Mentalization-Based Training Program for Child Care Workers in Residential Settings
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TREATMENT APPROACH
Mentalization-Based Training Program for Child Care Workers in Residential Settings Vincent Domon-Archambault 1 & Miguel M. Terradas 2 & Didier Drieu 3 & Aymeric De Fleurian 4 & Julie Achim 5 & Stéphane Poulain 6 & Jalal Jerrar-Oulidi 7,8
# Springer Nature Switzerland AG 2019
Abstract Most of the children placed in child welfare residential care have experienced complex traumas linked to various forms of abuse and neglect, which have many important developmental impacts. Research shows that maltreatment is associated with increased aggression and disruptive behavior, internalizing difficulties, violence towards self and others, sexualized behaviors, academic difficulties, and early drug abuse. These experiences also negatively affect the attachment system and the mentalization process of the child. Consequently, working with this population represents a challenge for child care workers. This article describes a mentalization-based training program for child care workers who care for children aged six to 12 years old. First, the general framework of the training program is presented. Then, some of the therapeutic strategies used to improve the children’s mentalizing capacity are described. Those strategies are adapted to the psychic functioning level of the child. Finally, a summary of a preliminary study of the program’s efficacy are presented. This work suggests that mentalization-based interventions might represent a valuable approach in child welfare residential care. Keywords Mentalization . Child welfare residential care . Training program . Child care workers
Introduction Most of the children placed in child welfare residential care have experienced complex traumas linked to various forms of abuse and neglect. These experiences have profound deleterious impacts on their neurological, cognitive, social, and
* Vincent Domon-Archambault [email protected] 1
CIUSSS du Centre-Sud-de-l’Île-de-Montréal, 1001 rue de Maisonneuve, bureau 686, Montréal, Québec H2L 4P9, Canada
2
Université de Sherbrooke, Québec, Canada
3
Université de Rouen-Normandie, Rouen, France
4
Centre médico psychopédagogique ACSEA, Caen, France
5
Université de Sherbrooke, Québec, Canada
6
Hébergement thérapeutique, Maison des adolescents de Caen, Caen, France
7
Association Le Gite, Wasquehal, France
8
SPReNe, Tourcoing, France
emotional development (Cicchetti et al. 2015; Hart and Rubia 2012; Pechtel and Pizzagalli 2011; Pollak 2008). Maltreatment has been linked to increased aggression and disruptive behavior (Anthonysamy and Zimmer-Gembeck 2007; Johnsona et al. 2002; Manly et al. 2001; Petrenko et al. 2012; Shackman and Pollak 2014; Teisl and Cicchetti 2008), internalizing difficulties (Johnsona et al. 2002; Manly et al. 2001; Petrenko et al. 2012), violence towards self and others (Duke et al. 2010; Frederico et al. 2008), sexualized behaviors (Frederico et al. 2008), delinquency (Duke et al. 2010), academic difficulties (Hart and Rubia 2012; Pechtel and Pizzagalli 2011), and
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