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Revisiting the Co-Occurrence of Intimate Partner Violence and Child Maltreatment

Tullberg, Erika; Vaughon, Wendy
Child welfare (CW) agencies are charged with ensuring children's safety; when children live with families impacted by intimate partner violence (IPV), this task can be complex. To better understand how U.S. CW agencies identify and make decisions about child maltreatment (CM) in the presence of IPV, this mixed-methods study used national data (N = 248,654) to investigate whether IPV was more likely to be documented as co-occurring with certain types of CM. This study also explored the intersection of IPV and CM using 19 semi-structured interviews with child welfare stakeholders to gain insight into the mechanisms underpinning reporting processes. Multinomial logistical regression showed that after controlling for other risk factors, children living in a household with IPV were more likely to be determined to be physically abused and emotionally maltreated than neglected, and less likely to be determined to be sexually abused than neglected, compared with children who did not live in a household with IPV. Those children were also more likely to be determined to be emotionally maltreated than physically abused, and less likely to be determined to be sexually abused than physically abused, compared with children who did not live in a household with IPV (all results, p < .0001). Qualitative results revealed IPV and children's exposure to IPV may be categorized as different types of CM by CW agencies and staff, and that this categorization can vary by agency and staff level. Participants also described challenges to addressing IPV within CW systems. Findings suggest national CW data may obscure when IPV and CM co-occur versus when a given type of CM is serving as a proxy for the presence of or children's exposure to IPV, presenting challenges to interpreting child welfare data. Recommendations are presented to improve CW data accuracy and ensure the safety of children and families impacted by IPV.
PMID: 35617252
ISSN: 1552-6518
CID: 5248032

Taking an organizational approach to addressing secondary trauma in child welfare settings

Tullberg, Erika; Boothe, Georgia
The increasing focus on trauma-informed child welfare practice has expanded beyond children to include other stakeholders, including child welfare staff. Despite research showing high levels of trauma exposure and symptoms among child welfare staff, and the connection between secondary trauma and staff attrition, the field has lagged in developing interventions for child welfare professionals and agencies affected by secondary trauma. This paper describes efforts underway in New York City to better understand and address secondary trauma in a multi-service child welfare agency. Agency data showing the extent to which people in different roles (e.g., caseworker, supervisor) feel that secondary trauma is recognized and addressed, and findings from exit interviews with departing staff, are shared. Lessons learned include the importance of responding to secondary trauma organizationally; the value of data collection in destigmatizing secondary trauma and clarifying agency priorities; and the need to simultaneously address secondary trauma and burnout. Recommendations for future research, including better understanding the knowledge and skills that supervisors and administrators need to mitigate secondary trauma, are shared.
ISSN: 1554-8732
CID: 3913992

Unpacking "support": Understanding the complex needs of therapeutic foster parents

Tullberg, Erika; Vaughon, Wendy; Muradwij, Nawal; Kerker, Bonnie D.
ISSN: 0190-7409
CID: 4124772

What is foster parents' role in trauma-informed child welfare practice?

Tullberg, Erika
ISSN: 1088-3819
CID: 3927982

The ripple effect of trauma : individuals, organizations and society

Chapter by: Tullberg, Erika; Muradwij, N
in: Violence and trauma in the lives of children by Osofsky, Joy D; Groves, Betsy McAlister (Eds)
Santa Barbara, California : Praeger, an Imprint of ABC-CLIO, LLC, [2018]
pp. 193-214
ISBN: 9781440852596
CID: 3927992

The Atlas Project: Integrating Trauma Informed Practice into Child Welfare and Mental Health Settings

Tullberg, Erika; Kerker, Bonnie; Muradwij, Nawal; Saxe, Glenn
Although children in foster care are disproportionately affected by trauma, few child welfare agencies fully integrate trauma knowledge into their practices or have trauma-specific interventions available for children who could benefit from them, either internally or through partnerships with mental health providers. The Atlas Project has built on foster care-mental health partnerships to integrate trauma-informed practices into New York City Treatment Family Foster Care programs. This paper provides detail on the elements of the Atlas Project model, their implementation, and implications for trauma informed child welfare practice.
ISSN: 0009-4021
CID: 3049272

Trauma systems therapy : an approach to creating trauma-informed child welfare systems

Chapter by: Brown, Adam; Navalta, Carryl P; Tullberg, Erika; Saxe, Glenn
in: Treatment of child abuse : common ground for mental health, medical, and legal practitioners by Reece, Robert M; Hanson, Rochelle F; Sargent, John [Eds]
Baltimore : Johns Hopkins University Press, 2014
pp. 132-138
ISBN: 1421412748
CID: 1448072

Screening for trauma exposure, and posttraumatic stress disorder and depression symptoms among mothers receiving child welfare preventive services

Chemtob, Claude M; Griffing, Sascha; Tullberg, Erika; Roberts, Elizabeth; Ellis, Peggy
The role of parental trauma exposure and related mental health symptoms as risk factors for child maltreatment for parents involved with the child welfare (CW) system has received limited attention. In particular, little is known about the extent to which mothers receiving CW services to prevent maltreatment have experienced trauma and suffered trauma-related psychopathology. This study examined screening data collected from 127 mothers receiving CW preventive services. There were high levels of trauma exposure among screened mothers and their young children. Among mothers, 91.6% experienced at least one traumatic event (M = 2.60) and 92.2% reported their children had been exposed to one or more traumas (M = 4.85). Mothers reported high levels of trauma-related symptoms: 54.3% met probable criteria for posttraumatic stress disorder (PTSD) or depression (61.7%). Nearly half (48.8%) met criteria for co-morbid PTSD and depression. The large majority of the clients with trauma-related disorders were not receiving mental health services. Latina women had significantly more severe PTSD symptoms than African American women. Case planners reported that the screening process was useful and feasible. These findings underscore the feasibility and importance of trauma screening among parents receiving CW preventive services.
PMID: 22533045
ISSN: 0009-4021
CID: 165634

Promising practices and strategies for using trauma-informed child welfare practice to improve foster care placement stability: a breakthrough series collaborative

Conradi, Lisa; Agosti, Jen; Tullberg, Erika; Richardson, Lisa; Langan, Heather; Ko, Susan; Wilson, Charles
This paper will provide information on a recent Breakthrough Series Collaborative (BSC) conducted by the National Child Traumatic Stress Network on Using Trauma-Informed Child Welfare Practice to Improve Foster Care Placement Stability. Information on this particular BSC will be provided, followed by initial findings gathered from an evaluation of the BSC and metrics gathered by each of the nine participating teams throughout the BSC process. Specific trauma-informed promising strategies adopted by teams are presented along with recommendations for next steps.
PMID: 22533050
ISSN: 0009-4021
CID: 900372