The University of Queensland, Brisbane, Queensland, Australia
*
*Corresponding author: Email: [email protected]
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Abstract

The prevalence of post-traumatic stress disorder symptoms in children and adolescents requires school psychologists and counsellors to be informed of evidence-based elements of interventions through which they can tailor their treatment to the individual in a school context. This meta-analysis identified common practice elements within evidence-based trauma interventions for schools. A small to medium effect size was identified in the 10 randomised controlled trials (RCTs) included in this meta-analysis. Within these RCTs, 31 common practice elements were identified, with social skills training, coping skills training, relaxation techniques, psychoeducation, mind-body techniques, group work and creative-expressive techniques correlating with the most effective outcomes. The findings suggest that common practice elements exist across multiple school-based trauma interventions of varying modalities.

Keywords

trauma interventionsschoolpost-traumatic stress disorderchildrenadolescentscommon elements
Type
Articles
Information
Journal of Psychologists and Counsellors in Schools , Volume 30 , Issue 2 , December 2020 , pp. 112 - 128
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Copyright
© The Author(s) 2020. Published by Cambridge University Press

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References

Adelman, H.S., & Taylor, L. (2010). Mental health in schools: Engaging learners, preventing problems, and improving schools. Thousand Oaks, CA: Corwin Press.Google Scholar
Alisic, E., Zalta, A.K., van Wesel, F., Larsen, S.E., Hafstad, G.S., Hassanpour, K., & Smid, G.E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. The British Journal of Psychiatry, 204, 335–340.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.Google Scholar
Atkins, M.S., Frazier, S.L., Adil, J.A., & Talbott, E. (2003). School-based mental health services in urban communities. In Weist, M., Evans, S., & Tashman, N. (Eds.), Handbook of school mental health advancing practice and research (pp. 165–178). Springer US.Google Scholar
Baum, N.L., Cardozo, B.L., Pat-Horenczyk, R., Ziv, Y., Blanton, C., Reza, A., … Brom, D. (2013). Training teachers to build resilience in children in the aftermath of war: A cluster randomized trial. Child & Youth Care Forum, 42, 339–350.CrossRefGoogle Scholar
Becker, K.D., & Domitrovich, C.E. (2011). The conceptualization, integration, and support of evidence-based interventions in the schools. School Psychology Review, 40, 582–589.CrossRefGoogle Scholar
Becker, K.D., Lee, B.R., Daleiden, E.L., Lindsey, M., Brandt, N.E., & Chorpita, B.F. (2015). The Common Elements of Engagement in children.s mental health services: Which elements for which outcomes? Journal of Clinical Child & Adolescent Psychology, 44, 30–43.CrossRefGoogle ScholarPubMed
Berger, R., & Gelkopf, M. (2009). School-based intervention for the treatment of tsunami-related distress in children: A quasi-randomized controlled trial. Psychother Psychosom, 78, 364–371.CrossRefGoogle ScholarPubMed
Berger, R., Gelkopf, M., & Heineberg, Y. (2012). A teacher-delivered intervention for adolescents exposed to ongoing and intense traumatic war-related stress: A quasi-randomized controlled study. Journal of Adolescent Health, 51, 453–461.CrossRefGoogle ScholarPubMed
Berger, R., Pat-Horenczyk, R., & Gelkopf, M. (2007). School-based intervention for prevention and treatment of elementary-students’ terror-related distress in Israel: A quasi-randomized controlled trial. Journal of Traumatic Stress, 20, 541–551.CrossRefGoogle ScholarPubMed
Borntrager, C., Chorpita, B.F., Higa-Mcmillan, C.K., Daleiden, E.L., & Starace, N. (2013). Usual care for trauma-exposed youth: Are clinician-reported therapy techniques evidence-based? Children and Youth Services Review, 35, 133–141.CrossRefGoogle Scholar
Bryant, R.A., & Friedman, M. (2001). Medication and non-medication treatments of post-traumatic stress disorder. Current Opinion in Psychiatry, 14, 119–23.CrossRefGoogle Scholar
