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Trust-Based Relational Intervention® (TBRI®) Impact for Traumatized Children-Meaningful Change on Attachment Security

Monika Misevičė1, Lina Gervinskaitė-Paulaitienė2, Sigita Lesinskienė1

  • 1Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania.

Children (Basel, Switzerland)
|April 27, 2024
PubMed

Insights

Vulnerable children showed improved mental health and attachment security after participating in a trauma-informed, attachment-based intervention (TBRI). Staff-child relationships were key to these positive outcomes.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Vulnerable children often exhibit insecure or disorganized attachment, linked to psychological distress.
  • Middle childhood is a critical period for attachment system reorganization, with significant adult influences.
  • Targeted psychosocial interventions are crucial for healing and improving outcomes in at-risk children.

Purpose of the Study:

  • To evaluate the impact of a trauma-informed, attachment-based intervention on children's attachment security and mental health.
  • To investigate changes following the Trust-Based Relational Intervention (TBRI) in a daycare setting.
  • To assess the role of staff-child relationships in intervention effectiveness.

Main Methods:

  • A case-series study involving twelve children aged 8-11 years.
  • Utilized the Child Attachment Interview (CAI), CBCL/6-18, TRF/6-18, and clinical interviews.
  • Data collected pre-intervention and after one year of TBRI implementation.

Main Results:

  • Ten out of twelve participants demonstrated improved mental health outcomes.
  • Attachment security scales improved for seven participants.
  • Two participants transitioned from disorganized to insecure-dismissing attachment.

Conclusions:

  • Preliminary evidence suggests TBRI can benefit vulnerable children's attachment security and mental health.
  • The trusting relationships built by staff using TBRI appear instrumental in positive changes.
  • Trauma-informed, attachment-based interventions show promise for improving psychological well-being in at-risk youth.

Keywords:
Trust-Based Relational Interventionattachmentmiddle childhoodtraumatized children

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