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Group attachment-based intervention: trauma-informed care for families with adverse childhood experiences
Anne Murphy1, Howard Steele, Jordan Bate
1Children's Evaluation and Rehabilitation Center, Departments of Pediatrics (Dr Murphy and Ms Allman) and Family and Social Medicine (Dr Bonuck), Albert Einstein College of Medicine, New York City, New York; Psychology Department, The New School for Social Research, New York City, New York (Drs H. Steele and M. Steele, Ms Bate, and Ms Nikitiades); and Department of Family and Social Medicine, Montefiore Medical Center, Bronx, New York (Mr Meissner).
Abstract:
This article outlines the main premises of an innovative trauma-informed intervention, group attachment-based intervention, specifically developed to target vulnerable families with infants and toddlers, living in one of the poorest urban counties in the nation. It also reports on the trauma-relevant characteristics of 60 families entering a clinical trial to study the effectiveness of Group Attachment-Based Intervention. Initial survey results revealed high levels of neglect, abuse, and household dysfunction in mothers' histories (77% reported ≥4 adverse childhood experiences, with more than 90% reporting 2 or more current toxic stressors, including poverty, obesity, domestic and community violence, and homelessness).
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