The influence of sense of coherence, self-care and work satisfaction on secondary traumatic stress and burnout among child and youth residential care workers in Switzerland

Steinlin, Célia; Dölitzsch, Claudia; Kind, Nina; Fischer, Sophia; Schmeck, Klaus; Fegert, Jörg M.; Schmid, Marc

doi:10.1080/0145935x.2017.1297225

Cited by 44 publications

(41 citation statements)

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“…Besides addressing the needs of traumatised individuals, TIC further aims to promote the self-efficacy and work related resilience of youth welfare staff, by guiding them to a better understanding of their countertransference and personal stress symptoms and by promoting their self-care [23,[26][27][28]. Continuous selfawareness and self-care may reduce stress and distress among social-service professionals, thereby enhancing work satisfaction and quality of care in the institution [29,30]. The ability of staff members, who interact with severely traumatised children, to cope with stress and apply self-efficacy, are key factors for alternative correctional experiences, the reorganisation of trustful relationships and positive attachment representations (f. ex.…”

Section: Introductionmentioning

confidence: 99%

“…Youth welfare employees are continuously exposed to the traumatic experiences and challenging emotional and behavioural coping strategies of their clients and are at increased risk for developing burnout and secondary traumatic stress [28,30,33]. Furthermore, traumatic experiences of the children and adolescents may increase the risk of escalating interactions and physical violence against youth welfare staff [34,35].…”

Section: Introductionmentioning

confidence: 99%

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Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

et al. 2020

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Background: Professional caregivers working in child and youth welfare institutions are frequently faced with the complex mental health issues, emotional needs and challenging coping strategies of clients with cumulated traumatic experiences, leaving them prone to developing high levels of stress, burn-out and compassion fatigue. Trauma-informed care (TIC) is a milieu-therapeutic approach that aims to promote the self-efficacy and self-care of youth welfare staff by guiding them to a better understanding of their own and their clients' stress symptoms and countertransference. Despite increasing efforts to implement TIC practices, and more widespread recognition of their value in youth welfare systems, there is a lack of studies evaluating the effectiveness of this approach. The aim of this study was to assess the effects of TIC practices in youth welfare institutions on both the physiological stress of staff members and clients' physical aggression towards their caregivers. . Methods:Data was obtained from a longitudinal study investigating the effectiveness of TIC in 14 residential youth welfare institutions. Our sample consisted of 47 youth welfare employees (66.0% female) aged from 23 to 60 years (M = 37.4, SD = 10.4 years). Hair cortisol concentration (HCC) and occurrences of client physical aggression were assessed at four annual measurement time points (T1 to T4). Results: Participants in five institutions employing TIC practices (intervention group) showed significantly lower HCC at T4 than staff members from institutions who did not receive training in TIC (control group), indicating reduced physiological stress levels. At T4, the intervention group reported significantly less physical aggression than the control group.Conclusions: TIC might be a promising approach for reducing the emotional burden of employees and institutions should invest in training their staff in TIC practices. More research is necessary, to investigate the benefits and efficacy of TIC, both to youths and staff members, and to foster a better understanding of which specific factors may contribute to stress reduction.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

et al. 2020

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“…Zu diesen traumapädagogischen Ansätzen werden z. B. Techniken und Methoden gerechnet, die an der Verbesserung der Sinnesund Körperwahrnehmung, der sozialen Wahrnehmung und der sozialen Kompetenzen, der Verbesserung der Emotionsregulation, der Selbstwirksamkeitserwartungen und der Resilienzfaktoren ansetzen und darüber hinaus die PTBS-relevante Symptomatik einschließlich der Dissoziationsneigung zu reduzieren helfen [29][30][31]. Die Implementierung solcher Ansätze muss auch das erwachsenenpsychiatrische System einschließen, um die Transitionseffekte besser moderieren zu können.…”

Section: Introductionunclassified

“…Nach wie vor besteht ein eklatanter Mangel in der Aus-, Fortund Weiterbildung der beteiligten Berufsgruppen auch im Hinblick auf empirische Therapiestudien, insbesondere in Bezug auf komplex traumatisierte Jugendliche und junge Erwachsene in der Transitionsphase. Bei Vorliegen einer PTBS im Kindes-und Jugendalter gibt es die meiste Behandlungsevidenz für die traumafokussierte Kognitive Verhaltenstherapie (Tf-KVT [31]). Ein besonderes Merkmal ist der therapeutische Einbezug einer unterstützenden Bezugsperson, wenn möglich, eines Elternteils.…”

Section: Introductionunclassified

Posttraumatische Belastungsstörungen (PTBS) und Traumafolgestörungen in der Adoleszenz

Fegert

Freyberger

2019

Fortschr Neurol Psychiatr

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ZusammenfassungDer vorliegende Text betrachtet Posttraumatische Belastungsstörungen und Traumafolgestörungen in der Adoleszenz und geht dabei insbesondere auf die Transitionsproblematik ein. Zum einen bilden sich auf der diagnostischen Ebene die Traumatisierungen häufig nicht PTBS-spezifisch, sondern in Selbsthilfe und Selbstmedikationsmaßnahmen sowie Alkohol- und Drogenabhängigkeit und Dissozialität ab, die im erwachsenenpsychiatrischen System oft nicht ausreichend hinterfragt werden. Zum anderen geht es um die Weiterentwicklung und Implementierung traumapädagogischer Ansätze insbesondere für Jugendliche, die in kritischen Hochrisikokonstellationen aufwachsen oder sich bereits Institutionen der Jugendhilfe oder der Eingliederungshilfe befinden. Hier wird nicht nur ein eklatanter Mangel in der Aus-, Fort- und Weiterbildung der beteiligten Berufsgruppen, sondern auch im Hinblick auf empirische Therapiestudien festgestellt.

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“…Understandably, staff sometimes feel hopeless and perceive difficulty in making a difference (Furnivall, 2007). The importance of staff support is paramount given the parallels which may be drawn to wider research on staff burnout and traumatic stress in residential settings (Abbate, 2015;Steinlin et al, 2017).…”

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confidence: 99%

How a Sample of Residential Childcare Staff Conceptualize and Use Attachment Theory in Practice

Morison

Taylor²,

Gervais

2019

Child & Youth Services

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Attachment theory features throughout policy and research for young people in residential care. However, there is limited empirical understanding of how this translates into practice. This research therefore aimed to construct an explanatory theory of how residential staff make sense of, and use, attachment theory in practice. It also aimed to identify whether any components of attachment theory are particularly salient to staff and to what extent their conceptualizations draw upon contemporary attachment theory. Constructivist grounded theory was used in the form of twenty interviews with staff, through an iterative process of data collection and analysis, theoretical sampling, and member reflections. Results indicate that staff focus upon a natural process of building relationships, often without a coherent narrative to describe attachment theory to practice links. This natural process is challenged by tensions within the residential system. Findings are contextualized within existing research and future recommendations are outlined.

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The influence of sense of coherence, self-care and work satisfaction on secondary traumatic stress and burnout among child and youth residential care workers in Switzerland

Cited by 44 publications

References 32 publications

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

Posttraumatische Belastungsstörungen (PTBS) und Traumafolgestörungen in der Adoleszenz

How a Sample of Residential Childcare Staff Conceptualize and Use Attachment Theory in Practice

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