Fostering an affiliative environment in residential youth care: A cluster randomized trial of a compassionate mind training program for caregivers enrolling youth and their caregivers

Laura Santos · Maria do Rosário Pinheiro · Daniel Rijo

11 citations0/0 files storedChild Abuse & Neglect

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Child Welfare and Adoption Social Work Education and Practice Mindfulness and Compassion Interventions

Abstract

BACKGROUND: Affiliation has a positive role on well-being and human development. Most children and youth living in residential youth care (RYC) experienced maltreatment from significant others, becoming a particularly vulnerable group. Their complex needs require well trained caregivers who help them to heal and thrive. OBJECTIVE: This cluster randomized trial sought to test the Compassionate Mind Training program for Caregivers (CMT- Care Homes) effectiveness on affiliative outcomes across time. PARTICIPANTS AND SETTING: A sample of 127 professional caregivers and 154 youth from 12 Portuguese residential care homes (RCH) participated on this study. METHODS: RCHs were randomized to treatment (n = 6) and control (n = 6) groups. Caregivers and youth completed self-report measures at baseline, post-intervention, and 6-month follow-up on social safeness and emotional climate. Caregivers were also evaluated on compassion outcomes. RESULTS: MANCOVA indicated large multivariate time X group effects. Univariate results suggested that caregivers from the treatment group showed improvements in compassion towards others and in self-compassion across time, while the control group gradually deteriorated in both variables. Youth and caregivers from the treatment group noticed a more soothing and safer RCH emotional climate, as well as feeling safer within relationships. At 6-month follow-up, improvements were retained by caregivers, but not by youth. CONCLUSIONS: The CMT- Care Homes brings a new model to RYC, that represents a promising approach in promoting safe relationships and affiliative environments in RCHs. Supervision should be provided to monitor care practices and sustain change across time.

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2003The Development and Validation of a Scale to Measure Self-Compassion 2006Compassionate mind training for people with high shame and self‐criticism: overview and pilot study of a group therapy approach 2012Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology 2002Compassion fatigue: Psychotherapists' chronic lack of self care 2014The origins and nature of compassion focused therapy 2010Fears of compassion: Development of three self‐report measures 1982Attachment and Loss: Sadness and Depression 2005a neurobehavioral model of affiliative bonding: implications for conceptualizing a human trait of affiliation

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