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Do trauma-informed school practices lead to improved mental health and academic outcomes in children?

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Do trauma-informed school practices lead to improved mental health and academic outcomes in children?

Strong evidence indicates that trauma-informed school practices hold significant promise for enhancing children’s well-being and academic success.

Research on trauma-informed school practices has expanded greatly in the past five years, with the publication of 15 systematic reviews included in this summary. Eleven of these reviews found positive outcomes, including reduced trauma symptoms, better behavior, and academic gains. Educators also reported increased self-confidence in their ability to manage challenging behaviors, as well as improved school climate. While many studies used research designs that produce moderate or suggestive evidence, all reviews supported continued implementation and evaluation.

Empirical support is strongest for clinical interventions targeted toward students at risk or with intensive needs.

Individual and group interventions targeted for students at risk and those with intensive needs consistently reduced post-traumatic stress disorder (PTSD) symptoms and improved resilience. These interventions were often based in cognitive-behavioral therapy and delivered by mental health professionals. These approaches are supported by the most rigorous research.

Classroom-level interventions are supported by moderate evidence from pilot studies or qualitative research.

Teachers’ classroom strategies, such as relationship-building and trauma-sensitive discipline, showed positive effects on classroom dynamics and teacher engagement. However, most studies lacked strong experimental designs.

Whole-school interventions show promise but have a weaker empirical base with limited use of randomized controlled trials.

School-wide models show promise for improving school climate, student behavior, and staff capacity, but the evidence is limited by small sample sizes and weak methodologies. More robust studies are needed to confirm effectiveness.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Supporting human trafficking survivor resiliency through comprehensive case managementSuggestiveSuggestive evidenceN/A
Bringing refugees from crisis to flourishing: The role of resettlement agencies and the church in facilitating integration and stabilitySuggestiveSuggestive evidenceN/A
Defining effective care coordination for mental health referrals of refugee populations in the United StatesSuggestiveSuggestive evidenceN/A
Meeting complex needs through community collaboration: A case studyInconclusive or mixed impactSuggestive evidenceInconclusive or mixed impact
Integrated behavioral health care for Karen refugees: a qualitative exploration of active ingredientsSuggestiveSuggestive evidencePositive impact
Outcomes for Youth Served by the Unaccompanied Refugee Minor Foster Care Program: A Pilot StudySuggestiveSuggestive evidenceInconclusive or mixed impact
Culturally congruent intensive case management service for three refugee communitiesSuggestiveSuggestive evidenceInconclusive or mixed impact
Connecting refugees to substance use treatment: a qualitative studySuggestiveSuggestive evidencePositive impact
Intensive psychotherapy and case management for Karen refugees with major depression in primary care: a pragmatic randomized control trialModerateImpact evaluationPositive impact
Defining effective care coordination for mental health referrals of refugee populations in the united statesSuggestiveSuggestive evidencePositive impact
A systematic review of social service programs serving refugeesStrongSystematic reviewInconclusive or mixed impact
Findings from an extended case management US refugee resettlement programSuggestiveSuggestive evidencePositive impact
Healthcare access for Iraqi refugee children in Texas: persistent barriers, potential solutions, and policy implicationsSuggestiveSuggestive evidencePositive impact

Studies included in the database focused on high-income or upper middle-income countries, including but not limited to the United States. Studies included must have been published since 2012. To identify evidence related to case management with refugees, we searched the following websites and databases using the following population, methodology, and target intervention terms:

Websites and Databases Population Terms Methodology Terms Target Problem Terms
Campbell Collaboration
Cochrane Collaboration
Mathematica Policy Research
Urban Institute
Migration Policy Institute
CINAHL
ASSIA
Social Services Abstracts
Social Work Abstracts
PsycInfo
ERIC
refugee
OR
immigrant
OR
“unaccompanied minor”
OR
asylee
OR
“temporary protected status”
OR
“victims of traffick*”
OR
“traffick* victims”
OR
T-Visa
OR
U-Visa
OR
Cuban
OR
Haitian
OR
Amerasian
evaluation
OR
impact
OR
program
OR
intervention
OR
policy
OR
project
OR
train*
OR
therapy
OR
treatment
OR
counseling
OR
workshop
OR
review
OR
meta-analysis
OR
synthesis
“case manage*”