Trauma-informed care connects to children’s needs; trauma-informed carer training should connect to carers’ needs

Mar 2023

Written by Billy Black

The CETC is thrilled to announce our new online course “Caring for Children and Young People with Trauma” is now live and free for all South Australian kinship and foster carers! Developed in partnership with the South Australian Department for Child Protection, this self-paced course is an interactive look at the foundations of trauma-informed care, with demonstrative case studies, interactive quizzes, and inspiring video talks from real carers, therapists, and psychology experts.

Foster and kinship carers need quality training and an established support network before it’s needed, not offered reactively to challenges as they develop. Training in trauma-informed care helps carers understand and empathise with children’s behaviours, keep calm in their chaos, and focus on building a life-changing relationship with a very special child. Support needs to come not only from family and friends but the whole Care Team: the social workers, teachers, counsellors, birth family – everyone who comes together to wrap support around the child.

Unfortunately, the busy schedules and demands of care make it difficult for carers to access or attend training. Additionally, training often tries to cover all care types despite the different needs of foster and kinship carers, or for those caring for our Aboriginal and Torres Strait Islander children. Even when carers can attend training, content that focuses on meeting children for the first time or managing cross-cultural placements can feel alienating to kinship carers, who often view themselves as “just Grandma”, a carer only by technicality.

However, in the past two decades the ratio of children in foster care to kinship care has reversed, from 53% in foster care and 34% in kinship care in 1999, to 37% in foster care and 57% in kinship care in 2021 (AIHW, 2021). This change represents our better understanding of the importance of relational connection in healing trauma, and our slow progress in understanding cultural appropriateness in care (Scott & Swain, 2002). Many studies suggest children are faring better in kinship care than in foster care (Hartnett, Dawe, & Russell, 2012; Winokur, Holtan, & Batchelder, 2018), making kinship care the new first choice for home-based care rather than “a last resort” (Scott & Swain, 2002).

Despite fast-growing support for kinship placements in the care system, foster carers continue have better access to training and support services than kinship carers, and those opportunities are still designed primarily with foster carers in mind (Harding, Murray, Shakespeare-Finch, & Frey, 2020). Kinship carers also often become carers during a family crisis, with no preparation or training for this life-changing role (McPherson & Macnamara, 2014).

Statistically, kinship carers are older, have poorer physical and mental health, and experience more stress in their role than foster carers, especially in accessing financial support (Harding et al., 2020). In addition to practical differences, there are emotional and psychological differences – kinship carers have often already cared informally without support in previous family crises, have experienced previous family traumas, and have complex relationships with the child’s parents, often characterised by guilt and grief (Duerr Berrick & Hernandez, 2016). Despite these extra challenges, kinship carers report greater satisfaction in their caring role (Harding et al., 2020), while their children report better outcomes in stability, health, education, and wellbeing (Winokur et al., 2018). Carer training needs to start considering the research we now have in the different challenges that kinship and foster carers face, and tailor training supports to meet carers’ needs. Our new “Caring for Children and Young People with Trauma” training package is online and self-paced to cater to busy schedules and comes in two versions for foster carers and kinship carers, to target the needs of each. A third version targeting the needs of those caring for Aboriginal children is also currently being co-designed with Aboriginal care practitioners. If you know any carers in South Australia, please share this opportunity to enhance and develop their skills and knowledge of trauma-informed care by finding out more and registering here. Or, if you think you know carers outside South Australia who could benefit from this kind of training, please let us know here to help us develop similar training projects in future.

References

Australian Institute of Health and Welfare (2021). Child Protection Australia: Children in the Child Protection System. Cat. no. CWS 75. Canberra: AIHW. https://www.aihw.gov. au/reports/child-protection/child-protection-australia-children-in-thechild-protection-system

Duerr Berrick, J. & Hernandez, J. (2016). Developing consistent and transparent kinship care policy and practice: State mandated, mediated, and independent care. Children and Youth Services Review, 68, 24-33 https://doi.org/10.1016/j.childyouth.2016.06.025

Harding, L., Murray, K., Shakespeare-Finch, J., & Frey, R. (2020). The well being of foster and kin carers: A comparative study. Children and Youth Services Review, 108, 104566

Hartnett, P., Dawe, S. & Russell, M. (2012). An investigation of the needs of grandparents who are raising grandchildren. Child and Family Social Work, 19(4), 411-420.

McPherson, L. & MacNamara, P. (2014). Therapeutic kinship care: A carer’s perspective’. Children Australia, 39(4), 221-5.

Scott, D, & Swain, S. (2002). Confronting Cruelty: Historical Perspectives on Child Protection in Australia. Melbourne: Melbourne University Press.

