Evidence In Action Archives 2013-2026

Volume 14 | Issue 1 | January 2026 - Providers’ Perceptions of Trauma-Focused EBT/EBP Implementation Fidelity: Implementation Process and Individual Influences

This study examined factors that help mental health providers deliver trauma-focused evidence-based practices as intended in real-world settings. Findings suggest that providers reported stronger implementation fidelity when they experienced higher compassion satisfaction, felt more effective in their work, and received consistent organizational supports such as supervision, consultation, and coaching. The study also found that secondary traumatic stress was linked to lower perceived fidelity, highlighting the importance of workforce resilience and provider well-being in trauma-informed care and trauma treatment. These findings underscore the need for behavioral health organizations to support both clinician wellness and implementation practices to strengthen trauma-responsive services and improve outcomes for children and families affected by trauma. Click here to read the full brief on the study. 

Volume 14 | Issue 2 | April 2026 - Trauma Informed Parenting Skills for Resource Parents

Trauma-Informed Parenting Skills for Resource Parents (TIPS 4 RP) is a trauma-informed care intervention designed to help foster, adoptive, and relative caregivers support children affected by youth trauma and adverse childhood experiences (ACEs). Findings suggest that the program strengthens caregivers’ trauma-informed parenting skills, empathy, and confidence while reducing concerns about placement disruption, which can promote trauma recovery and child and adolescent mental health. Caregivers reported that understanding trauma-driven behaviors helped them respond more effectively, improve family relationships, and create safer, more trauma-responsive home environments. These findings highlight the value of evidence-based practice and early intervention in child welfare and behavioral health settings to support resilience, caregiver effectiveness, and placement stability. Click here to read the full brief on the study. 

Volume 13 | Issue 1 | April 2025 – Judicial Decision-Making in Child Sex Trafficking Cases

This study examined how a school-based trauma-informed care initiative influenced burnout and secondary traumatic stress among K–12 educators, counselors, administrators, and other staff. Findings suggest that trauma-informed practices, engaged leadership, and trauma-responsive organizational supports were associated with improved staff well-being, reduced occupational stress, and greater workforce resilience over time. The results highlight the importance of creating trauma-responsive services and supportive workplace environments that address the impact of indirect exposure to youth trauma and adverse childhood experiences (ACEs). For education, behavioral health, and child-serving professionals, the study underscores how leadership commitment to trauma-informed care can strengthen staff mental health and improve the capacity to support students effectively. Click here to read the full brief on the study. 

Volume 13 | Issue 2 | April 2025 –  Burnout and Secondary Traumatic Stress Over Time in School Personnel Involved in a Trauma-Informed Initiative

This study explored how a school-wide trauma-informed care initiative affected burnout and secondary traumatic stress among K–12 school personnel. Findings suggest that stronger leadership engagement and more trauma-responsive services and practices were linked to improved staff well-being, reduced occupational stress, and greater workforce resilience over time. The results highlight the importance of supporting educators and other professionals who are regularly exposed to youth trauma, as addressing trauma-related stress can strengthen both staff mental health and their ability to support students effectively. For professionals in education, behavioral health, and child-serving systems, the study reinforces the value of organizational commitment to trauma-informed care as a key strategy for promoting resilience and a healthier workforce. Click here to read the full brief on the study.

Volume 13 | Issue 3 | July 2025 – Caregiver Representations in a High-Risk Sample: Factor Analysis of the Working Model of the Child Interview (WMCI)

This study explored how caregivers involved with child welfare view their children and parent-child relationships, and how those perceptions relate to risk and recovery outcomes. Findings indicate that positive, balanced caregiver representations were associated with lower risk for maltreatment and stronger trauma recovery, while disrupted representations were linked to greater concerns related to child safety and family functioning. The results highlight the value of assessing caregiver perspectives as part of trauma-informed care, helping professionals identify strengths, support resilience, and inform intervention planning. For practitioners in child welfare, behavioral health, and family-serving systems, the study underscores the importance of using assessment tools to guide prevention efforts and tailor trauma-responsive services to family needs. Click here to read the full brief on the study.

Volume 13 | Issue 4 | October 2025 – Intergenerational Continuity of Childhood Sexual and Physical Abuse: Using Network Analysis to Explore Risk

This study examined how experiences of childhood sexual and physical abuse can continue across generations and identified factors that may increase the risk of ongoing maltreatment within families. Findings highlight the connection between adverse childhood experiences (ACEs), trauma histories, mental health challenges, substance use, and parenting stress, showing how these interconnected factors can contribute to child abuse risk and affect trauma recovery. The results emphasize the importance of trauma-informed care in child welfare and behavioral health settings, including screening for past and current adversity and addressing the broader needs of caregivers. For professionals, the study reinforces the value of coordinated, trauma-responsive services that support family resilience and help break intergenerational cycles of abuse. Click here to read the full brief on the study.

Volume 12 | Issue 1 | January 2024 – Untangling Secondary Traumatic Stress and Vicarious Traumatization: One Construct or Two?

