Prevalence and Correlates of Secondary Traumatic Stress in Child Protective Services Case Managers and Supervisors

Brian Bride
College of Social Work
University of Tennessee
193-E Polk Avenue
Nashville TN 37210
USA
Phone: 615-256-1885
FAX: 615-248-1885
Email: bbride@utk.edu
 
Jenny Jones
College of Social Work
University of Tennessee
193-E Polk Avenue
Nashville TN 37210
USA
Phone: 615-256-1885
FAX: 615-248-8823
Email: jenny-jones@tennessee.edu
 
Samuel A. MacMaster
College of Social Work
University of Tennessee
193-E Polk Avenue
Nashville TN 37210
USA
Phone: 615-256-1885
FAX: 615-248-8823
Email: smacmast@utk.edu
 
Suzanne Shatila
Hardison Hall Complex
Tennessee Department of Children's Services
1200 Foster Avnue
Nashville TN 37210
USA
EMail: Suzanne.Shatila@state.tn.us
 
Purpose: Child protective services (CPS) workers interact with sexually and physically traumatized children on a daily basis, placing them at risk of developing secondary traumatic stress (STS) symptoms. It has been hypothesized that STS is a factor in high CPS turnover rates and that support may mediate the effects of STS. The purpose of this study was to estimate the prevalence of STS symptoms among CPS workers and explore the relationship between STS symptoms and personal trauma history, workplace support, and intent to remain employed in CPS.

Methods: All CPS supervisors and case managers in the state of Tennessee were asked to participate in a web-based survey. A response rate of 56% was obtained from the 333 persons contacted. Survey instruments included: the Secondary Traumatic Stress Scale, the Professional Organizational Culture Questionnaire, and the Intent to Remain Employed Measure.

Results: Respondents reported experiencing one or more STS symptoms during the previous week at least occasionally (92%) or often (59%). Between 11% and 34% of respondents met the DSM criteria for PTSD, depending on whether symptoms were experienced often or occasionally, respectively. STS symptoms were modestly correlated with a lifetime history of personal trauma (r = .247, p < .001), peer support (r =  -.145, p < .05), and caseload (r = .117, p < .02). Symptoms were not correlated with recent (past 12 months) history of personal trauma, administrative support, or professional experience. Further, symptoms were moderately correlated with intent to remain employed in child welfare (r = .388, p < .001).

Implications: Most CPS workers experience STS to some degree. Because a relationship clearly exists between STS and workers' intent to remain employed in child welfare, efforts should be made to ameliorate the effects of STS. One possibility is to facilitate peer support among CPS workers.