Winokur, M.A., Holtan, A. & Batchelder, K.E. (2018). Systematic Review of Kinship Effects on  Safety, Permanency and Well Being Outcomes. Research on Social Work Practice, Vol; 28(1) 19-32 https://doi.org/10.1177/1049731515620843

You may be interested in: Foster care Kinship care Trauma-informed care

An emerging paradigm - Welcome to our new therapeutic care blog
An emerging paradigm - Welcome to our new therapeutic care blog
Over the past two decades, the term therapeutic care has emerged as a new paradigm used to integrate constructs that had traditionally been considered separate – therapeutic processes and the...
Read more
What is effective therapeutic care? Research brief
What is effective therapeutic care? Research brief
This research briefing is an introduction to therapeutic care as a preferred response for children and young people who have experienced complex trauma and are unable to live at home....
Read more
The evidence base for therapeutic group  care:  A systematic scoping review - Research brief
The evidence base for therapeutic group care: A systematic scoping review - Research brief
The NSW Government has undertaken major reforms over the past two years aimed at improving outcomes for children and young people in out-of-home care. Following a review by Verso Consulting...
Read more
The role of emotions in therapeutic care
The role of emotions in therapeutic care
The role of emotions within human service work may at first glance appear to be intuitively obvious and incontestable. Indeed, Howe (2008) described the day of a human service worker...
Read more
The needs of LGBTIQ young people in out-of-home care - Research brief
The needs of LGBTIQ young people in out-of-home care - Research brief
Young people who are same sex attracted, trans or gender diverse – a population who will be referred to in this document as LGBTIQ (lesbian, gay, bisexual, transgender, intersex and...
Read more
Safety from the outside to the inside
Safety from the outside to the inside
At the recent Therapeutic Specialist’s forum, there was lots of discussion about the concept of physical and relational safety in Intensive Therapeutic Care (ITC). We all agreed that it is...
Read more
Understanding and supporting young people who self-harm in residential care
Understanding and supporting young people who self-harm in residential care
Some of the young people we care for in the ITC programs deal with emotional distress and pain by hurting themselves physically. Young people hurting themselves is distressing to them...
Read more
The role of praise in working with young people
The role of praise in working with young people
We can see each of our daily interactions with each of the young people we care for as bids for connection and opportunities for change. By choosing to turn toward,...
Read more
The healing power of friendship
The healing power of friendship
Can the friendships and connections that can develop in Intensive Residential Care be nurtured and grown rather than feared? I would like you to take a moment to think back...
Read more
Preventing self-harm among young people in out-of-home care - Research brief
Preventing self-harm among young people in out-of-home care - Research brief
Many young people in out-of-home care are at an elevated risk of self-harm and suicidality. The reasons range from early exposure to abuse, disconnection from family, instability of their living...
Read more
‘Tis the Season to be Jolly’ – but not for everyone
‘Tis the Season to be Jolly’ – but not for everyone
It’s all too easy to get wrapped up in the fun and happiness of Christmas and forget that, for others, the season isn’t necessarily a joyful one. For some the...
Read more
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
This guide has been developed to describe the 10 Essential Elements that form the basis for Intensive Therapeutic Care (ITC) service provision in NSW. The 10 Essential Elements have been...
Read more
The essential elements of therapeutic foster care - Research brief
The essential elements of therapeutic foster care - Research brief
As far back as 2002 in the creation of the Catalyst Program, Mitchell developed what was Australia’s first therapeutic foster care program and one of a handful of pioneering programs...
Read more
Vicarious trauma and secondary stress in therapeutic residential care - Research brief
Vicarious trauma and secondary stress in therapeutic residential care - Research brief
It is generally accepted that child welfare professionals are at high risk of experiencing vicarious trauma: the manifestation of traumatic symptoms resulting from working with individuals who, themselves, have encountered...
Read more
What works? Promising practices to support young people who self-harm
What works? Promising practices to support young people who self-harm
Why do young people in out of home care self-harm? What are the best predictors of suicide and self-harm? What really works when supporting young people who self-harm in out-of-home...
Read more
Q&A with Cate Keady from the Elver Program
Q&A with Cate Keady from the Elver Program
Since 2018, Cate Keady has worked within the Department of Communities and Justice to establish and manage the Intensive Support Services Elver Program - in partnership with South Western Sydney...
Read more
A story you may recognise
A story you may recognise
Peta had worked in residential care for 18 months. She took the position because she had had a difficult childhood and she felt that she had a lot to offer...
Read more
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 2
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 2
In the first part of the Blog, we explored limit and expectation setting, maintaining a state of occupancy and the planning process for a successful transition. In part two of...
