Applied and Translational Research on Trauma‐Responsive Programs and Policy: Introduction to a Special Issue of the American Journal of Community Psychology

Herrenkohl, Todd I.; Mersky, Joshua P.; Topitzes, James

doi:10.1002/ajcp.12402

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…Community psychology is uniquely placed to promote CBPR in humanitarian settings, through application of its principles of community strengthening, inclusion and diversity, and participation (Velaquez, Rivera‐Holguin, & Morote, 2017). Community psychology can contribute to advancing “ethical, theoretical, methodological, and practical” knowledge in disaster settings (Herrenkohl, Mersky, & Topitzes, 2019; Morgato, 2020; Velaquez et al, 2017). We urge community psychologists, public health, and other researchers to commit to recalibrating the scales of equity and justice among communities affected by humanitarian crises by using CBPR as a core research approach.…”

Section: Resultsmentioning

confidence: 99%

Implementing Community‐Based Participatory Research with Communities Affected by Humanitarian Crises: The Potential to Recalibrate Equity and Power in Vulnerable Contexts

Afifi

Abdulrahim

Betancourt

et al. 2020

American J of Comm Psychol

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Research in humanitarian crises is complex, both ethically and methodologically. • Community-based participatory research (CBPR) can address challenges of research in these settings. • We describe application of CBPR principles in communities affected by protracted humanitarian crises. • Choosing a CBPR approach with these communities can reverse power imbalance and recalibrate equity. • Community psychology is uniquely placed to promote CBPR in these contexts.

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Section: Resultsmentioning

confidence: 99%

Implementing Community‐Based Participatory Research with Communities Affected by Humanitarian Crises: The Potential to Recalibrate Equity and Power in Vulnerable Contexts

Afifi

Abdulrahim

Betancourt

et al. 2020

American J of Comm Psychol

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“…For example, school systems faced nutrition policy restrictions when trying to address children's food needs during the pandemic, creating barriers to effective implementation (Dunn et al., 2020). Although programs to address basic needs may exist, systems offering such programs are not designed to function together, they communicate infrequently or ineffectively, and sectors may even work at cross‐purposes (Campbell et al., 2020; Herrenkohl et al., 2019). In this regard, it is possible to conceptualize the ineffective coordination and limited integration as a lack of relational health (Metzler, 2020) among and between layers of the child‐serving ecosystem.…”

Section: Addressing Impacts Of Early‐life Adversity: Structural Chall...mentioning

confidence: 99%

“…Despite increased attention to the needs of young children, relatively few professionals in sectors that serve young children and families directly or indirectly have training in the science of early development or LCHD frameworks (Garner et al., 2015). For example, despite growing interest in trauma‐informed care, which considers how trauma affects development, trauma‐informed approaches are primarily implemented by persons within direct child‐serving systems (e.g., teachers, pediatricians, social workers (Herrenkohl et al., 2019)). Recently, efforts within health care and public health sectors have highlighted the need to address child trauma exposure and SDOH's, yet not all providers have such training (Garg et al., 2020; Garner et al., 2015; Herrenkohl et al., 2020; Sokol et al., 2019).…”

Section: Need For Relationally and Developmentally Informed Systems A...mentioning

confidence: 99%

From zero to thrive: A model of cross‐system and cross‐sector relational health to promote early childhood development across the child‐serving ecosystem

Miller

Stein

Sokol

et al. 2022

Infant Mental Health Journal

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Early relational health between caregivers and children is foundational for child health and well‐being. Children and caregivers are also embedded within multiple systems and sectors, or a “child‐serving ecosystem”, that shapes child development. Although the COVID‐19 pandemic has made this embeddedness abundantly clear, systems remain siloed and lack coordination. Fostering relational health amongst layers of this ecosystem may be a way to systematically support young children and families who are facing adversity. We integrate theory, examples, and empirical findings to develop a conceptual model informed by infant mental health and public health frameworks that illustrates how relational health across the child‐serving ecosystem may promote child health and well‐being at a population level. Our model articulates what relational health looks like across levels of this ecosystem from primary caregiver‐child relationships, to secondary relationships between caregivers and child‐serving systems, to tertiary relationships among systems that shape child outcomes directly and indirectly. We posit that positive relational health across levels is critical for promoting child health and well‐being broadly. We provide examples of evidence‐based approaches that address primary, secondary, and tertiary relational health, and suggest ways to promote relational health through cross‐sector training and psychoeducation in the science of early development. This model conceptualizes relational health across the child‐serving ecosystem and can serve as a template for promoting child health and well‐being in the context of adversity.

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“…Research and practice may be advanced by more clearly defining what trauma-informed care is at the manifest level. Where evidence-based clinical treatments typically have well-articulated protocols, trauma-informed principles have yet to be consistently operationalized in the form of trauma-responsive practices—active and specific strategies that can be used to mitigate the effects of trauma and reduce exposure to PTEs (Herrenkohl et al, 2019). The next section describes three trauma-responsive practice elements that nonclinical providers can use to engage clients and increase their chances of receiving treatment: (a) screening; (b) psychoeducation; and (c) motivational enhancement.…”

Section: Bridging Treatment Gaps Through Trauma-responsive Practicesmentioning

confidence: 99%

Increasing mental health treatment access and equity through trauma-responsive care.

Mersky¹,

Topitzes²,

Langlieb³

et al. 2021

American Journal of Orthopsychiatry

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Adverse childhood experiences and other potentially traumatic events have lasting implications for mental health. Evidence-based treatments are available to address trauma-related symptoms, but their impact is hindered because access is limited and unequal. In the U.S., adverse experiences and mental disorders disproportionately affect socioeconomically disadvantaged groups that face treatment access barriers-disparities that are compounded by passive systems of care that wait for clients to seek treatment. This article presents a conceptual argument, backed by empirical evidence, that population health can be improved by implementing traumaresponsive practices, and that greater mental health equity can be achieved if these strategies are used to engage underserved clients. A description is provided of the Trauma Screening, Brief Intervention, and Referral to Treatment (T-SBIRT), a promising protocol that can be used by nonclinical providers to detect trauma-related mental health concerns in adults and help them access therapeutic services. The T-SBIRT protocol has been successfully implemented in diverse settings, and it is currently being piloted in a universal postpartum home visiting program called Family Connects. Prior results from three trials of Family Connects are summarized, including evidence of program impact on maternal mental health. New results are also presented indicating that T-SBIRT is feasible to implement within Family Connects, as denoted by indicators of suitability, tolerability, provider adherence, and referral acceptance. Closing recommendations are offered for reducing mental health disparities by testing and disseminating T-SBIRT through Family Connects and other large-scale programs and systems of care. This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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Applied and Translational Research on Trauma‐Responsive Programs and Policy: Introduction to a Special Issue of the American Journal of Community Psychology

Abstract: Highlights Trauma in children and adults is prevalent. Advances in trauma‐informed programs, practices, and systems are necessary. Articles appearing in the special issue cover a range of topics and areas in trauma approaches.

Cited by 6 publications

References 24 publications

Implementing Community‐Based Participatory Research with Communities Affected by Humanitarian Crises: The Potential to Recalibrate Equity and Power in Vulnerable Contexts

Implementing Community‐Based Participatory Research with Communities Affected by Humanitarian Crises: The Potential to Recalibrate Equity and Power in Vulnerable Contexts

From zero to thrive: A model of cross‐system and cross‐sector relational health to promote early childhood development across the child‐serving ecosystem

Increasing mental health treatment access and equity through trauma-responsive care.

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