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Title: Childhood trauma : impact and interventions
Author: Reid-Williams, Alice
ISNI:       0000 0004 7973 0347
Awarding Body: Cardiff University
Current Institution: Cardiff University
Date of Award: 2019
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Maltreatment in childhood has been linked to a range of physical and mental health difficulties. It is recognised as a major human rights and public health concern that has significant personal, familial, societal and economic consequences. Numerous systematic reviews and meta-analyses have focused on the effects of childhood emotional abuse (CEA). Healthcare providers make important decisions based on systematic reviews, however the quality is often unknown. The first paper is a systematic review of systematic reviews and meta-analyses on the link between CEA and later mental health difficulties. This includes a narrative synthesis of results and a quality assessment using the Assessment of Multiple Systematic Reviews 2 (AMSTAR 2; Shea et al., 2017) with the aim of providing clarity for service providers' decision making. Results from high-quality reviews show a link between CEA and a range of later mental health problems. The implications of these findings are discussed. The second paper is an evaluation of a new psychology service, which was commissioned to meet the mental health needs of children and young people (CYP) with complex trauma histories. The service is providing attachment and trauma informed training for front line staff. Results showed that staff knowledge and confidence increased over the course of training and their worries decreased. Staff perception of how supported they felt also increased, but their wellbeing did not. The service used a variety of measures, two of which were bespoke to the service, so principal component analyses were run to help the service create the most parsimonious measures possible. The final paper is a critical reflection on paper 1 and 2. Decision-making processes are outlined, along with strengths and weakness of the research and clinical implications. The research is situated within national and local policy and context, and plans for dissemination are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available