Read more
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 1
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 1
This is a two-part blog and will focus on the transition of young people into an Intensive Therapeutic Care house; however, most of the content is transferrable to other placement...
Read more
Changing your practice to being trauma informed in therapeutic residential care
Changing your practice to being trauma informed in therapeutic residential care
Whilst the following Arabian proverb takes a bit to get your head around it leads rather nicely into this blog and our brief introduction on the relevance of the conscious...
Read more
Trauma-informed relationship-based recovery reflection tool - Practice tool
Trauma-informed relationship-based recovery reflection tool - Practice tool
Children and young people need adults who can co-regulate with them and teach them about feelings and their inner world. This Trauma Informed Relationship-Based Recovery Reflection tool can be used...
Read more
Supporting children in out-of-home care to cope with ambiguous loss
Supporting children in out-of-home care to cope with ambiguous loss
When you think of grief and loss, what comes to your mind? You may think of the immense sorrow one may experience. For some of us, we can seek solace...
Read more
Trauma-informed care - Research brief
Trauma-informed care - Research brief
This research briefing aims to define and clarify what trauma, complex trauma and trauma informed care are. Extensive literature has now surmised that exposure to adverse experiences such as child...
Read more
Trauma-informed relationship based recovery reflection tool
Trauma-informed relationship based recovery reflection tool
“Childhood trauma has the potential to interrupt the normal physical, physiological, emotional, mental and intellectual development, of children and can have wide-ranging, and often life-long implications for their health and...
Read more
Secondary traumatic stress and staff well-being: understanding compassion fatigue, vicarious trauma and burnout in therapeutic care - Practice guide
Secondary traumatic stress and staff well-being: understanding compassion fatigue, vicarious trauma and burnout in therapeutic care - Practice guide
This guide has been developed to support organisational congruence and in the provision of trauma informed therapeutic care and the critical need for a well-supported, capable, and stable staff group...
Read more
Frequently asked questions by foster carers: Behaviours that challenge
Frequently asked questions by foster carers: Behaviours that challenge
In Australia, there are about 18 thousand children and young people in foster care. Most foster carers will be the first to tell you how rewarding it is – but...
Read more
Understanding the needs of kinship carers in Australia - Research brief
Understanding the needs of kinship carers in Australia - Research brief
Kinship care placements in Australia are now more prevalent than foster care. They are the fastest growing form of out-of-home care in this country (AIHW, 2021). On 30 June 2019,...
Read more
Sibling placement in out-of-home care - Research brief
Sibling placement in out-of-home care - Research brief
The significance of sibling relationships for children and young people in out-of-home care is well documented by national and international scholars (Luu, Conley Wright, & Cashmore, 2020). These relationships offer...
Read more
‘Drop and run’ - the experience of kinship carers in the Australian child protection system
‘Drop and run’ - the experience of kinship carers in the Australian child protection system
Recent research was conducted by the Southern Cross University and the Centre for Excellence in Therapeutic Care (McPherson, Gatwiri, Day, Parmenter, Mitchell & Macnamara, 2022) into the experience of kinship...
Read more
Blocked care: ‘You’re not alone; it’s a brain thing.’
Blocked care: ‘You’re not alone; it’s a brain thing.’
“No one knows what it is like to care for a child in trauma until they have cared for a child in trauma,” said Noel MacNamara in one of his...
Read more
What Was I Thinking? Handling the Amygdala Hijack
What Was I Thinking? Handling the Amygdala Hijack
Remember that time when you put the child you care for back to bed for the fourth time? Your thoughts suggested a level of desperation and wishful thinking, hoping that...
Read more
12 ways foster and kinship carers can promote compassion and self-compassion in children and young people
12 ways foster and kinship carers can promote compassion and self-compassion in children and young people
What are Compassion and Self-Compassion?Compassion is the ability to feel and connect with the suffering of another human being, self-compassion is the ability to feel and connect with one’s own...
Read more
‘There was no support’: Getting kinship care support right
‘There was no support’: Getting kinship care support right
We did not and am still not receiving support requested or needed. Case managers or staff change without us being informed. Phone messages left at their offices and drop in...
Read more
Fight, flight, freeze, and fibbing: Lying as a trauma-based behaviour
Fight, flight, freeze, and fibbing: Lying as a trauma-based behaviour
In almost every session I have run for foster and kinship carers, someone tells a story about a child or young person in their care who regularly lies. I can feel...
Read more
Living with the Fast and the Furious
Living with the Fast and the Furious
You have opened your homes and your hearts to children who are unable to live with their parents. You want to help them access a better life. To feel safe,...
Read more
Trauma-sensitive family time is about connection and repair
