Children’s Trauma-Related Needs Versus Caregivers’ Preparedness: A Disconnect in the Trauma-Informed Care of Children in Child and Youth Care Centres

Authors

DOI:

https://doi.org/10.25159/2708-9355/15972

Keywords:

child and youth care centres (CYCCs), caregivers, complex trauma, trauma-informed care (TIC), South Africa

Abstract

Children being cared for in child and youth care centres frequently have specific care needs because of their complex trauma histories. Neuroscientific research provides insight into the difficulties these children experience, reframing trauma symptoms as creative adaptations to their adverse circumstances. Although reminiscent of resilience, the children’s coping strategies may present as maladaptive in the context of alternative care. Amidst inadequate preparation, training, and support for its workforce, concerns are growing regarding the quality of care provided to children in child and youth care centres. In a qualitative research study, 50 semi-structured interviews were conducted to explore caregiving from the perspectives of children, caregivers, social workers and managers from four child and youth care centres in Gauteng, South Africa. The research findings indicate that the children essentially felt unheard and misunderstood in terms of their trauma-related needs, while participants perceived that caregivers lacked the required information, skills, and support to work with this vulnerable population. We conclude that, in addition to the multi-level systemic issues inherent in alternative care institutions, such a disconnect could strain the caregiver-child relationship, leaving caregivers overburdened and children deprived of appropriate care. It is recommended that caregivers receive training on trauma-informed care to address children’s needs in a holistic and developmentally appropriate way.

Author Biography

Liana Le Roux

Dr MP le Roux, Senior lecturer (Retired)

Department of Social Work and Criminology

University of Pretoria

References

Baldwin, H., N. Biehal, L. Cusworth, J. Wade, V. Allgar, and P. Vostanis. 2019. “Disentangling the Effect of Out-of-Home Care on Child Mental Health.” Child Abuse and Neglect 88 (2019): 189–200. https://doi.org/10.1016/j.chiabu.2018.11.011 DOI: https://doi.org/10.1016/j.chiabu.2018.11.011

Berens, A. E., S. K. G. Jensen, and C. A. Nelson III. 2017. “Biological Embedding of Childhood Adversity: From Physiological Mechanisms to Clinical Implications.” BMC Medicine 15 (2017): 135–146. https://doi.org/10.1186/s12916-017-0895-4 DOI: https://doi.org/10.1186/s12916-017-0895-4

Bless, C., C. Higson-Smith, and S. L. Sithole. 2013. Fundamentals of Social Research Method: An African Perspective. 5th ed. Cape Town: Juta and Company.

Boullier, M., and M. Blair. 2018. “Adverse Childhood Experiences.” Paediatrics and Child Health 28 (3): 132–137. https://doi.org/10.1016/j.paed.2017.12.008 DOI: https://doi.org/10.1016/j.paed.2017.12.008

Child Welfare Information Gateway. 2023. Child Maltreatment and Brain Development: A Primer for Child Welfare Professionals. U.S. Department of Health and Human Services, Administration for Children and Families, Children’s Bureau. https://www.childwelfare.gov/resources/child-maltreatment-and-brain-development-primer-child-welfare-professionals/

Clarke, V., V. Braun, and N. Hayfield. 2015. “Thematic analysis.” In Smith, J. A. (Ed.). Qualitative Psychology: A Practical Guide to Research Methods. 3rd ed. London: Sage Publications.

Cross, D., N. Fani, A. Powers, and B. Bradley. 2017. “Neurobiological Development in the Context of Childhood Trauma.” Clinical Psychology (New York) 24 (2): 111–124. https://doi.org/10.1111/cpsp.12198 DOI: https://doi.org/10.1111/cpsp.12198

DeCandia, C. J., and K. Guarino. 2015. “Trauma-Informed Care: An Ecological Response.” Journal of Child and Youth Care Work 25: 7–19. https://doi.org/10.5195/jcycw.2015.69 DOI: https://doi.org/10.5195/jcycw.2015.69

Department of Social Development (DSD). 2019. “Social Service Professions Act 110, 1987. Registrations for Child and Youth Care Workers, Auxiliary Child and Youth Care Workers, and Student Child and Youth Care Workers.” Government Gazette 31 October 2019, No. 38135. https://www.sacssp.co.za/2021/Government%20Notice%20No%20R838.pdf