Carrion, V.G., Kletter, H., Weems, C.F., Berry, R.R., & Rettger, J.P. (2013). Cue-centered treatment for youth exposed to interpersonal violence: A randomized controlled trial. Journal of Traumatic Stress, 26, 654–662.CrossRefGoogle ScholarPubMed
Chorpita, B.F., Becker, K.D., Daleiden, E.L., & Hamilton, J.D. (2007). Understanding the common elements of evidence-based practice. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 647–652.CrossRefGoogle ScholarPubMed
Chorpita, B.F., & Daleiden, K.L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566–579.CrossRefGoogle ScholarPubMed
Chorpita, B.F., Daleiden, E.L., & Weisz, J.R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7, 5–20.CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: L. Erlbaum Associates.Google Scholar
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155.CrossRefGoogle ScholarPubMed
Cole, S.F., Eisner, A., Gregory, M., & Ristuccia, J. (2013). Creating and advocating for trauma-sensitive schools. Boston, MA: Massachusetts Advocates for Children and Harvard Law School.Google Scholar
Dorsey, S., McLaughlin, K.A., Kerns, S.E., Harrison, J.P., Lambert, H.K., Briggs, E.C., … Amaya-Jackson, L. (2017). Evidence base update for psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child & Adolescent Psychology, 46, 303–330.CrossRefGoogle ScholarPubMed
Ertl, V., Pfeiffer, A., Schauer, E., Elbert, T., & Neuner, F. (2011). Community-implemented trauma therapy for former child soldiers in Northern Uganda: A randomized controlled trial. JAMA, 306, 503–512.CrossRefGoogle ScholarPubMed
Evans, S.W., & Weist, M.D. (2004). Commentary: Implementing Empirically Supported Treatments in the Schools: What Are we Asking?. Clinical Child and Family Psychology Review, 7, 263–267.CrossRefGoogle ScholarPubMed
Farmer, E.M., Burns, B.J., Phillips, S.D., Angold, A., & Costello, E.J. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services, 54, 60–66.CrossRefGoogle ScholarPubMed
Fixsen, D.L., Blase, K.A., Naoom, S.F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19, 531–540.CrossRefGoogle Scholar
Foa, E.B., Johnson, K.M., Feeny, N.C., & Treadwell, K.R. (2001). The Child PTSD Symptom Scale: A Preliminary examination of its psychometric properties. Journal of Clinical Child Psychology, 30, 376–384.CrossRefGoogle ScholarPubMed
Foa, E.B., & Meadows, E.A. (1997). Psychosocial treatments for posttraumatic stress disorder: A critical review. Annual Review of Psychology, 48, 449–480.CrossRefGoogle ScholarPubMed
Forman-Hoffman, V.L., Zolotor, A.J., McKeeman, J.L., Blanco, R., Knauer, S.R., Lloyd, S.W., … Viswanathan, M. (2013). Comparative effectiveness of interventions for children exposed to nonrelational traumatic events. Pediatrics, 131, 526–539.CrossRefGoogle ScholarPubMed
Franco, D. (2018). Trauma without borders: The necessity for school-based interventions in treating unaccompanied refugee minors. Child and Adolescent Social Work Journal, 35, 551–565.CrossRefGoogle ScholarPubMed
Gillies, D., Maiocchi, L., Bhandari, A.P., Taylor, F., Gray, C., & O’Brien, L. (2016). Psychological therapies for children and adolescents exposed to trauma. Cochrane Database of Systemic Reviews, 2016(10). https://doi.org/10.1002/14651858.CD012371.Google Scholar
Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2013). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents. Evidence-Based Child Health: A Cochrane Review Journal, 8, 1004–1116.CrossRefGoogle ScholarPubMed
Gordon, J.S., Staples, J.K., Blyta, A., Bytyqi, M., & Wilson, A.T. (2008). Treatment of posttraumatic stress disorder in postwar Kosovar adolescents using mind-body skills groups: A randomized controlled trial. The Journal of Clinical Psychiatry, 69, 1469–1476.CrossRefGoogle ScholarPubMed
Hall, S. (2000). Final report: Youth and Family Centers Program: 1999–2000. Dallas, TX: Dallas Public Schools Division of Evaluation, Accountability, and Information Systems.Google Scholar
Hart, H., & Rubia, K. (2012). Neuroimaging of child abuse: A critical review. Frontiers in Human Neuroscience, 6, 52.CrossRefGoogle ScholarPubMed
