Trust-Based Relational Intervention® (TBRI®) is an attachment-based, evidence-based, and trauma-informed intervention that is designed to meet the complex needs of vulnerable children. TBRI® uses Empowering Principles to address physical needs, Connecting Principles for attachment needs, and Correcting Principles to disarm fear-based behaviors. 

TBRI® is an effective intervention for children who have experienced trauma, abuse, and/or neglect. Studies on the efficacy of TBRI® have shown the following:

  • At-risk, adopted children demonstrated significant decreases in trauma symptoms and behavioral problems after their parents were trained in TBRI®.

Purvis, K.B., Razuri, E. B., Howard, A.R., Call, C., DeLuna, J., Hall, J.S., & Cross, D. R. (2015).  Decrease in behavioral problems and trauma symptoms among at-risk adopted children following trauma-informed parent training intervention. Journal of Child & Adolescent Trauma.

  • After the first two years of implementation in a charter school at a residential facility for at-risk youth, there was a 93.5% decrease in office referrals for verbal aggression, physical aggression, or disruptive behavior.

Parris, S.R., Dozier, M., Purvis, K.B., Whitney, C., Grisham, A., & Cross, D.R. (2015). Implementing Trust-Based Relational Intervention in a charter school at a residential facility for at-risk youth. Contemporary School Psychology, 19(3), 157-164. doi: 10.1007/s40688-014-0033-7

  • Children of parents who have undergone TBRI® training demonstrated significantly improved global functioning based on the Brief Psychiatric Rating Scale for Children (BPRS-C) and a significant decrease in psychiatric symptom levels based on the Child’s Global Assessment Scale (CGAS). Caregivers also showed lower stress levels as reported on the Parental Stress Scale (PSS).

Howard, A.R., Nielsen, L., Parris, S.R., Lusk, R., Bush, K., Purvis, K.B., & Cross, D. R. (in press, 2015). Keeping adoptive families together: Predicting changes in parenting stress and child psychiatric behaviors from parental investment in a trauma-informed intervention. Child Welfare.

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