This study examined the relationship between secondary traumatic stress and vicarious traumatization among professionals who are regularly exposed to others’ trauma. Findings suggest that while these two reactions are closely connected, they remain distinct and can both affect mental health, particularly among professionals with high levels of indirect trauma exposure and those earlier in their careers. The results highlight the importance of trauma-informed care approaches that include screening, prevention, and support for both secondary traumatic stress and trauma-related changes in beliefs and perceptions. For organizations in behavioral health, child welfare, education, and other helping professions, the study underscores the need to strengthen workforce resilience through targeted supports, trauma-responsive services, and early intervention for professionals affected by ongoing exposure to trauma. Click here to read the full brief on the study.

Volume 12 | Issue 2 | April 2024 – The Relationship Between Secondary Traumatic Stress and Compassion Satisfaction: A Systematic Literature Review

This study examined the relationship between secondary traumatic stress and compassion satisfaction among professionals who work with individuals affected by trauma. Findings suggest that professionals can experience high levels of compassion satisfaction while also experiencing secondary traumatic stress, highlighting the complex factors that influence workplace well-being and mental health. The results underscore the importance of trauma-informed care strategies that both reduce the impact of indirect trauma exposure and strengthen positive professional experiences that support workforce resilience. For leaders in behavioral health, child welfare, education, and other helping professions, the study highlights the need for comprehensive approaches that address secondary traumatic stress, burnout, and professional satisfaction together. Click here to read the full brief on the study.

Volume 12 | Issue 3 | July 2024 – Staying Well at Work: Individual and Organizational Outcomes

This study examined the use of Project ECHO as a strategy to support workforce well-being and mental health during the COVID-19 pandemic. Findings suggest that combining individual stress management skills with organizational wellness efforts can strengthen resilience, improve workplace practices, and promote workforce resilience across healthcare, education, and other helping professions. The results highlight the value of trauma-informed care approaches that address both personal and organizational factors affecting employee well-being. For professionals in behavioral health, education, child welfare, and related fields, the study demonstrates how innovative, organization-wide interventions can support long-term mental health and create healthier, more resilient workplaces. Click here to read the full brief on the study.

Volume 12 | Issue 4 | October 2024 – A Qualitative Analysis of Youth Trauma Narratives

This study explores how boys and girls may experience, interpret, and cope with youth trauma in different ways. Findings suggest that boys were more likely to focus on behavioral and social impacts, while girls more often described the emotional and psychological effects of traumatic experiences. The study highlights the importance of trauma-informed care that recognizes diverse responses to trauma and supports individualized approaches to trauma treatment and trauma recovery. For professionals in behavioral health, education, child welfare, and child and adolescent mental health, the findings emphasize the value of trauma screening, tailored interventions, and trauma-responsive services that meet the unique needs of each young person. Click here to read the full brief on the study.

Volume 11 | Issue 1 | January 2023 – Special Edition: Preventing Gun Violence in Schools

This special edition reviews evidence-based strategies for preventing school gun violence and reducing the harmful impact of violence exposure on children, families, and communities. The article highlights a comprehensive public health approach that includes prevention efforts at the community, school, and individual levels, with an emphasis on promoting safety, addressing adverse childhood experiences (ACEs), and supporting youth mental health. Findings underscore the importance of trauma-informed care, early intervention, behavioral threat assessment, and school environments that foster connection, belonging, and resilience. For professionals in education, child welfare, behavioral health, and trauma-responsive services, the article provides practical guidance for reducing violence risk while supporting trauma recovery and child and adolescent mental health. Click here to read the full brief on the study.

Volume 11 | Issue 2 | January 2023 – Child Traumatic Stress and COVID-19: The Impact of the Pandemic on Children in Trauma Treatment

The COVID-19 pandemic affected children and adolescents in many ways, but its impact on traumatic stress experiences varied among youth already receiving trauma treatment. This study found that while some children experienced pandemic-related stress severe enough to resemble trauma reactions, many did not report significant traumatic stress related to COVID-19 and were able to draw on existing coping skills and supports. Strong social connections emerged as an important protective factor, highlighting the role of family and community support in promoting resilience and mental health. For professionals in behavioral health, education, child welfare, and child and adolescent mental health, the findings emphasize the importance of trauma screening, trauma-informed care, and helping youth apply coping skills across a range of stressful life experiences. Click here to read the full brief on the study.

Volume 11 | Issue 3 | July 2023 – Implementation of STS-Informed Organizational Change in Child Welfare

Addressing secondary traumatic stress and burnout in child welfare requires more than individual coping strategies—it also requires organizational commitment and support. This study found that child welfare professionals working in organizations with stronger secondary traumatic stress-informed practices reported lower levels of secondary traumatic stress, burnout, and workplace distress. Organizational factors such as leadership support, resilience-building activities, workplace safety, and trauma-responsive policies were linked to improved workforce resilience and employee well-being. For child welfare and behavioral health leaders, the findings underscore the importance of trauma-informed care and evidence-based organizational strategies that promote staff mental health, reduce turnover risks, and strengthen the capacity to serve children and families effectively. Click here to read the full brief on the study.

Volume 11 | Issue 4 | October 2023 – A Socioecological Approach to Understanding Secondary Trauma in Professionals Working with Survivors of Sex Trafficking

Professionals who work with survivors of sex trafficking often face significant exposure to traumatic experiences, placing them at increased risk for secondary traumatic stress. This study found that factors such as indirect trauma exposure, limited emotional support, personal trauma history, and organizational practices all contributed to workforce well-being, highlighting the complex nature of occupational trauma. The findings emphasize the importance of trauma-informed care, workforce resilience, and organizational supports that help professionals manage the emotional impact of working with survivors of severe trauma. For leaders in child welfare, behavioral health, and anti-trafficking services, the study underscores the value of trauma-responsive services, supportive supervision, and workplace strategies that promote mental health and reduce secondary traumatic stress. Click here to read the full brief on the study.