Trauma-sensitive family time is about connection and repair
Relationships with family come with good times and challenges for everyone, but for children and young people in care, this birthright of family connection can often be deprioritised for the...
Read more
Can we provide trauma-informed care for children without changing our beliefs about their behaviour?
Can we provide trauma-informed care for children without changing our beliefs about their behaviour?
This blog article was written by Noel Macnamara, Executive Manager - Research and Policy and Deputy Director, Centre for Excellence in Therapeutic Care, CETC. There is a growing tendency to...
Read more
What do foster carers tell us about their support needs? - Research brief
What do foster carers tell us about their support needs? - Research brief
Foster carers are a crucial human resource in responding to children and young people who have experienced abuse, neglect, and trauma. The design and implementation of foster care programs varies...
Read more
Thirteen coping strategies that caregivers can use to support young people through their grief process
Thirteen coping strategies that caregivers can use to support young people through their grief process
Being in out-of-home care (OOHC) often means loss: loss of parents, siblings, extended family, pets, home, school, and friends. Grief is a normal and healthy response to loss. Children can...
Read more
The role fear plays in the lives of children and young people in out-of-home care
The role fear plays in the lives of children and young people in out-of-home care
Fear is a fundamental human emotion triggered by a perceived threat. It serves as a basic survival mechanism that signals our bodies to respond to danger with a fight, flight,...
Read more
Hearts of Gold: Reflecting on Foster Care Week 2023
Hearts of Gold: Reflecting on Foster Care Week 2023
Foster Care Week, observed from September 10-16, is an annual celebration acknowledging the incredible contribution our volunteer foster carers make to the lives of children in out-of-home care. The theme...
Read more
Spotlight on a therapeutic specialist in out-of-home care - Jess Wright
Spotlight on a therapeutic specialist in out-of-home care - Jess Wright
Foster Care Week 2023, celebrated from September 10-16, is an annual celebration of foster carers and their supporters for the contributions they make to the lives of children, young people,...
Read more
Christmas time when glad tidings of joy should abound, and love be with us all
Christmas time when glad tidings of joy should abound, and love be with us all
Christmas, for many, is an exciting time of year. However, for some children and young people, particularly those who have experienced attachment difficulties, trauma and/or adverse childhood events, Christmas can...
Read more
The effective and efficient approach to preventing placement breakdowns
The effective and efficient approach to preventing placement breakdowns
For children with complex trauma, the out-of-home care sector is more often reactive rather than proactive or preventative. Not many programs exist to provide significant early intervention support, as opposed...
Read more
Q&A with the trainer: Trauma-informed supervision
Q&A with the trainer: Trauma-informed supervision
Over the recent decades, we have seen leaps in research and practice promoting the importance of taking a holistic trauma-informed approach to caring for children and young people with trauma....
Read more
Q&A with the trainer: Behaviours that challenge
Q&A with the trainer: Behaviours that challenge
One of our most frequent requests at the CETC is for more training on how to respond to the behaviours of young people in out-of-home care that caregivers can find...
Read more
On-Demand: What we’ve learnt delivering trauma training to carers online
On-Demand: What we’ve learnt delivering trauma training to carers online
Over the past 18 months, we have been asking ourselves how online training can help meet the knowledge and support needs of foster and kinship carers. What are the benefits...
Read more
And the recommendations are… systemic reform towards providing therapeutic care, again
And the recommendations are… systemic reform towards providing therapeutic care, again
The Australian Institute of Family Studies recently released a report titled Improving the Safety and Wellbeing of Vulnerable Children: A Consolidation of Systemic Recommendations and Evidence. This report aims to...
Read more
Reflections on the National Kinship, Permanent and Foster Care Conference
Reflections on the National Kinship, Permanent and Foster Care Conference
At this week’s National Kinship, Permanent and Foster Care conference held in Melbourne, the experiences of pleasure and pain faced by kinship carers were clearly evident. Amidst the stories of love and...
Read more
Too exhausted and overwhelmed for self-care
Too exhausted and overwhelmed for self-care
Working with trauma-impacted children and young people can be exhausting and overwhelming. This feeling is often compounded by not having the resources to help these children and young people in...
Read more
Trauma-informed... youth detention? The realities of reform
Trauma-informed... youth detention? The realities of reform
Last week, CETC facilitated an insightful panel about trauma-informed care and young people in youth detention. CETC welcomed Joanne O’Connor, Associate Professor Tim Moore and Murray Robinson to share their...
Read more
Grandparent kinship carers: the pleasure, the pain
Grandparent kinship carers: the pleasure, the pain
Today in Australia, the preference for and growth of kinship care has meant that the majority of children in out-of-home care are now placed in relative or kinship care arrangements...
Read more