Treatment of complex developmental trauma in children and youth

Children and adolescents in foster care and institutional settings often face complex developmental trauma related to multiple or continuous traumatic experiences. However, successful clinical interventions are difficult to implement because of barriers to accessibility, time constraints, insufficient diagnostic criteria, and other limitations. A new, open access study in Child & Youth Services explores the benefits of Trust-Based Relational Intervention (TBRI), a program designed for caregivers working closely with traumatized children.

Developed at the Texas Christian University Institute of Child Development, TBRI trains caregivers in building safe, nurturing environments and responding effectively to behavioral issues. TBRI assumes that caregiver training is essential to improving the child's response to everyday challenges and uses the guiding principles of empowerment, connection, and correction to enable positive development. Unlike traditional clinical interventions, TBRI is adaptable to multiple environments and provides programming for a variety of structural and relational needs, including nutrition, physical activity, relationship-building, and caregiver response.

The authors, led by Karyn Purvis, PhD, describe the benefits of the intervention: "Holistic in nature, cost effective to implement, and developmentally respectful of the impact of trauma, TBRI appears to hold significant potential for creating positive impact in the lives of and youth who have come from the hard places." TRBI is a promising program for children and youth who cannot access clinical care or who require a greater level of support in their daily environment. In its unique design, TBRI is one of the only programs effective in treating complex developmental trauma, as opposed to acute trauma, in children and youth.

More information: "Trust-Based Relational Intervention (TBRI): A Systemic Approach to Complex Developmental Trauma." Karyn B. Purvis, David R. Cross, Donald F. Dansereau & Sheri R. Parris. Child & Youth Services, Volume 34, Issue 4, 2013. pages 360-386, DOI: 10.1080/0145935X.2013.859906

add to favorites email to friend print save as pdf

Related Stories

Rural versus urban causes of childhood concussion

Mar 31, 2014

Researchers at Western University (London, Canada) have found youth living in rural areas are more likely to sustain concussions from injuries involving motorized vehicles such as all-terrain vehicles and dirt bikes, whereas ...

Recommended for you

Blending faith and science to combat obesity

18 minutes ago

Science and religion may seem like uneasy partners at times, but when it comes to promoting healthy lifestyles, one UConn Health researcher has shown they can be an effective combination.

Research project puts stroke patients back on their feet

25 minutes ago

Finding the will to exercise routinely can be challenging enough for most people, but a stroke presents even more obstacles. Yet aerobic exercise may be crucial for recovery and reducing the risk of another ...

Air quality and unconventional oil and gas sites

3 hours ago

Research suggesting air pollutants released by unconventional oil and gas production are well over recommended levels in the US is published today in the open access journal Environmental Health. High levels of benzene, hydrog ...

FDA cautions against 'undeclared' food allergens

15 hours ago

(HealthDay)—Some food labels may not reliably list all possible food allergens, according to the U.S. Food and Drug Administration. The agency added that these "undeclared allergens" are the leading cause ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.