Dimba-Ndaleni, N., S. Motloung, and M. Kasiram. 2022. “Social Workers’ Experience of Working with Children and Youths in Child and Youth Care Centres in Durban.” Social Work 58 (5): 58–70. https://doi.org/10.15270/58-1-993 DOI: https://doi.org/10.15270/58-1-993

Dye, H. 2018. “The Impact and Long-Term Effects of Trauma.” Journal of Human Behavior in the Social Environment 28 (3): 381–392. https://doi.org/10.1080/10911359.2018.1435328 DOI: https://doi.org/10.1080/10911359.2018.1435328

Eren, E. A. 2016. “Growing by Embracing and Overcoming Traumas.” Journal of Modern Education Review 6 (8): 578–584. https://doi.org/10.15341/jmer(2155-7993)/08.06.2016/008 DOI: https://doi.org/10.15341/jmer(2155-7993)/08.06.2016/008

Ferguson, A. 2022. “‘Nobody Does the Job Cause it’s Easy.’ The Factors which Empower and Inhibit the Role of the Child and Youth Care Worker.” Scottish Journal of Residential Child Care 21 (1): 54–70. https://strathprints.strath.ac.uk/84130/1/Ferguson_SJRCC_2022_Nobody_does_the_job_cause_its_easy.pdf

Fouché, C. B. 2021. “Introduction to the Research Process.” In Research at Grass Roots: For the Social Sciences and Human Services Professions. 5th ed., edited by C. B. Fouché, H. Strydom, and W. J. H. Roestenburg, 37–53. Pretoria: Van Schaik Publishers.

Garfat, T., J. Freeman, K. Gharrabaghi, and L. Fulcher. 2018. “Characteristics of a Relational Child and Youth Care Approach Revisited.” CYC-Online, 7–45, October. https://cyc-net.org/pdf/Characteristics%20of%20a%20Relational%20CYC%20Approach%20Revisited.pdf

Geyer, L. S. 2021. “Interviews as Data Collection Method.” In Research at Grass Roots: For the Social Sciences and Human Services Professions. 5th ed., edited by C. B. Fouché, H. Strydom, and W. J. H. Roestenburg, 55–72. Pretoria: Van Schaik Publishers.

González-García, C., A. Aguila-Otero, C. Montserrat, S. Lazaro, E. Martin, and J. F. del Valle. 2022. “Subjective Well-Being of Young People in Therapeutic Residential Care from a Gender Perspective.” Child Indicators Research 15 (2022): 249–262. https://doi.org/10.1007/s12187-021-09870-9 DOI: https://doi.org/10.1007/s12187-021-09870-9

Goyer, J. P., G. M. Walton, and D. S. Yeager. 2021. “The Role of Psychological Factors and Institutional Channels in Predicting the Attainment of Postsecondary Goals.” Developmental Psychology 57 (1): 73–86. https://doi.org/10.1037/dev0001142 DOI: https://doi.org/10.1037/dev0001142

Gray, M., and A. Lombard. 2022. “Progress of the Social Service Professions in South Africa’s Developmental Social Welfare System: Social Work, and Child and Youth Care Work.” International Journal of Social Welfare 1–13. https://doi.org/10.1111/ijsw.12562 DOI: https://doi.org/10.1111/ijsw.12562

Greeff, M. 2011. “Information collection: Interviewing.” In Research at Grass Roots: For the Social Sciences and Human Services Professions. 4th ed., edited by A. S. De Vos, H. Strydom, C. B. Fouché, and C. S. L. Delport, 341–375. Pretoria: Van Schaik.

Jamieson, L. 2014. “Children’s Rights to Appropriate Alternative Care When Removed from the Family Environment: A Review of South Africa’s Child and Youth Care Centres.” In South Africa’s Progress in Realising Children’s Rights: A Law Review, edited by P. Proudlock, 213–251. Cape Town: Children’s Institute, University of Cape Town and Save the Children South Africa.