Volume 10 | Issue 1 | January 2022 – The Impact of COVID-19 and Experiences of Secondary Traumatic Stress and Burnout

The COVID-19 pandemic created new challenges for helping professionals, adding stressors that affected both personal well-being and professional functioning. This study found that pandemic-related concerns, including worries about COVID-19, family conflict, and food insecurity, were associated with higher levels of secondary traumatic stress and burnout among professionals serving vulnerable children and families. The findings highlight the importance of trauma-informed care approaches that address both workplace stress and broader life challenges that can affect mental health and workforce resilience. For professionals in child welfare, behavioral health, and related helping professions, the study underscores the need for trauma screening, supportive services, and evidence-based strategies that help prevent secondary traumatic stress and promote long-term well-being. Click here to read the full brief on the study.

Volume 10 | Issue 2 | April 2022 – Special Edition: COVID-19 & Children’s Mental Health 

This special edition highlights the impact of the COVID-19 pandemic on the mental health of young children and explores factors that may promote resilience during times of stress and disruption. Findings suggest that preschool-aged children experienced increased emotional and behavioral challenges during the pandemic, while consistent family routines were associated with better mental health outcomes and fewer behavior concerns. The results underscore the importance of supporting families with practical strategies that strengthen resilience, promote healthy development, and reduce the impact of adversity on children. For professionals in behavioral health, child welfare, early childhood education, and child and adolescent mental health, the article reinforces the value of family-centered, trauma-informed care approaches that help caregivers create stability during periods of uncertainty. Click here to read the full brief on the study.

Volume 10 | Issue 3 | July 2022 – Secondary Traumatic Stress and Trauma-Informed Care Utilization in School Personnel

As schools increasingly adopt trauma-informed care practices to support students affected by trauma, attention is also needed for the well-being of the professionals providing that support. This study found that school personnel who reported greater use of trauma-informed care practices also experienced lower levels of secondary traumatic stress, suggesting benefits for both staff well-being and school climate. The findings highlight the connection between workforce resilience, mental health, and the successful implementation of trauma-responsive services within educational settings. For professionals in education, behavioral health, and child-serving systems, the study underscores the importance of supporting staff through trauma-informed care initiatives, self-regulation strategies, and resources that help address the effects of indirect exposure to youth trauma. Click here to read the full brief on the study.

Volume 10 | Issue 4 | October 2022 – Traumatic Stress Symptom Expression Following Indirect Exposure

Professionals who are regularly exposed to the trauma experiences of others can develop secondary traumatic stress, even when their exposure is indirect. This study found that symptoms such as intrusive thoughts, heightened arousal, concentration difficulties, and irritability were common responses to indirect trauma exposure, and that some symptoms were more strongly associated with severe distress than others. The findings highlight the importance of trauma screening, early intervention, and access to evidence-based trauma treatment for professionals experiencing secondary traumatic stress. For organizations in child welfare, behavioral health, healthcare, education, and other helping professions, the study underscores the need for trauma-informed care practices that support workforce resilience, promote mental health, and encourage timely access to support services. Click here to read the full brief on the study.

Volume 9 | Issue 1 | January 2021 – Special Edition: Intersection of Racial Trauma & COVID-19 

This special edition examines the impact of COVID-19-related racial trauma on Black, Asian, and Latinx communities and highlights the ways discrimination, inequity, and chronic stress can affect mental health and well-being. The article emphasizes that experiences of racism can function as traumatic stressors, contributing to anxiety, depression, and other behavioral health concerns for children, youth, and families. Findings underscore the importance of trauma-informed care that recognizes cultural identity, resilience, social support, and community strengths as protective factors that can promote healing and recovery. For professionals in behavioral health, child welfare, education, and trauma-responsive services, the article provides practical guidance for addressing racial trauma through culturally responsive practices, trauma screening, advocacy, and support for child and adolescent mental health. Click here to read the full brief on the study.

Volume 9 | Issue 2 | April 2021 – Can Organizational Efforts Lead to Less Secondary Traumatic Stress? A Longitudinal Investigation of Change

This study explored whether organizational efforts to address secondary traumatic stress could improve both workplace culture and employee well-being over time. Findings suggest that organizations implementing secondary traumatic stress-informed practices experienced reductions in secondary traumatic stress and burnout among staff, with the greatest improvements occurring when employee engagement and leadership support were strong. The results highlight the importance of trauma-informed care that extends beyond individual self-care and includes organizational policies, resilience-building activities, and trauma-responsive services that support workforce well-being. For professionals in child welfare, behavioral health, public health, and other helping professions, the study reinforces the value of organizational strategies that strengthen workforce resilience, promote mental health, and create healthier work environments. Click here to read the full brief on the study.

