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      Trust-Based Relational Intervention (TBRI): A Systemic Approach to Complex Developmental Trauma

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          Abstract

          Children and youth who have experienced foster care or orphanage-rearing have often experienced complex developmental trauma, demonstrating an interactive set of psychological and behavioral issues. Trust-Based Relational Intervention (TBRI) is a therapeutic model that trains caregivers to provide effective support and treatment for at-risk children. TBRI has been applied in orphanages, courts, residential treatment facilities, group homes, foster and adoptive homes, churches, and schools. It has been used effectively with children and youth of all ages and all risk levels. This article provides the research base for TBRI and examples of how it is applied.

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          Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health

          Allan N. Schore (2001)
          Article 0 comments Cited 173 times – based on 0 reviews     Review now
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            Treating children with early-onset conduct problems: a comparison of child and parent training interventions.

            Carolyn Webster-Stratton, Mary Hammond (1997)
            Families of 97 children with early-onset conduct problems, 4 to 8 years old, were randomly assigned to 1 of 4 conditions: a parent training treatment group (PT), a child training group (CT), a combined child and parent training group (CT + PT), or a waiting-list control group (CON). Posttreatment assessments indicated that all 3 treatment conditions had resulted in significant improvements in comparison with controls. Comparisons of the 3 treatment conditions indicated that CT and CT + PT children showed significant improvements in problem solving as well as conflict management skills, as measured by observations of their interactions with a best friend; differences among treatment conditions on these measures consistently favored the CT condition over the PT condition. As for parent and child behavior at home, PT and CT + PT parents and children had significantly more positive interactions, compared with CT parents and children. One-year follow-up assessments indicated that all the significant changes noted immediately posttreatment had been maintained over time. Moreover, child conduct problems at home had significantly lessened over time. Analyses of the clinical significance of the results suggested that the combined CT + PT condition produced the most significant improvements in child behavior at 1-year follow-up.
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              Cortisol decreases and serotonin and dopamine increase following massage therapy.

              Tiffany Field, Miguel A Diego, David Reif … (2005)
              In this article the positive effects of massage therapy on biochemistry are reviewed including decreased levels of cortisol and increased levels of serotonin and dopamine. The research reviewed includes studies on depression (including sex abuse and eating disorder studies), pain syndrome studies, research on auto-immune conditions (including asthma and chronic fatigue), immune studies (including HIV and breast cancer), and studies on the reduction of stress on the job, the stress of aging, and pregnancy stress. In studies in which cortisol was assayed either in saliva or in urine, significant decreases were noted in cortisol levels (averaging decreases 31%). In studies in which the activating neurotransmitters (serotonin and dopamine) were assayed in urine, an average increase of 28% was noted for serotonin and an average increase of 31% was noted for dopamine. These studies combined suggest the stress-alleviating effects (decreased cortisol) and the activating effects (increased serotonin and dopamine) of massage therapy on a variety of medical conditions and stressful experiences.
              Article 0 comments Cited 112 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Child Youth Serv
                Journal ID (iso-abbrev): Child Youth Serv
                Journal ID (publisher-id): wcys
                Title: Child & Youth Services
                Publisher: Taylor & Francis
                ISSN (Print): 0145-935X
                ISSN (Electronic): 1545-2298
                Publication date (Electronic): 17 December 2013
                Publication date (Print): October 2013
                Volume: 34
                Issue: 4
                Pages: 360-386
                Affiliations
                Institute of Child Development, Texas Christian University, Fort Worth, Texas, USA
                Center for Applied Psychology, Texas Christian University, Fort Worth, Texas, USA
                Institute of Child Development, Texas Christian University, Fort Worth, Texas, USA
                Author notes
                Address correspondence to Karyn B. Purvis, Institute of Child Development, Texas Christian University, TCU Box 298920, Fort Worth, TX 76129, USA. E-mail: k.s.purvis@ 123456tcu.edu
                Article
                DOI: 10.1080/0145935X.2013.859906
                PMC ID: 3877861
                PubMed ID: 24453385
                SO-VID: b179be5c-c3dc-4fe7-b429-c0ccf8a8575e
                Copyright © © Karyn B. Purvis, David R. Cross, Donald F. Dansereau, and Sheri R. Parris
                License:

                This is an open access article distributed under the Supplemental Terms and Conditions for iOpenAccess articles published in Taylor & Francis journals , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Research Article

                Keywords: adoption,complex developmental trauma,foster care,trauma-informed intervention
                Data availability:
                Keywords: adoption, complex developmental trauma, foster care, trauma-informed intervention

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