Jankowski, M. K., K. E. Schifferdecker, R. L. Butcher, L. Foster-Johnson, and E. R. Barnett. 2019. “Effectiveness in a State Child Welfare System: A Randomised Study.” Child Maltreatment 24 (1): 86–97. https://doi.org/10.1177/1077559518796336 DOI: https://doi.org/10.1177/1077559518796336

Keeshin, B. R., and E. Monson. 2022. “Assessing and responding To the Trauma of Child Maltreatment.” Focus 20 (2): 176–183. The American Psychiatric Association. https://psychiatryonline.org/doi/10.1176/appi.focus.20210033 DOI: https://doi.org/10.1176/appi.focus.20210033

Kleber, R. J. 2019. “Trauma and Public Mental Health: A Focused Review.” Frontiers in Psychiatry 10 (451): 1–6. https://doi.org/10.3389/fpsyt.2019.00451 DOI: https://doi.org/10.3389/fpsyt.2019.00451

Kriel, E., and J. Van Niekerk. 2022. “Case 27: Psychological First Aid – Providing Immediate Mental Health Support at Crises or Disasters.” In South African Child Gauge 2021/2022, edited by M. Tomlinson, S. Kleintjes, and L. Lake, 128. Cape Town: Children’s Institute, University of Cape Town.

Li, J. 2016. “Growing Simple Interactions inside Everyday Practice.” ALIGN: From Theory to Practice: Residential Care for Children and Youth 3 (Special edition): 2–6. https://www.researchgate.net/publication/314235004_Grow_Simple_Interactions_Inside_Everyday_Practice

Malatji, H., and N. Dube. 2017. “Experiences and Challenges Related to Residential Care and the Expression of Cultural Identity of Adolescent Boys at a Child and Youth Care Centre (CYCC) in Johannesburg.” Social Work 53 (1): 109–126. https://doi.org/10.15270/53-1-549 DOI: https://doi.org/10.15270/53-1-549

Margolius, M., E. Pufall Jones, and M. Hynes. 2020. Creating Cultures of Care: Supporting the Whole Child through Trauma-Informed Practice. Washington, DC: America’s Promise Alliance. https://files.eric.ed.gov/fulltext/ED606309.pdf

Moreno-Manso, J. M., M. E. García-Baaumonde, E. Guerrero-Barona, M. J. Godoy-Merino, N. Bueso-Izquierdo, and M. Guerrero-Molina. 2020. “Emotional, Behavioural and Executive Functioning Problems in Children in Residential Care.” International Journal for Environmental Research and Public Health 17 (3596): 1–12. https://doi.org/10.3390/ijerph17103596 DOI: https://doi.org/10.3390/ijerph17103596

Nowell, L. S., J. M. Norris, D. E. White, and N. J. Moules. 2017. “Thematic Analysis: Striving to Meet the Trustworthiness Criteria.” International Journal of Qualitative Methods 16: 1–13. https://doi.org/10.1177/1609406917733847 DOI: https://doi.org/10.1177/1609406917733847

Octoman, O., S. McLean, and J. Sleep. 2014. “Children in Foster Care: What Behaviours Do Carers Find Challenging?” Clinical Psychologist, 18 (2014): 10–20. https://doi.org/10.1111/cp.12022 DOI: https://doi.org/10.1111/cp.12022

Osher, D., P. Cantor, J. Berg, L. Steyer, and T. Rose. 2020. “Drivers of Human Development: How Relationships and Context Shape Learning and Development.” Journal of Applied Developmental Science 24 (1): 6–36. https://doi.org/10.1080/10888691.2017.1398650 DOI: https://doi.org/10.1080/10888691.2017.1398650

Parry, S. L., T. Williams, and C. Burbidge. 2021. “Restorative Parenting: Delivering Trauma-Informed Residential Care for Children in Care.” Child and Youth Care Forum 50 (6): 991–1012. https://doi.org/10.1007/s10566-021-09610-8 DOI: https://doi.org/10.1007/s10566-021-09610-8

Perry, B. D. 2006. “Applying Principles of Neurodevelopment to Clinical Work with Maltreated and Traumatized Children: The Neurosequential Model of Therapeutics.” In Working with Traumatized Youth in Child Welfare, edited by N. B. Webb, 27–52. New York: The Guilford Press.

