System Change Designed to Increase Safety and Stabilization for Traumatized Children and Families: Trauma Systems Therapy



This chapter provides an overview of the complicated systems issues involved in providing service to traumatized youth and families associated with the child welfare system. These issues include the ways in which chronic exposure to traumatic events can impact brain development and attachment, as well as the nature of how child welfare services are structured and provided. The complications of providing clinical service within a primarily non-clinical setting are addressed, as well as the potential negative impact on those who are providing these services. An overview of a specific model, Trauma Systems Therapy, is presented. This model is uniquely adapted to address the specific clinical, organizational, and multisystems needs of youth, family, and staff within the child welfare system.


Child traumatic stress Foster care Child welfare Organizational approach Phase-based treatment Secondary traumatic stress Focus on safety 


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© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.New York University School of MedicineNew YorkUSA

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