Three-tier trauma-informed consultation model implemented in Appalachian Head Start programs¶

Element · All elements
Evidence · 1 claim (1 against) · 1 study (1 quant-synthesis), q3 · 0 of 1 report an effect size · 1 claim rests on one study

Description¶

A multiorganization collaboration implemented a trauma-informed approach in Head Start programs in the Appalachian region of the US through "a comprehensive, three‐tier model" using trained classroom consultants. Tier one provided universal consultation to build teacher capacity to deliver an evidence-based social-emotional curriculum (Second Steps or Incredible Years) and trauma-informed training and mentoring; tier two provided targeted consultation to develop behavior plans for individual children; tier three provided on-site mental health assessment and treatment, including Trauma-Focused Cognitive Behavior Therapy and/or Parent–Child Interaction Therapy, plus workforce development training for preschool teachers.

Design Implications¶

Context¶

Requirements¶

• Trained consultants in the classroom to provide three tiers of services

Constraints¶

Target Learners¶

• Preschool children in Head Start programs

Target Learning Goals¶

• Building teacher capacity for social-emotional curriculum and trauma-informed behavior support

Affordances¶

• Trauma Informed Approach Framework Samhsa

Claims¶

• No rigorous evaluations of trauma-informed approaches in schools met inclusion criteria in a comprehensive systematic review search [-W]

Related Elements¶

• HEARTS whole-school trauma-informed program in San Francisco elementary schools

Examples¶

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Key Sources¶

• Maynard BR, Farina A, Dell NA, Kelly MS. (2019). Effects of trauma‐informed approaches in schools: A systematic review. Campbell Systematic Reviews. https://doi.org/10.1002/cl2.1018