Perry, B. D. 2009. “Examining Child Maltreatment through a Neurodevelopmental Lens: Clinical Applications of the Neurosequential Model of Therapeutics.” Journal of Loss and Trauma 14 (4): 240–255. https://doi.org/10.1080/15325020903004350 DOI: https://doi.org/10.1080/15325020903004350

Petrauskiene, A., I. Zemaitaityte, and V. Grigaliene. 2018. “The Perspective of Gestalt Therapy In Social Work Practice.” International Conference on Society, Health, and Welfare 51 (03004): 1–8. https://doi.org/10.1051/shsconf/20185103004 DOI: https://doi.org/10.1051/shsconf/20185103004

Pinheiro, P. S., E. Magalhães, M. M. Calheiros, and D. Macdonald. 2022. “Quality of Relationships between Residential Staff and Youth: A Systematic Review.” Child and Adolescent Social Work Journal (21 December 2022): 1–16. https://doi.org/10.1007/s10560-022-00909-6 DOI: https://doi.org/10.1007/s10560-022-00909-6

Republic of South Africa (RSA). 2006. Children’s Act no 38 of 2005. Government Gazette 492 (28944): 2–202. Pretoria: Government Printers.

Rosenzweig, J. M. 2015. “Neurobiological Underpinnings for Trauma-Informed Care: A Primer.” Focal Point: Trauma-Informed Care 29 (1): 7–9. https://www.pathwaysrtc.pdx.edu/focal-point-S1503

Santos, L., R. R. Miguel, M. R. Pinheiro, and D. Rijo. 2023. “Fostering Emotional and Mental Health in Residential Youth Care Facilities: A Systematic Review of Programs Targeted to Care Workers.” Children and Youth Services Review 147 (2023): 1–22. https://doi.org/10.1016/j.childyouth.2023.106839 DOI: https://doi.org/10.1016/j.childyouth.2023.106839

Schurink, W. J., E. M. Schurink, and C. B. Fouché. 2021. “Thematic Inquiry in Qualitative Research.” In Research at Grass Roots: For the Social Sciences and Human Services Professions. 5th ed., edited by C. B. Fouché, H. Strydom and W. J. H. Roestenburg, 289–310. Pretoria: Van Schaik Publishers.

Sheridan, M. A., and K. A. McLaughlin. 2022. “Introduction to the Special Issue on Childhood Adversity and Neurodevelopment.” Developmental and Cognitive Neuroscience 54 (2022): 1–3. https://doi.org/10.1016/j.dcn.2022.101082 DOI: https://doi.org/10.1016/j.dcn.2022.101082

Statistics South Africa (Stats SA). 2022. “Stats in Brief.” Department: Statistics South Africa. Republic of South Africa. http://www.statssa.gov.za/publications/catalogue/Catalogue_of_products_and_publications_Latest.pdf

Statistics South Africa (Stats SA). 2023. “Child Series Volume I: Children Exposed to Maltreatment, 2021.” Pretoria: Statistics South Africa. Report nr: 92-02-01. https://www.statssa.gov.za/publications/92-02-01/92-02-012021.pdf

Steenkamp, J. O. 2018. An Integrated Theory of Psychotherapy for Trauma-Spectrum Manifestations. Pretoria: JOS.

Strydom, H., and W. J. H. Roestenburg, 2021. “Ethical Conduct in Research with Human Participants.” In Research at Grass Roots: For the Social Sciences and Human Services Professions. 5th ed., edited by C. B. Fouché, H. Strydom, and W. J. H. Roestenburg, 117–136. Pretoria: Van Schaik Publishers.

UNICEF and EuroChild. 2023. “Children in Alternative Care in the Child Guarantee National Action Plans: A summative analysis.” Policy Brief #2 On Findings and Recommendations from the Datacare Project. UNICEF.

Wilkinson, J., and S. Bowyer. 2017. The Impacts of Abuse and Neglect on Children; And Comparison of Different Placement Options. Evidence Review. UK: Department for Education.

Published

2025-02-19

How to Cite

van der Burgh, Nanet, and Liana Le Roux. 2025. “Children’s Trauma-Related Needs Versus Caregivers’ Preparedness: A Disconnect in the Trauma-Informed Care of Children in Child and Youth Care Centres”. Southern African Journal of Social Work and Social Development 37 (1):18 pages. https://doi.org/10.25159/2708-9355/15972.

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