title: Group attachment-based intervention: trauma-informed care for families with adverse childhood experiences.
abstract: This article outlines the main premises of an innovative trauma-informed intervention, group attachment-based intervention, specifically developed to target vulnerable families with infants and toddlers, living in one of the poorest urban counties in the nation. It also reports on the trauma-relevant characteristics of 60 families entering a clinical trial to study the effectiveness of Group Attachment-Based Intervention. Initial survey results revealed high levels of neglect, abuse, and household dysfunction in mothers' histories (77% reported ≥4 adverse childhood experiences, with more than 90% reporting 2 or more current toxic stressors, including poverty, obesity, domestic and community violence, and homelessness).
authors.affiliation: Children's Evaluation and Rehabilitation Center, Departments of Pediatrics (Dr Murphy and Ms Allman) and Family and Social Medicine (Dr Bonuck), Albert Einstein College of Medicine, New York City, New York; Psychology Department, The New School for Social Research, New York City, New York (Drs H. Steele and M. Steele, Ms Bate, and Ms Nikitiades); and Department of Family and Social Medicine, Montefiore Medical Center, Bronx, New York (Mr Meissner).
authors.forename: Anne
authors.initials: A
authors.lastname: Murphy
authors.forename: Howard
authors.initials: H
authors.lastname: Steele
authors.forename: Jordan
authors.initials: J
authors.lastname: Bate
authors.forename: Adella
authors.initials: A
authors.lastname: Nikitiades
authors.forename: Brooke
authors.initials: B
authors.lastname: Allman
authors.forename: Karen
authors.initials: K
authors.lastname: Bonuck
authors.forename: Paul
authors.initials: P
authors.lastname: Meissner
authors.forename: Miriam
authors.initials: M
authors.lastname: Steele
mesh_terms: D001521:Behavior Therapy / Q000379:methods; D002648:Child; D002649:Child Abuse / Q000517:prevention & control* / Q000706:statistics & numerical data; D002675:Child, Preschool; D017579:Domestic Violence / Q000706:statistics & numerical data; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D008297:Male; D009769:Object Attachment; D010290:Parents / Q000193:education* / Q000523:psychology; D011204:Poverty Areas; D011615:Psychotherapy, Group / Q000458:organization & administration*; D014481:United States