Volume 9 | Issue 3 | July 2021 – Examination of Sex Differences in the PTSD Symptom Response of Polyvictimized Youth to Isolated Phases of Trauma-Focused Cognitive Behavioral Therapy

This study explored how boys and girls responded to different phases of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), an evidence-based practice widely used to treat youth trauma. Findings showed that both males and females experienced meaningful reductions in PTSD symptoms during treatment, although symptom patterns and rates of improvement varied across treatment phases. The results highlight the importance of individualized, trauma-informed care that monitors specific trauma symptoms throughout treatment and recognizes that children may follow different pathways to trauma recovery. For professionals in behavioral health, child welfare, and child and adolescent mental health, the study reinforces the value of ongoing trauma screening, measurement-based care, and tailoring trauma treatment to each youth’s unique strengths and needs. Click here to read the full brief on the study.

Volume 9 | Issue 4 | October 2021 – Group Cognitive Processing Therapy with Adolescent Female Survivors of Commercial Sexual Exploitation in Cambodia

Commercial sexual exploitation can have profound and lasting effects on the mental health of children and adolescents, creating a need for effective, trauma-focused interventions. This study found that a culturally adapted group version of cognitive processing therapy was a safe, acceptable, and promising trauma treatment for adolescent survivors, with participants showing meaningful improvements in symptoms related to trauma and depression. The findings highlight the importance of evidence-based practice and trauma-informed care for youth trauma survivors, including those receiving services in low-resource settings. For professionals in behavioral health, child welfare, and child and adolescent mental health, the study demonstrates the potential of culturally responsive trauma treatment approaches to support trauma recovery and resilience among survivors of commercial sexual exploitation. Click here to read the full brief on the study.

Volume 8 | Issue 1 | January 2020 – Special Edition: Positive Childhood Experiences

This special edition examines how positive childhood experiences (PCEs) influence long-term well-being and how they may help offset the effects of adverse childhood experiences (ACEs). Findings suggest that supportive relationships, a sense of belonging, emotional support, and other positive experiences in childhood are associated with better adult mental health, stronger resilience, and healthier relationships, even among individuals who have experienced adversity. The article highlights the importance of viewing positive childhood experiences as a key component of trauma-informed care, alongside trauma screening and assessment of ACEs. For professionals in child welfare, behavioral health, education, and public health, the findings reinforce the value of promoting safe, supportive environments that foster resilience and healthy development across the lifespan. Click here to read the full brief on the study.

Volume 8 | Issue 2 | April 2020 – Evidence-Informed Guidelines for Child-Focused Pandemic Planning and Response

Drawing on research examining the effects of pandemics on children, families, and helping professionals, this edition presents evidence-informed guidance for supporting child and family well-being during public health crises. The recommendations emphasize the importance of trauma-informed care, mental health screening, family-centered supports, and strategies that promote safety, connectedness, resilience, and hope during periods of disruption, quarantine, or isolation. The article also highlights the role of telehealth, cross-system collaboration, and organizational efforts to address secondary traumatic stress among professionals serving children and families. For leaders in behavioral health, child welfare, healthcare, education, and related systems, the guidelines provide practical direction for developing trauma-responsive services that support both immediate and long-term recovery. Click here to read the full brief on the study.

Volume 8 | Issue 3 | July 2020 – University of Kentucky Center on Trauma and Children Receives Funding to Establish a National Secondary Traumatic Stress Innovations and Solutions Center (STS-ISC)

This article introduces the National Secondary Traumatic Stress Innovations and Solutions Center (STS-ISC), an initiative designed to address the impact of secondary traumatic stress on professionals who work with individuals affected by trauma. The center focuses on developing and evaluating evidence-based strategies, trauma-informed care practices, and organizational approaches that strengthen workforce resilience and support employee mental health. Key priorities include reducing secondary traumatic stress, enhancing trauma-informed supervision, building resilience among helping professionals and foster parents, and improving organizational responses to occupational trauma exposure. For leaders in child welfare, behavioral health, healthcare, and other helping professions, the initiative highlights the growing importance of trauma-responsive services that support both worker well-being and quality of care. Click here to read the full brief on the study.

Volume 8 | Issue 4 | October 2020 – Exploration of Factors Associated with Secondary Traumatic Stress in Foster Parents

Foster parents play a critical role in supporting children who have experienced trauma, but this work can also place them at risk for secondary traumatic stress. This study found that indirect exposure to children’s trauma was common among foster parents and that factors such as caregiver support, compassion satisfaction, experience, and access to resources influenced the severity of secondary traumatic stress symptoms. The findings highlight the importance of trauma-informed care strategies that support both children and caregivers, including education about secondary traumatic stress, access to supportive services, and efforts to strengthen caregiver resilience. For professionals in child welfare, behavioral health, and foster care systems, the study underscores the need for trauma-responsive services that promote foster parent well-being, stability, and the capacity to support trauma recovery in children. Click here to read the full brief on the study.

Volume 7 | Issue 1 | January 2019 – America’s Opioid Crisis: Implications for Child Serving Professionals

America’s opioid crisis has had significant consequences for children and families, including increased rates of prenatal substance exposure among families involved in the child welfare system. This article highlights growing concerns about in utero opioid exposure and its potential effects on infant health, while emphasizing the broader impact of substance use on child development, family functioning, and child welfare involvement. The findings underscore the importance of early identification, coordinated services, and trauma-informed care approaches that address substance use, caregiver well-being, and the needs of children affected by adversity. For professionals in child welfare, behavioral health, healthcare, and early intervention services, the article reinforces the need for prevention, trauma screening, and family-centered supports that promote resilience and healthy outcomes for children and caregivers. Click here to read the full brief on the study.

