An Association Between Implementing Trauma-Informed Care and Staff Satisfaction
Despite its widespread adoption there is limited research on the influence of trauma-informed care (TIC). The current study examined the impact of implementing TIC on the satisfaction of agency staff by comparing the results of a satisfaction survey taken in January of 2014, a month prior to the agency's implementation of TIC, and again twelve months later. As collaboration, empowerment, and self-care are primary components of a TIC organizational approach, its implementation was expected to increase staff satisfaction. Following the implementation of TIC, agency staff reported higher scores on all but one of the six satisfaction survey factors. Increases in staff satisfaction have been associated with better staff retention rates, increased organizational commitment and better performance. In consequence, TIC implementation is associated with increased staff satisfaction, and may positively influence organizational characteristics of significance to social service agencies.
Azeem, M. W., Aujla, A., Rammerth, M., Binsfeld, G., & Jones, R. B. (2011). Effectiveness of six core strategies based on trauma informed care in reducing seclusions and restraints at a child and adolescent psychiatric hospital. Journal of Child and Adolescent Psychiatric Nursing, 24(1), 11-15. doi: https://doi.org/10.1111/j.1744-6171.2010.00262.x
Babin, B. J., & Boles, J. S. (1996). The effects of perceived co-worker involvement and supervisor support on service provider role stress, performance and job satisfaction. Journal of Retailing, 72(1), 57-75. doi: https://doi.org/10.1016/S0022-4359(96)90005-6
Bloom, S. L. (2013). Creating sanctuary: Toward the evolution of sane societies. New York, NY: Routledge.
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252-260. doi: https://doi.org/10.1037/h0085885
Brown, S. P., & Peterson, R. A. (1993). Antecedents and consequences of salesperson job satisfaction. Meta-analysis and assessment of causal effects. Journal of Marketing Research, 30(1), 63-77. doi: https://doi.org/10.2307/3172514
Cameron, K. S., & Quinn, R. E. (2005). Diagnosing and changing organizational culture: Based on the competing values framework. San Francisco, CA: Jossey-Bass.
Centers for Disease Control and Prevention. (n.d.). About the CDC-Kaiser ACE study. Retrieved from https://www.cdc.gov/violenceprevention/acestudy/about.html
Esaki, N., Benamati, J., Yanosy, S., Middleton, J., Hopson, L., Hummer, V., & Bloom, S. (2013). The sanctuary model: Theoretical framework. Families in Society: The Journal of Contemporary Social Services, 94(2), 87-95. doi: https://doi.org/10.1606/1044-3894.4287
Fallot, R. D., & Harris, M. (2008). Trauma-informed approaches to systems of care. Trauma Psychology Newsletter, 3(1), 6.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245-258. doi: https://doi.org/10.1016/S0749-3797(98)00017-8
Griffin, M. A., Patterson, M. G., & West, M. A. (2001). Job satisfaction and teamwork: The role of supervisor support. Journal of Organizational Behavior, 22(5), 537-550. doi: https://doi.org/10.1002/job.101
Guarino, K., Soares, P., Konnath, K., Clervil, R., & Bassuk, E. (2009). Trauma-informed organizational toolkit. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, and the Daniels Fund, the National Child Traumatic Stress Network, and the W.K. Kellogg Foundation. Retrieved from www.homeless.samhsa.gov
Hales, T., Kusmaul, N., & Nochajski, T. (2017). Exploring the dimensionality of trauma-informed care: Implications for theory and practice. Human Service Organizations: Management, Leadership & Governance, 41(3), 317-325. doi: https://doi.org/10.1080/23303131.2016.1268988
Harris, M. E., & Fallot, R. D. (2001). Using trauma theory to design service systems. San Francisco, CA: Jossey-Bass.