Higgins, J.P., Altman, D.G., Gøtzsche, P.C., Jüni, P., Moher, D., Oxman, A.D., … Sterne, J.A. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343, d5928.CrossRefGoogle ScholarPubMed
Higgins, J.P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions (vol. 4): London: John Wiley & Sons.Google Scholar
Jaycox, L.H., Kataoka, S.H., Stein, B.D., Langley, A.K., & Wong, M. (2012). Cognitive behavioral intervention for trauma in schools. Journal of Applied School Psychology, 28, 239–255.CrossRefGoogle Scholar
Jennings, J., Pearson, G., & Harris, M. (2000). Implementing and maintaining school-based mental health services in a large, urban school district. Journal of School Health, 70, 201–206.CrossRefGoogle Scholar
Jordans, M.J., Komproe, I.H., Tol, W.A., Kohrt, B.A., Luitel, N.P., Macy, R.D., & de Jong, J.T. (2010). Evaluation of a classroom-based psychosocial intervention in conflict-affected Nepal: A cluster randomized controlled trial. Journal of Child Psychology and Psychiatry, 51, 818–826.CrossRefGoogle ScholarPubMed
Kazdin, A.E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63, 146.CrossRefGoogle ScholarPubMed
Kolaitis, G. (2017). Trauma and post-traumatic stress disorder in children and adolescents. European Journal of Psychotraumatology, 8, 1351198.CrossRefGoogle Scholar
Kramer, D.N., & Landolt, M.A. (2011). Characteristics and efficacy of early psychological interventions in children and adolescents after single trauma: A meta-analysis. European Journal of Psychotraumatology, 2, 7858.CrossRefGoogle ScholarPubMed
Little, S.G., & Akin-Little, A. (2013). Trauma in children: A call to action in school psychology. Journal of Applied School Psychology, 29, 375–388.CrossRefGoogle Scholar
Little, S.G., Akin-Little, A., & Somerville, M.P. (2011). Response to trauma in children: An examination of effective intervention and post-traumatic growth. School Psychology International, 32, 448–463.CrossRefGoogle Scholar
Lyon, A.R., Charlesworth-Attie, S., Vander Stoep, A., & McCauley, E. (2011). Modular psychotherapy for youth with internalizing problems: Implementation with therapists in school-based health centers. School Psychology Review, 40, 569.CrossRefGoogle Scholar
Lyons, L. & Morris, W. (2010). The Meta-Analysis Calculator. Retrieved from http://www.lyonsmorris.com/ma1/index.cfmGoogle Scholar
Mollica, R.F., Caspi-Yavin, Y., Bollini, P., Truong, T., Tor, S., & Lavelle, J. (1992). The Harvard Trauma Questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and post-traumatic stress disorder in Indochinese refugees. The Journal of Nervous and Mental Disease, 180, 111–116.CrossRefGoogle ScholarPubMed
McLaughlin, K., Brent, D., & Hermann, R. (2018). Posttraumatic stress disorder in children and adolescents: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. Retrieved from https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-children-and-adolescents-epidemiologypathogenesis-clinical-manifestations-course-assessment-and-diagnosisGoogle Scholar
Mcleod, J. (2015). Doing research in counselling and psychotherapy (3rd ed.). London: Sage.Google Scholar
Nabors, L., & Reynolds, M. (2000). Program evaluation activities: Outcomes related to treatment for adolescents receiving school-based mental health services. Children’s Services: Social Policy, Research, and Practice, 3, 175–189.CrossRefGoogle Scholar
Nadeem, E., Jaycox, L.H., Kataoka, S.H., Langley, A.K., & Stein, B.D. (2011). Going to scale: Experiences implementing a school-based trauma intervention. School Psychology Review, 40, 549.CrossRefGoogle ScholarPubMed
Neuner, F., Schauer, M., Klaschik, C., Karunakara, U., & Elbert, T. (2004). A comparison of narrative exposure therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an African refugee settlement. Journal of Consulting and Clinical Psychology, 72, 579–87.CrossRefGoogle Scholar
Qouta, S.R., Palosaari, E., Diab, M., & Punamäki, R.-L. (2012). Intervention effectiveness among war-affected children: A cluster randomized controlled trial on improving mental health. Journal of Traumatic Stress, 25, 288–298.CrossRefGoogle ScholarPubMed