Volume 7 | Issue 2 | May 2019 – Trauma and Substance Use Disorder in Youth

Youth receiving substance use treatment frequently have histories of trauma exposure, highlighting the close connection between traumatic experiences, emotional distress, and substance use disorders. This study found that exposure to interpersonal trauma was common among adolescents in treatment and that greater trauma exposure was associated with more severe substance use challenges and increased internalizing symptoms. The findings emphasize the importance of trauma-informed care approaches that recognize the role of youth trauma in the development and treatment of substance use disorders. For professionals in behavioral health, child welfare, and child and adolescent mental health, the study supports integrated treatment models that address both trauma recovery and substance use to improve long-term outcomes for youth. Click here to read the full brief on the study.

Volume 7 | Issue 3 | July 2019 – Violence and Health-Related Quality of Life

Experiences of intimate partner violence, sexual assault, and childhood abuse can have lasting effects on both physical and mental health across the lifespan. This study found that individuals who experienced one or more forms of interpersonal violence were more likely to report poorer health-related quality of life, with ongoing stress emerging as a key factor influencing these outcomes. The findings highlight the importance of trauma-informed care approaches that address the long-term effects of trauma, reduce stress, and support resilience as part of trauma recovery. For professionals in behavioral health, child welfare, healthcare, and victim services, the study underscores the value of evidence-based trauma treatment, mental health support, and interventions that strengthen coping skills and overall well-being. Click here to read the full brief on the study.

Volume 7 | Issue 4 | October 2019 – Innovations in Secondary Traumatic Stress: Practice Implications from the UK Center on Trauma and Children STS Translational Research Forum

This article highlights key insights and recommendations from a national forum focused on advancing understanding of secondary traumatic stress among helping professionals. Discussions emphasized the importance of distinguishing and assessing secondary traumatic stress, examining its impact across professions, and identifying organizational strategies that support workforce resilience and mental health. The recommendations underscore the value of trauma-informed care practices that include supportive leadership, trauma-informed supervision, routine screening, and organizational approaches designed to reduce the effects of indirect trauma exposure. For professionals in child welfare, behavioral health, healthcare, and other helping professions, the article provides practical guidance for creating trauma-responsive services and healthier work environments that support both staff well-being and quality care. Click here to read the full brief on the study.

Volume 6 | Issue 1 | January 2018 – Trauma Responsive Child Welfare Systems

This resource provides a comprehensive framework for building trauma-responsive child welfare systems that promote safety, permanency, and well-being for children and families affected by trauma. It highlights the importance of trauma-informed care across all aspects of child welfare practice, including family engagement, trauma-responsive assessment, evidence-based trauma treatment, foster care, adoption services, and support for reunification when appropriate. The publication also emphasizes workforce resilience by addressing secondary traumatic stress, trauma-informed supervision, staff training, and organizational readiness as critical components of effective service delivery. For professionals in child welfare, behavioral health, and related child-serving systems, the resource offers practical strategies for creating trauma-responsive services that support trauma recovery, strengthen families, and improve long-term outcomes for children. Click here to read the full brief on the study.

Volume 6 | Issue 2 | April 2018 – Special Edition: Propranolol & PTSD Intervention

This special edition explores emerging research on the use of propranolol, a medication that may help reduce PTSD symptoms when combined with the recall of traumatic memories during treatment. Findings suggest that targeting the memory reconsolidation process could offer a promising new approach to trauma treatment, with participants experiencing meaningful reductions in symptoms associated with posttraumatic stress. The article highlights the importance of continued research into innovative, evidence-based practices that support trauma recovery and improve mental health outcomes for individuals affected by trauma. For professionals in behavioral health, trauma-informed care, and child-serving systems, the study offers insight into a potential therapeutic approach that may complement existing trauma-focused interventions. Click here to read the full brief on the study.

Volume 6 | Issue 3 | July 2018 – Familial Sex Trafficking of Minors

This study examined the experiences and service needs of children and youth who were commercially sexually exploited by family members, highlighting a form of trafficking that is often overlooked and underidentified. Findings revealed severe trauma-related symptoms, significant mental health concerns, ongoing contact with traffickers, and high rates of additional victimization, underscoring the complex challenges faced by survivors of familial sex trafficking. The article emphasizes the importance of trauma-informed care, trauma screening, and coordinated responses across child welfare, behavioral health, healthcare, and law enforcement systems to improve identification and access to services. For professionals working with vulnerable children and families, the findings reinforce the need for specialized training, trauma-responsive services, and evidence-based interventions that support safety, trauma recovery, and long-term well-being. Click here to read the full brief on the study.

Volume 6 | Issue 4 | October 2018 – Unbroken Circles: Insular Communities of Grandparents Raising Grandchildren in Rural America

This article explores the unique experiences of grandparents raising grandchildren in rural and Appalachian communities, where family caregiving often occurs in the context of trauma, parental substance use, poverty, and limited access to services. The findings highlight both the challenges and strengths of these grandfamilies, emphasizing how strong family bonds and community connections can support resilience while also creating barriers to identifying needs and accessing resources. The article underscores the importance of trauma-informed care, family-centered supports, and policies that strengthen kinship care arrangements and improve access to services for caregivers and children affected by adversity. For professionals in child welfare, behavioral health, and community services, the discussion offers practical insights for developing trauma-responsive services that support grandfamilies and promote child well-being. Click here to read the full brief on the study.

