Qualitative Reflections: CASA’s Trauma and Attachment Group (TAG) Program for Youth who have Experienced Early Developmental Trauma

摘要

Objective: We demonstrated previously that the Trauma and Attachment Group (TAG) program for youth in middlechildhood significantly improved caregiver/child attachment relationships, reduced children’s symptoms of attachmenttrauma, and increased the caregiver’s ability for self-reflection. Here we examine the perspectives of both thoseadministering and those taking part in this intensive dyad-based group intervention. Methods: Utilizing an ethnographicdesign we collected and analyzed qualitative data obtained through a focus group and interviews with program facilitators,as well as interviews with participating caregivers. Data were collected from six TAG facilitators through a formal focusgroup interview (n=4), and informal interviews with TAG facilitators unable to attend the focus group (n=2). Four interviewswere also carried out with caregivers (three females and one male). Thematic analysis of the focus group and interviewtranscripts was conducted. Results: Three key themes were identified in the focus group and interview data: Relationshipas locus of change, Group process, and Psychoeducation-based content. That the TAG program provides psychoeducationabout the effects of trauma to caregiver/child dyads in a group setting appears important in supporting the effectiveness ofthe program. Structured parent-child play and sensory activities together (“kit-time”) were also highly valued. Conclusions:This qualitative study suggests that establishment of a healthy and focused caregiver/child relationship may be the keymechanism to promoting change in relationships that have been challenged by adverse effects of early developmentaltrauma. Further evaluation may help to identify other components that contribute to the success of the program.