WITHDRAWN: Minding the complexities of psychotropic medication management for children and youth in the foster care system paper 2: Levels of trauma responsiveness among child welfare staff

Abstract

<h2>Abstract</h2><h3>Background</h3> Here, we report on the same intervention as that discussed in the first paper, focusing on the effectiveness of the live 2-h face-to-face training for child welfare staff and the 3-month web-based curriculum for leadership personnel in improving the participants' trauma responsiveness. <h3>Research question</h3> What is the level of trauma responsiveness among child welfare staff? <h3>Methodology and participants</h3> Individual- and organizational-level trauma responsiveness was self-rated on a continuum of the Missouri Model: A Developmental Framework for Trauma-Informed Approaches. Artifacts of the web-based curriculum and qualitative interview data were analyzed by applying grounded theory methods. <h3>Findings/Results</h3> The qualitative findings reported here revealed that a majority of the participants rated themselves as "trauma aware" or "trauma responsive" on the Missouri Model, while indicating that their agencies could work harder to become more fully trauma informed. <h3>Conclusion</h3> A trauma-informed child welfare workforce that understands the complexity and advocacy requirements of psychotropic medication management is needed. Future longitudinal research is required is to assess the training effects over time. In particular, the aim should be to establish (a) how knowledge and attitude shifts correlate with greater degrees of trauma responsiveness, and (b) if and how such trainings translate into improved systems of support.