Volume 5 | Issue 1 | January 2017 – Special Edition: Stress & Puberty

This special edition explores how the timing of trauma exposure during childhood and adolescence may influence the development of mental health concerns in girls. Findings suggest that trauma experienced during different developmental stages is associated with different outcomes, with exposure during puberty linked more strongly to anxiety disorders and trauma during other periods associated with increased risk for depression and PTSD. The article highlights the importance of trauma-informed care that considers developmental timing when conducting trauma screening, assessment, and treatment planning. For professionals in behavioral health, child welfare, education, and child and adolescent mental health, the findings underscore the need for early intervention and targeted support to promote resilience and reduce the long-term effects of youth trauma. Click here to read the full brief on the study.

Volume 5 | Issue 2 | April 2017 – Enhancing Implementation of Evidence Based Interventions in Outpatient Mental Health Settings

Successfully implementing evidence-based practice in behavioral health settings depends on more than clinician training alone. This article highlights organizational factors that support the adoption of evidence-based interventions, including engaged supervision, protected time for training and consultation, effective client referral processes, and strategies that improve staff retention. The findings underscore the importance of creating organizational environments that support workforce development and strengthen the delivery of high-quality behavioral health services. For leaders and practitioners in behavioral health, child welfare, and related systems, the article offers practical guidance for improving the implementation and sustainability of evidence-based practices that can enhance outcomes for children, youth, and families. Click here to read the full brief on the study.

Volume 5 | Issue 3 | July 2017 – Gender Differences in Adolescents with Substance Misuse: Trauma, Adverse Experiences and Mental Health

This article explores the relationship between adverse childhood experiences (ACEs), youth trauma, mental health, and substance misuse among adolescents receiving treatment. Findings suggest that girls reported higher levels of trauma exposure, mental health concerns, stress, and substance use challenges than boys, highlighting the complex ways trauma and adversity can influence behavioral health outcomes. The results underscore the importance of trauma-informed care, comprehensive trauma screening, and integrated approaches that address both substance use and mental health needs. For professionals in behavioral health, child welfare, and child and adolescent mental health, the study reinforces the need for evidence-based practices that support trauma recovery, resilience, and long-term well-being among youth with co-occurring challenges. Click here to read the full brief on the study.

Volume 5 | Issue 4 | October 2017 – Trauma Exposure and Women's Experiences of Pain

This study explored the relationship between trauma exposure across the lifespan and chronic pain among women, finding that experiences such as childhood abuse, intimate partner violence, sexual violence, and stalking were associated with greater rates of pain that limited daily functioning. The findings suggest that repeated trauma and exposure to multiple forms of violence may increase the risk of long-term physical health problems, highlighting the connection between trauma, mental health, and overall well-being. The article underscores the importance of trauma-informed care that includes assessment of adverse experiences, trauma history, and physical symptoms when supporting survivors. For professionals in behavioral health, healthcare, and victim services, the study reinforces the need for integrated approaches that address both trauma recovery and chronic pain to improve quality of life and resilience. Click here to read the full brief on the study.

Volume 4 | Issue 1 | January 2016 – The Biology of Stress Responses: Promising Potential for Pharmaceutical Prevention Agents

This special edition explores emerging research on ketamine as a potential preventive intervention for stress-related mental health disorders, including PTSD and depression. Findings suggest that biological factors may play an important role in resilience and that certain interventions could help reduce the impact of trauma before symptoms develop. The article highlights the importance of integrating knowledge about biology, mental health, and trauma recovery when considering future approaches to prevention and treatment. For professionals in behavioral health, child welfare, healthcare, and trauma-informed care, the study underscores the value of ongoing research into innovative, evidence-based strategies that may strengthen resilience and improve outcomes for individuals exposed to significant stress and adversity. Click here to read the full brief on the study.

Volume 4 | Issue 2 | April 2016 – The Pathway to Grandparenting Stress: Trauma, Relational Conflict and Emotional Well-Being

This article explores how trauma exposure among grandchildren affects the well-being of grandparents serving as primary caregivers. Findings suggest that higher levels of youth trauma were associated with increased conflict in grandparent-grandchild relationships, greater caregiver stress, and poorer emotional well-being, highlighting the far-reaching impact of adverse childhood experiences (ACEs) on families. The study underscores the importance of trauma-informed care, trauma screening, and family-centered supports that address the needs of both children and caregivers in kinship care arrangements. For professionals in child welfare, behavioral health, and community services, the findings reinforce the need for trauma-responsive services that strengthen relationships, promote resilience, and support healthy outcomes for grandfamilies. Click here to read the full brief on the study.

Volume 4 | Issue 3 | July 2016 – Identifying the Trauma Recovery Needs of Maltreated Children: An Examination of Child Welfare Workers' Effectiveness in Screening for Traumatic Stress

This study examined whether child welfare workers can effectively identify traumatic stress symptoms in children who have experienced maltreatment. Findings suggest that child welfare workers were able to recognize many indicators of traumatic stress, highlighting their potential role in trauma screening and the early identification of youth trauma and trauma recovery needs. The results underscore the importance of trauma-informed care practices that include routine trauma screening, staff training, and integration of trauma-related information into case planning for children and families. For professionals in child welfare, behavioral health, and child and adolescent mental health, the study demonstrates how strengthening screening processes can improve access to trauma-responsive services and support better outcomes for children affected by adverse childhood experiences (ACEs). Click here to read the full brief on the study.