Hodgdon, H. B., Kinniburgh, K., Gabowitz, D., Blaustein, M. E., & Spinazzola, J. (2013). Development and implementation of trauma-informed programming in youth residential treatment centers using the ARC framework. Journal of Family Violence, 28(7), 679-692. doi: https://doi.org/10.1007/s10896-013-9531-z
Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., Keyes, K. M., & Friedman, M. J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM‐IV and DSM‐5 criteria. Journal of Traumatic Stress, 26(5), 537-547. doi: https://doi.org/10.1002/jts.21848
Korunka, C., Scharitzer, D., Carayon, P., & Sainfort, F. (2003). Employee strain and job satisfaction related to implementation of quality in a public service organization: A longitudinal study. Work & Stress, 17(1), 52-72. doi: https://doi.org/10.1080/0267837031000109526
Koys, D. J. (2001). The effects of employee satisfaction, organizational citizenship behavior, and turnover on organizational effectiveness: A unit-level, longitudinal study. Personnel Psychology, 54(1), 101-114. doi: https://doi.org/10.1111/j.1744-6570.2001.tb00087.x
Kramer, T. L., Sigel, B. A., Conners-Burrow, N. A., Savary, P. E., & Tempel, A. (2013). A statewide introduction of trauma-informed care in a child welfare system. Children and Youth Services Review, 35(1), 19-24. doi: https://doi.org/10.1016/j.childyouth.2012.10.014
Kuo, J. R., Goldin, P. R., Werner, K., Heimberg, R. G., & Gross, J. J. (2011). Childhood trauma and current psychological functioning in adults with social anxiety disorder. Journal of Anxiety Disorders, 25(4), 467-473. doi: https://doi.org/10.1016/j.janxdis.2010.11.011
Kusmaul, N., Wilson, B., & Nochajski, T. (2015). The Infusion of trauma-informed care in organizations: Experience of agency staff. Human Service Organizations: Management, Leadership & Governance, 39(1), 25-37. doi: https://doi.org/10.1080/23303131.2014.968749
LeBel, J., & Goldstein, R. (2005). Special section on seclusion and restraint: The economic cost of using restraint and the value added by restraint reduction or elimination. Psychiatric Services, 56(9), 1109-1114. doi: https://doi.org/10.1176/appi.ps.56.9.1109
LeBel, J., Stromberg, N., Duckworth, K., Kerzner, J., Goldstein, R., Weeks, M., … Sudders, M. (2004). Child and adolescent inpatient restraint reduction: A state initiative to promote strength-based care. Journal of the American Academy of Child & Adolescent Psychiatry, 43(1), 37-45. doi: https://doi.org/10.1097/00004583-200401000-00013
Madsen, L. H., Blitz, L. V., McCorkle, D., & Panzer, P. G. (2003). Sanctuary in a domestic violence shelter: A team approach to healing. Psychiatric Quarterly, 74(2), 155-171. doi: https://doi.org/10.1023/A:1021307811184
Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438-450. doi: https://doi.org/10.1037/0022-006X.68.3.438
Meyer, J. P, Stanley, D. J., Herscovitch, L., & Topolnytsky, L. (2002). Affective, continuance, and normative commitment to the organization: A meta-analysis of antecedents, correlates, and consequences. Journal of Vocational Behavior, 61(1), 20-52. doi: https://doi.org/10.1006/jvbe.2001.1842
Morrissey, J. P., Jackson, E. W., Ellis, A. R., Amaro, H., Brown, V. B., & Najavits, L. M. (2005). Twelve-month outcomes of trauma-informed interventions for women with co-occurring disorders. Psychiatric Services, 56(10), 1213-1222. doi: https://doi.org/10.1176/appi.ps.56.10.1213
Muskett, C. (2014). Trauma‐informed care in inpatient mental health settings: A review of the literature. International Journal of Mental Health Nursing, 23(1), 51-59. doi: https://doi.org/10.1111/inm.12012
Najavits, L. M. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. NY: Guilford Press.
Najavits, L. M., Weiss, R. D., Shaw, S. R., & Muenz, L. R. (1998). “Seeking safety”: Outcome of a new cognitive‐behavioral psychotherapy for women with posttraumatic stress disorder and substance dependence. Journal of Traumatic Stress, 11(3), 437-456. doi: https://doi.org/10.1023/A:1024496427434
Park, S., Hong, J. P., Bae, J. N., Cho, S. J., Lee, D. W., Lee, J. Y., … Seong, S. (2014). Impact of childhood exposure to psychological trauma on the risk of psychiatric disorders and somatic discomfort: Single vs. multiple types of psychological trauma. Psychiatry Research, 219(3), 443-449. doi: https://doi.org/10.1016/j.psychres.2014.06.009
Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867-879. doi: https://doi.org/10.1037/0022-006X.70.4.867
Seidler, G. H., & Wagner, F. E. (2006). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi: https://doi.org/10.1017/S0033291706007963
Somers, M. J. (1995). Organizational commitment, turnover and absenteeism: An examination of the direct and interaction effects. Journal of Organizational Behavior, 16(1), 49-58. doi: https://doi.org/10.1002/job.4030160107
Strand, V. C., & Dore, M. M. (2009). Job satisfaction in a stable state child welfare workforce: Implications for staff retention. Children and Youth Services Review, 31(3), 391-397. doi: https://doi.org/10.1016/j.childyouth.2008.09.002
Strand, V. C., Spath, R., & Bosco-Ruggiero, S. (2010). So you have a stable child welfare workforce—What's next? Children and Youth Services Review, 32(3), 338-345. doi: https://doi.org/10.1016/j.childyouth.2009.10.002
Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration.
WorkplaceDynamics. (n.d.). Business Insight Report. Retrieved from: http://www.workplacedynamics.com/pdf/SampleCo_2016_-Business_Insight_Report.pdf
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