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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
Family Empowerment (FAME): A feasibility trial of preventive multifamily groups for asylum seeker families in the NetherlandsPositive impactSuggestive evidencePositive impact
Family interventions in traumatized immigrants and refugees: A systematic reviewPositive impactSystematic reviewPositive impact
Feasibility of implementation of a parenting intervention with Karen refugees resettled from Burma.Positive impactSuggestive evidencePositive impact
The utility of the Positive Parenting Program (Triple P) for refugee background parentsPositive impactSuggestive evidencePositive impact
Family-based mental health promotion for Somali Bantu and Bhutanese refugees: Feasibility and acceptability trialPositive impactImpact evaluationPositive impact
We left one war and came to another: Resource loss, acculturative stress, and caregiver-child relationships in Somali refugee familiesNo evidence about impactSuggestive evidenceNo evidence about impact
Understanding the role of acculturative stress on refugee youth mental health: A systematic review and ecological approach to assessment and interventionNo evidence about impactSystematic reviewNo evidence about impact
Family efficacy as a protective factor against immigrant adolescent risky behavior: A literature reviewNo evidence about impactSuggestive evidenceNo evidence about impact
A review of the use of trauma systems therapy to treat refugee children, adolescents, and familiesNo evidence about impactSuggestive evidenceNo evidence about impact
Refugees, asylum-seekers and undocumented migrants and the experience of parenthood: A synthesis of the qualitative literatureNo evidence about impactSystematic reviewNo evidence about impact
Brief Family Therapy for Refugee ChildrenSuggestiveSuggestive evidencePositive impact

Websites and Databases Population Terms Methodology Terms Target Outcome Terms
EBSCO Host

SAGE Journals

Google Scholar

 

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

“family therapy”

OR

“family counseling”

OR

“family dynamics”

OR

“family relationship”

OR

“family roles”

OR

“marriage counseling”

OR

“couples therapy”

OR

“relationship counseling”

OR

“child parent relationship”