Volume 4 | Issue 4 | October 2016 – Do You Want to Implement an Evidence Based Practice? Findings from the Field

This article examines factors that support the successful implementation and long-term use of evidence-based practices in behavioral health settings. Findings suggest that strong supervisory involvement, organizational support, protected time for training, effective client referral processes, and clinician openness to evidence-based practice all contribute to successful adoption and sustainability. The discussion highlights that implementing evidence-based practice requires both individual commitment and organizational readiness to create lasting change. For professionals in behavioral health, child welfare, and related service systems, the article offers practical insights for strengthening implementation efforts and improving access to high-quality, evidence-based services for children, youth, and families. Click here to read the full brief on the study.

Volume 3 | Issue 1 | January 2015 – Special Edition: Maltreatment, Stress, & Cortisol

This special edition explores how child maltreatment can affect the body’s stress response system and influence long-term physical and mental health. Findings suggest that adverse childhood experiences (ACEs), particularly abuse and neglect, may disrupt normal cortisol regulation, with these biological changes linked to emotional and behavioral difficulties in children. The article highlights the value of trauma-informed care that recognizes the connection between youth trauma, brain development, and health outcomes across the lifespan. For professionals in child welfare, behavioral health, healthcare, and child and adolescent mental health, the findings underscore the importance of early identification, ongoing support, and evidence-based interventions that promote trauma recovery and resilience. Click here to read the full brief on the study.

Volume 3 | Issue 2 | April 2015 – When Rights Collide: A Critique of the Adoption and Safe Families Act from a Justice Perspective

This article examines the Adoption and Safe Families Act (ASFA) through a child welfare and social justice lens, exploring the balance between child safety, family reunification, and permanency. The analysis highlights how policies designed to protect children may also create challenges for families facing poverty, mental health concerns, substance use disorders, and limited access to services, raising important questions about fairness and equity within the child welfare system. The discussion emphasizes the need for trauma-informed care, stronger prevention efforts, and coordinated supports that address the needs of both children and caregivers to promote long-term family well-being. For professionals in child welfare, behavioral health, and family-serving systems, the article underscores the importance of policies and services that strengthen resilience, improve access to care, and support safe, stable outcomes for families. Click here to read the full brief on the study.

Volume 3 | Issue 3 | July 2015 – Measuring Organizational STS-Informed Practice

This article introduces the Secondary Traumatic Stress Informed Organizational Assessment (STSI-OA), a tool designed to help organizations evaluate and strengthen their responses to secondary traumatic stress in the workplace. Findings from a national sample suggest that many organizations have opportunities to improve practices related to workforce resilience, psychological safety, leadership support, trauma-informed supervision, and ongoing monitoring of employee well-being. The article highlights the importance of trauma-informed care at the organizational level, emphasizing that secondary traumatic stress is not only an individual concern but also a workplace issue that requires systemic attention. For leaders in child welfare, behavioral health, healthcare, education, and other helping professions, the STSI-OA provides a practical framework for developing trauma-responsive services and healthier work environments that support staff mental health and effectiveness. Click here to read the full brief on the study.

Volume 3 | Issue 4 | October 2015 – The Intersection of Trauma and Substance Misuse in Adolescents

This article explores the strong connection between youth trauma, adverse childhood experiences (ACEs), and substance misuse among adolescents receiving treatment services. Findings suggest that trauma exposure and traumatic stress symptoms were highly prevalent among youth with substance use concerns, and that higher levels of traumatic stress were associated with increased polysubstance use. The results highlight the importance of trauma-informed care, comprehensive trauma screening, and integrated treatment approaches that address both mental health and substance use disorders. For professionals in behavioral health, child welfare, education, and child and adolescent mental health, the study underscores the need for evidence-based practices that support trauma recovery, resilience, and long-term positive outcomes for adolescents affected by trauma and substance misuse. Click here to read the full brief on the study.

Volume 2 | Issue 1 | January 2014 – Special Edition: Psychosis & Trauma

This special edition examines the relationship between childhood trauma and psychotic experiences, including hallucinations and other symptoms that can emerge during adolescence. Findings suggest that trauma exposure, including bullying and physical abuse, may increase the risk of psychotic symptoms, while reducing or ending traumatic experiences can lead to a decrease in those symptoms. The article highlights the importance of trauma-informed care, thorough trauma screening, and careful assessment of youth trauma when children present with serious mental health concerns. For professionals in behavioral health, child welfare, education, and child and adolescent mental health, the findings underscore the value of early intervention, safe environments, and trauma-responsive services that support trauma recovery and resilience. Click here to read the full brief on the study.

