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Childhood trauma can exert a negative influence in the lives of young children. Yet, while Early Childhood Education and Care (ECEC) professionals are perfectly positioned to support children exposed to such trauma, extant research reports a scarcity of bespoke trauma awareness training for the ECEC profession. The aim of the current study served to explore the trauma awareness knowledge, strategies, and training of the ECEC profession in the Republic of Ireland. A comprehensive survey instrument, comprising 45 items across 5 Thematic Domains related to trauma knowledge and training, was disseminated to ECEC professionals nationwide. With a response rate of 1053 participants, key findings revealed (i) a fragmented understanding of what constitutes childhood trauma, and (ii) a significant association between lower levels of educational attainment and trauma education (Initial Practitioner Education, p = 0.000; Continuous Professional Development, p = 0.039). Further, 95% of participants called for context-specific, trauma awareness training, substantiating the voracious appetite for this crucial cog in the ECEC learning continuum, and thus reflecting the need for urgent reform to address and support the complexities of childhood trauma in ECEC discourse.

This study aims to examine the associations between child maltreatment (physical and psychological neglect and abuse), dysfunctional family environment (inter-parental violence, parental substance abuse), post-traumatic stress disorder (PTSD), and children’s bullying perpetration, and the potential mediating effect of PTSD in the associations. We collected data using a self-report questionnaire with a nation-wide, proportionately stratified random sample of 6233 fourth-grade students in Taiwan. We performed hierarchical regression analysis and mediation analysis to test the research hypotheses. The results indicate that parental substance abuse, physical and psychological neglect, physical and psychological abuse, witness of inter-parental violence, and PTSD are positively associated with child bullying (p < .001), after controlling for gender. These variables, referred to as adverse childhood experiences (ACEs), explain 23% of the variance, and the results are statistically significant. PTSD fully mediated the relationship between psychological neglect and child bullying and partially mediated the associations between other ACE variables and child bullying. Children with higher levels of bullying perpetration reported more family violence and neglect at home and parental substance abuse problems. These ACEs also indirectly affect child bullying through PTSD. Among school-age children in Taiwan, children who had these adverse experiences were more likely to have PTSD symptoms, which in turn can lead to externalizing problems that increase the risk of exhibiting bullying perpetration toward others. In addition to behavioral modeling and corrections as strategies to combat bullying in schools, prevention and intervention efforts should address and screen for ACEs and tackle psychological problems.

Objective The study aimed to evaluate the implementation of mindfulness based interventions, in different community settings in South Africa, by graduates of a two-year mindfulness training course, and to explore the challenges involved in adapting to the local context. Methods This was a descriptive exploratory qualitative study using semi-structured interviews. Ten graduates of a two-year training in mindfulness-based interventions (MBIs) were identified using purposeful criterion-based sampling based on their implementation of adapted MBIs in communities that represented the systemic social, economic and health challenges affecting a majority of South Africans. Results Previous and ongoing trauma is pervasive in South Africa which significantly affects the quality of lived experience for many individuals and families. Teachers who offered mindfulness-based approaches within these communities needed to hold a high level of sensitivity to pre-existing and ongoing trauma and signs of traumatic abreaction to effectively and skilfully deliver these interventions. Context sensitive adaptations needed to be implemented to programme structure, such as length of sessions, prioritisation of curricular elements and duration of mindfulness practices, along with in-the-moment flexible responsiveness such as ending a formal practice ealier than planned, or responding to the emotional needs of an individual. This was supported by the creation of a robust and compassionate holding environment, a safe and secure space in which attuned relationality supported co- and self-regulation and the internalisation of mindfulness skills. Conclusion Mindfulness can be a valuable practice in diverse settings in South Africa, including communities affected by previous and current trauma, and the training curriculum in this context requires high levels of sensitivity to these conditions and must prioritise a safe and compassionate environment in which to learn.

Creating a trauma-sensitive classroom requires a shift in perspective from viewing a student’s problematic behavior as a function of poor character to considering it contextually. However, a trauma-sensitive perspective may be insufficient for school staff to implement trauma-sensitive practices. Theoretically, motivation, or readiness to change (R2C), is needed to adopt any new behavior. Therefore, the purpose of this study was to examine the role of R2C in the relation between attitudes related to trauma-informed care (ARTIC) and the adoption of trauma-sensitive practices in a school setting. The targeted elementary school primarily serves Black students (83%), living below the federal poverty line. All staff attended an in-service training about trauma-sensitive schools (TSS), in which trauma-sensitive strategies were modeled, and student-friendly, emotional regulation materials were provided. Teachers and staff (n = 40) were assessed one year after receiving the TSS training. Participants reported their ARTIC, R2C, and trauma-informed strategy adoption. Using PROCESS Model 4, R2C fully mediated the relation between ARTIC and reported use of specific trauma-sensitive classroom strategies (β = 0.19, bootstrapped SE = 0.12, 95% LLCI = 0.04, 95% ULCI = 0.49). Facilitating R2C is essential when implementing trauma-sensitive school strategies. System-wide policies that may help promote the uptake of trauma-sensitive practices are described.

This article was completed while the senior author was supported by a Fellowship in Leadership Education Excellence in Caring for Children with Neurodevelopmental Disabilities at the Shriver Center/University of Massachusetts Medical School, and was funded by a grant from the Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services (#MCJ2591510) TOPIC:  This article describes the components of child‐ and family‐centered care, including a review of the literature about the delivery of family‐centered care and the barriers that often prevent the provision of such care. The article describes an inpatient child psychiatric unit that has implemented an approach to care that embraces these principles. The changes in structures and policies that the unit adopted are described, with specific examples cited as illustrations of the components of this care. PURPOSE:  To describe the elements of child‐ and family‐centered care and the ways in which this model of care may be implemented on inpatient child psychiatric units. SOURCES USED:  Literature review including journal reports and articles and books. CONCLUSIONS:  Preliminary outcomes are encouraging in the decrease in use of practices such as restraint and seclusion, and physical holds. Further research examining parents’ satisfaction is warranted in determining the success of such endeavors.