Paternite, C.E. (2005). School-based mental health programs and services: Overview and Introduction to the Special Issue. Journal of Abnormal Child Psychology, 33, 657–663.CrossRefGoogle ScholarPubMed
Perrin, S., Meiser-Stedman, R., & Smith, P. (2005). The Children’s Revised Impact of Event Scale (CRIES): Validity as a screening instrument for PTSD. Behavioural and Cognitive Psychotherapy, 33, 487–498.CrossRefGoogle Scholar
Reid, J.K., & Dixon, W.A. (2001). A study of Barbadian School personnel attitudes on coping with grief in the public schools. School Psychology International, 22, 337–356.CrossRefGoogle Scholar
Roberts, N.P., Kitchiner, N.J., Kenardy, J., & Bisson, J.I. (2009). Systematic review and meta-analysis of multiple-session early interventions following traumatic events. American Journal of Psychiatry, 166, 293–301.CrossRefGoogle ScholarPubMed
Robertson, M., Humphreys, L., & Ray, R. (2004). Psychological treatments for posttraumatic stress disorder: Recommendations for the clinician based on a review of the literature. Journal of Psychiatric Practice, 10, 106–118.CrossRefGoogle ScholarPubMed
Rolfsnes, E.S., & Idsoe, T. (2011). Back to School II: A response to Cohen, Jaycox, Amaya-Jackson, and Stein. Journal of Traumatic Stress, 24, 762–762.CrossRefGoogle Scholar
Rose, S., Bisson, J., Churchill, R., & Wessely, S. (2002). Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database of Systemic Reviews, 2002(2). https://doi.org/10.1002/14651858. CD000560.Google Scholar
Steele, W., & Kuban, C. (2013). Working with grieving and traumatized children and adolescents: Discovering What matters most through evidence-based, sensory interventions. London: John Wiley & Sons.Google Scholar
Stein, B.D., Jaycox, L.H., Kataoka, S.H., Wong, M., Tu, W.L., Elliott, M.N., & Fink, A. (2003). A mental health intervention for school children exposed to violence — A randomized controlled trial. Jama-Journal of the American Medical Association, 290, 603–611.CrossRefGoogle ScholarPubMed
Steinberg, A.M., Brymer, M.J., Decker, K.B., & Pynoos, R.S. (2004). The University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index. Current Psychiatry Reports, 6, 96–100.CrossRefGoogle ScholarPubMed
Stewart, R.W., Ebesutani, C., Drescher, C.F., & Young, J. (2017). The Child PTSD Symptom Scale: An Investigation of its psychometric properties. Journal of Interpersonal Violence, 32, 2237–2256.CrossRefGoogle ScholarPubMed
Strand, V.C., Hansen, S., & Courtney, D. (2013). Common elements across evidence-based trauma treatment: Discovery and implications. Advances in Social Work, 14, 334–354.CrossRefGoogle Scholar
Teicher, M.H., Samson, J.A., Anderson, C.M., & Ohashi, K. (2016). The effects of childhood maltreatment on brain structure, function and connectivity. Nature Reviews Neuroscience, 17, 652.CrossRefGoogle ScholarPubMed
Tol, W.A., Komproe, I.H., Jordans, M.J.D., Ndayisaba, A., Ntamutumba, P., Sipsma, H., … de Jong, J.T.V.M. (2014). School-based mental health intervention for children in war-affected Burundi: A cluster randomized trial. BMC Medicine, 12. https://doi.org/10.1186/1741-7015-12-56CrossRefGoogle ScholarPubMed
Tol, W.A., Komproe, I.H., Jordans, M.J.D., Vallipuram, A., Sipsma, H., Sivayokan, S., … De Jong, J.T. (2012). Outcomes and moderators of a preventive school-based mental health intervention for children affected by war in Sri Lanka: A cluster randomized trial. World Psychiatry, 11, 114–122.CrossRefGoogle ScholarPubMed
Tol, W.A., Komproe, I.H., Susanty, D., Jordans, M.J., Macy, R.D., & De Jong, J.T. (2008). School-based mental health intervention for children affected by political violence in Indonesia: A cluster randomized trial. JAMA, 300, 655–662.CrossRefGoogle ScholarPubMed
Trickey, D., Siddaway, A.P., Meiser-Stedman, R., Serpell, L., & Field, A.P. (2012). A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clinical Psychology Review, 32, 122–138.CrossRefGoogle ScholarPubMed
Van der Kolk, B.A. (2017). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35, 401–408.CrossRefGoogle Scholar
Wampold, B. (2010). The great psychotherapy debate: Models, methods, and findings. London: Routledge Academic.Google Scholar