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An Exploration of the Effects of Primary and Secondary Trauma on Child Welfare Workers' Mental Health and Commitment to the Field
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | An Exploration of the Effects of Primary and Secondary Trauma on Child Welfare Workers' Mental Health and Commitment to the Field. |
| 개인저자 | King, Erin Albrecht. |
| 단체저자명 | The Florida State University. Social Work. |
| 발행사항 | [S.l.]: The Florida State University., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 175 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-03B. Dissertation Abstract International |
| ISBN | 9781085795272 |
| 학위논문주기 | Thesis (Ph.D.)--The Florida State University, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Wilke, Dina J. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | The field of child welfare continues to suffer due to high rates of worker turnover. The child welfare workforce plays a crucial role in promoting child well-being and preventing abuse and neglect. When workers leave their jobs, sometimes after only a few months, at-risk children are negatively impacted. Work-related trauma exposure of workers is an understudied area. This study revealed three categories of trauma workers experience as a part of their jobs. Analyses examined the relationship between type of trauma exposure and personal and work-related outcomes of child welfare workers in the state of Florida.This study examined workers' exposure to trauma from a stress-response framework. Conservation of resources theory and identity theory informed the conceptual model for this study. This model examined how different typologies of trauma influence workers' mental health and commitment to the field of child welfare. Mental health was examined as a potential mediator in the relationship between trauma and commitment to the field.A sample of child welfare workers who had been employed in the field for 18-months (n = 657) responded to items relating to their experiences of client perpetrated violence, deaths or injuries on their caseloads, and secondary trauma. They also completed scales measuring their current levels of depression, anxiety, PTSD (at 18 months), and their overall commitment to the field of child welfare (measured at 2 years post-hire). T-tests, ANOVA analyses, and structural equation modeling (consisting of confirmatory factor analysis and path analysis) were used to determine the prevalence, severity, and effects of trauma exposure on workers.Three typologies of trauma emerged: primary trauma, caseload trauma, and secondary trauma. Threat emerged as the most reported form of primary trauma in this sample (78.4%), followed by non-physical violence (44.8%), and then assault (5.7%). Twenty-six percent (26%) of workers met the criteria for moderate to severe secondary trauma symptomatology. Relating to caseload trauma, 7.7% (n = 49) of workers reported death of a child on their caseload due to maltreatment, 16.7% (n = 106) reported the death of a child due to accident/injury, and 29.4% (n = 187) reported the severe illness/injury of a child on their caseload. Moderate to severe levels of anxiety and PTSD were found in 4.3% and 3.7% of these child welfare workers. Depression levels for workers were higher, with 16.6% reporting moderate levels of depression. Structural equation modeling (SEM) analysis indicated that primary trauma had a small, but positive relationship with commitment to the field (B = .17, p < .05). Caseload trauma predicted workers' levels of secondary trauma (B = .14, p < .05), and secondary trauma had a strong, predictive relationship with worker mental health (B = .77, p < .001).Each type of trauma contributed differentially to workers' personal and organizational outcome. These findings contribute important information about the prevalence and effects of different types of trauma child welfare workers face as a part of their job. Results of this study have implications for administrative practice, training, and intervention development in child welfare.Limitations of this study included participant attrition, a limited measurement period for mental health, and the use of dichotomous variables to measure primary and caseload trauma. Future research should focus on exploring these relationships between worker trauma exposure and personal/organization outcomes longitudinally and by using qualitative research methods to examine workers' experiences in more depth. |
| 일반주제명 | Social work. Mental health. Occupational psychology. |
| 언어 | 영어 |
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