Volume 2 | Issue 2 | April 2014 – Grandparents as Parents: Investigating the Health and Well-Being of Trauma-Exposed Families

This article examines the experiences of grandparents raising grandchildren and highlights the significant impact that trauma, adverse childhood experiences (ACEs), and caregiving challenges can have on both children and caregivers. Findings suggest that many children in grandfamilies have experienced trauma, behavioral health concerns, and disrupted caregiving relationships, while grandparents often face caregiving stress, health problems, financial strain, and limited access to support services. The discussion underscores the importance of trauma-informed care, family-centered interventions, and community supports that address the needs of both generations to promote resilience and healthy family functioning. For professionals in child welfare, behavioral health, healthcare, and community services, the article reinforces the need for trauma-responsive services that strengthen grandfamilies and support long-term well-being. Click here to read the full brief on the study.

Volume 2 | Issue 3 | August 2014 – Unaccompanied Minors Seeking Refuge in the United States: A Review of the Mental Health Literature

This special edition reviews research on the mental health needs of unaccompanied refugee and asylum-seeking children, many of whom have experienced significant trauma before, during, and after migration. Findings across studies indicate elevated rates of traumatic stress, anxiety, depression, and other mental health concerns, while also highlighting the protective role of supportive relationships, cultural connections, resilience, and access to appropriate services. The article underscores the importance of trauma-informed care, trauma screening, and culturally responsive interventions that address the unique experiences of displaced children and adolescents. For professionals in child welfare, behavioral health, education, and child and adolescent mental health, the review provides practical insights for supporting trauma recovery, strengthening resilience, and improving outcomes for vulnerable youth navigating displacement and resettlement. Click here to read the full brief on the study.

Volume 2 | Issue 4 | October 2014 – Child and Caregiver Dropout in Child Psychotherapy for Trauma

Completing trauma treatment is an important part of supporting trauma recovery, yet some children and caregivers face barriers that make it difficult to stay engaged in services. This study explored factors associated with treatment dropout and found that caregiver characteristics, living situation, and certain trauma experiences may influence whether children complete evidence-based trauma treatment. The findings highlight the importance of trauma-informed care practices that include caregiver education, engagement strategies, and early identification of families who may need additional support to remain in treatment. For professionals in behavioral health, child welfare, and child and adolescent mental health, the study underscores the value of reducing barriers to care so that children and families can receive the full benefits of evidence-based practice. Click here to read the full brief on the study.

Volume 1 | Issue 1 | January 2013 – Pediatric Pandemic Planning & Response: A Social Behavioral Evaluation

This edition examines the social, emotional, and behavioral impact of pandemics on children, families, and communities, highlighting how disease containment measures such as quarantine and isolation can affect mental health and well-being. Findings suggest that pandemic-related stress can contribute to traumatic stress reactions, anxiety, depression, and disruptions in child and family functioning, underscoring the need for trauma-informed care and early mental health support during public health emergencies. The article emphasizes the importance of child-focused pandemic planning, including trauma screening, behavioral health services, family-centered interventions, and strategies that promote resilience and community connectedness. For professionals in behavioral health, healthcare, child welfare, education, and public health, the recommendations provide practical guidance for developing trauma-responsive services that support children and families before, during, and after a pandemic. Click here to read the full brief on the study.

Volume 1 | Issue 2 | April 2013 – CTAC Investigates the Problem of Compassion Fatigue in Different Professional Groups

This study examines the impact of secondary traumatic stress, compassion fatigue, and burnout among professionals who regularly work with trauma-exposed individuals, including those in child welfare, behavioral health, healthcare, and research settings. Findings highlight several factors associated with increased risk, including high levels of trauma exposure, limited experience, and demanding professional roles, while specialized training, evidence-based practice, supportive relationships, and organizational support were linked to greater workforce resilience and well-being. The article emphasizes that trauma-informed care must include attention to the mental health of helping professionals, not just the individuals they serve. For organizations and leaders, the findings underscore the importance of trauma-responsive services, supportive supervision, professional development, and workplace strategies that help reduce secondary traumatic stress and strengthen workforce resilience. Click here to read the full brief on the study.

Volume 1 | Issue 3 | July 2013 – Factors Affecting the Completion of Trauma-Focused Treatments: What Can Make a Difference?

This study explored why some children and families complete evidence-based trauma treatment while others leave services early. Findings suggest that factors such as caregiving arrangements, mental health concerns, trauma-related symptoms, and cultural considerations can influence treatment retention, with some children facing greater barriers to completing care. The article highlights the importance of trauma-informed care strategies that strengthen engagement, address trauma-related avoidance, and provide additional support for families at increased risk of dropping out of treatment. For professionals in behavioral health, child welfare, and child and adolescent mental health, the findings reinforce the value of caregiver involvement, trauma screening, and evidence-based practices that help children remain engaged in treatment and achieve meaningful trauma recovery. Click here to read the full brief on the study.

Volume 1 | Issue 4 | October 2013 – Commercial Sexual Exploitation of Children and Sex Trafficking of Minors: An Overlooked Problem

This article examines the trauma-related needs of children and adolescents affected by commercial sexual exploitation and sex trafficking, highlighting a population that is often under identified and underserved. Findings suggest that exploited youth experience significant trauma symptoms, including elevated posttraumatic stress reactions, and may require specialized trauma-informed care and behavioral health services to support recovery. The article also emphasizes the importance of trauma screening, professional education, and coordinated responses across child welfare, behavioral health, healthcare, and legal systems to improve identification and access to services. For professionals working with vulnerable youth, the findings underscore the need for trauma-responsive services and evidence-based interventions that promote safety, resilience, and long-term trauma recovery. Click here to read the full brief on the study.