An evaluation of the neurosequential model of therapeutics to guide trauma-informed foster care in the New Zealand context : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Albany, New Zealand

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dc.confidentialEmbargo : No
dc.contributor.advisorShepherd, Matthew
dc.contributor.authorde Bruin, Marike
dc.date.accessioned2024-05-23T00:01:05Z
dc.date.available2024-05-23T00:01:05Z
dc.date.issued2024-05-12
dc.description.abstractThe health and well-being of children in foster care remain a clinical, as well as public health concern, both internationally and in Aotearoa/New Zealand. Children in care often have histories of significant trauma exposure, in particular to abuse, neglect and domestic violence. The link between adverse childhood experiences and poor adult outcomes in physical, mental, emotional, and social health, is well established in the literature and necessitates further research on responding to and treating children exposed to complex trauma in early life. Trauma-informed foster care has emerged in recent years as an intentional therapeutic approach to responding to the complex needs of children in care. The objective of this present study is to contribute to the field of evidence-based family trauma-informed foster care in the New Zealand context. The focus of this dissertation is on evaluating the use of a neurodevelopmental clinical problem-solving tool, the Neurosequential Model of Therapeutics (NMT), developed by Dr Bruce Perry from The Neurosequential Network, to guide a trauma-informed and therapeutic approach to family foster care standards within the context of a New Zealand social service organisation. A mixed-method research design was used to explore the experiences of foster parents and frontline staff involved in using and implementing this model, as well as conduct an initial outcome evaluation of its impact on children’s mental health difficulties and behavioural functioning. The results of the study suggest that the NMT is a useful and relevant tool to guide trauma-informed care in the New Zealand foster care context, and is associated with promising positive outcomes.
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/69648
dc.publisherMassey Universityen
dc.rightsThe Authoren
dc.subjectTraumatic neurosesen
dc.subjectTreatmenten
dc.subjectFoster home careen
dc.subjectNew Zealanden
dc.subjectPsychological aspectsen
dc.subjectFoster childrenen
dc.subjectPsychologyen
dc.subjectChildren, Māorien
dc.subjectMental healthen
dc.subjectadverse childhood experiencesen
dc.subjectneurodevelopmenten
dc.subjecttrauma-informed foster careen
dc.subjectfamily foster careen
dc.subjectNew Zealand social service organisationen
dc.subject.anzsrc520301 Clinical neuropsychologyen
dc.titleAn evaluation of the neurosequential model of therapeutics to guide trauma-informed foster care in the New Zealand context : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Albany, New Zealanden
thesis.degree.disciplineClinical Psychology
thesis.degree.nameDoctor of Clinical Psychology
thesis.description.doctoral-citation-abridgedMrs de Bruin evaluated the use of the Neurosequential Model of Therapeutics to guide a trauma-informed approach to family foster care within the New Zealand context. Using mixed methods, it explored frontline stakeholders’ experiences of using the NMT and its impact on children's well-being. The results concluded that it is a useful tool and is associated with promising outcomes.
thesis.description.doctoral-citation-longThe well-being of children in foster care remain a clinical and public health concern. The objective of this study was to evaluate the use of a clinical problem-solving tool, the Neurosequential Model of Therapeutics, to guide a trauma-informed approach to family foster care within the context of a New Zealand social service organisation. A mixed-method design was used to explore the experiences of frontline stakeholders involved in its implementation, as well as to conduct an initial evaluation of the impact on children’s well-being. The results suggest that the NMT is a useful and relevant tool and is associated with promising outcomes.
thesis.description.name-pronounciationMA-REE-KA DE-BRAIN
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