Effect of trauma-informed supervision in youth detention center: A retrospective study

Abstract

This study retrospectively evaluates a pilot program instituted at a juvenile detention center that aimed to provide trauma-informed care (TIC) to detained youth through development of a trauma-informed care housing unit with specialized supervision and training. Secondary data of worker injuries caused by direct youth contact were documented in workers compensation claims and analyzed by unit (TRU: treatment responsive unit vs TAU (I): treatment as usual). There was a total of 324 full-time equivalent work weeks in a 9-month period when the program was piloted. The relative risk of injury on the TAU unit vs. TRU is 9.00 [CI 4.58, 17.66]. This resulted in higher costs and increased modified workdays in the TAU unit. There were no significant differences in turnover rates stratified by TARGET training status and assignment to TRU. Semi-structured interviews with supervisors endorsed increased support perceived by TRU staff leading to improved organizational commitment and job satisfaction.