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August 16, 2026Journal of Child & Adolescent TraumaOpen Access

Caregivers’ Experiences of Family-Based Trauma-Informed Interventions for Children with Prenatal Alcohol Exposure

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Authors

ESEllie ShepherdJPJack PurringtonBKBuket Kara

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Overview

Qualitative study reveals that family-based trauma interventions empower caregivers of children with prenatal alcohol exposure, highlighting the value of relational safety and caregiver support.

Key Points

  • To explore the experiences and perceptions of caregivers whose children with prenatal alcohol exposure participated in family-based, trauma-informed interventions.
  • Conducted semi-structured qualitative interviews with 11 caregivers (10 adoptive, 1 foster) caring for 12 children with prenatal alcohol exposure aged 8 to 18 in the UK.
  • Assessed experiences across multiple interventions, including Theraplay, Dyadic Developmental Psychotherapy, Cognitive Behavioural Therapy, Sandplay Therapy, and sensory therapies, using reflexive thematic analysis.
  • Identified five interrelated themes indicating that therapeutic change primarily occurs through increasing caregiver understanding and environmental adaptation rather than direct behavioral cure in the child.
  • Reported that engagement was fluid and developmentally contingent, emphasizing the necessity of relational safety, flexible multi-model therapy, and dedicated caregiver-only sessions.

Cite This Study

Shepherd et al. (2026) studied this question.

synapsesocial.com/papers/6a8179eff2fb91fc834ad6bchttps://doi.org/10.1007/s40653-026-00963-7
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