Expanding access to perinatal trauma care: A dual-model evaluation of perinatal narrative exposure therapy training

Perinatal posttraumatic stress disorder (PTSD) is a highly prevalent and undertreated public health concern contributing to significant risk for maternal and neonatal outcomes. As treatment gaps for perinatal PTSD persist, so do gaps in training for professionals who regularly serve these individuals. This article evaluates two approaches for delivering training in perinatal-focused narrative exposure therapy, offering a preliminary blueprint for expanding access to high-quality training for perinatal PTSD treatment.

Using a multicohort design, we examined training-related perceptions and outcomes. Study 1 included psychology trainees (n = 21) who participated in a clinical rotation embedded within an academic graduate training program and completed pre- and posttraining evaluations. Study 2 included interdisciplinary professionals and trainees (n = 57) who participated in a 3-day professional development workshop and completed evaluations at pre-, immediately post-, 6-month post-, and 12-month posttraining.

Training was rated favorably, and participants indicated perinatal-focused narrative exposure therapy was acceptable, appropriate, and feasible across both studies. Participants in both studies indicated sustained improvements in perceived competence and abilities over time (ps < .05).

Both training approaches show promise for expanding training opportunities for perinatal PTSD. Findings have important preliminary implications for designing and delivering clinical training in various settings and populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).