Secure Attachment, Developmental Trauma, and Child Welfare Decision-Making: A Human Development Perspective on Permanency, Parental Rehabilitation, and Neurobiological Well-Being
DOI:
https://doi.org/10.47941/japsy.3811Keywords:
Secure Attachment; Developmental Trauma; Child Welfare; Permanency Planning; Parental Rehabilitation; Foster Care; Reflective Functioning; Interpersonal Neurobiology; Child Development.Abstract
Purpose: This article examines how secure attachment, developmental trauma, and caregiving continuity should inform child welfare, reunification, custody, and permanency decisions. It considers the tension between parental rehabilitation and the child’s need for stable emotional bonds, developmental safety, and long-term well-being.
Methodology: The study used an integrative literature review approach. Peer-reviewed scholarly sources were selected from psychology, developmental neuroscience, child welfare, trauma, attachment, and social work literature. The review focused on studies addressing developmental trauma, attachment disruption, placement instability, parental rehabilitation, reflective functioning, neurobiological stress responses, and permanency outcomes. Relevant evidence was examined thematically to identify implications for child welfare policy and practice.
Findings: The reviewed literature shows that chronic neglect, unstable caregiving, repeated removals, and attachment disruption may affect emotional regulation, relational trust, identity formation, executive functioning, and stress-response systems. The findings also indicate that service completion, temporary sobriety, and housing stability do not alone establish parenting capacity. Sustained emotional regulation, reflective functioning, relational consistency, and responsiveness to the child’s needs are equally important when reunification is considered.
Unique Contribution to Theory, Practice and Policy: The article presents a child-centered developmental framework that connects attachment theory, developmental trauma, interpersonal neurobiology, and human development with permanency decision-making. It recommends that courts, evaluators, and child welfare professionals assess secure attachment, caregiver consistency, developmental risk, parental reflective functioning, and the child’s sense of belonging before making reunification or placement decisions.
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References
Asif, N., Breen, C., & Wells, R. (2024). Influence of placement stability on developmental outcomes of children and young people in out-of-home care: Findings from the Pathways of Care Longitudinal Study. Child Abuse & Neglect, 149, 106145. DOI: 10.1016/j.chiabu.2023.106145
Bergsund, H. B., Drozd, F., Olafsen, K. S., Nilsen, K. H., Linnerud, S., Kjøbli, J., & Jacobsen, H. (2023). The effect of relationship-based interventions for maltreated children and adolescents: A systematic review and meta-analysis. Development and Psychopathology, 35(3), 1251–1271. DOI: 10.1017/S0954579421001164
Crittendon, P. & Landini, A. (2011). Assessing Adult Attachment. W. W. Norton & Company.
Ford, J. D. (2021). Progress and limitations in the treatment of complex PTSD and developmental trauma disorder. Current Treatment Options in Psychiatry, 8, 1–17. DOI: 10.1007/s40501-020-00236-6
Ford, J. D., & Courtois, C. A. (2021). Complex PTSD and developmental trauma disorder. Current Opinion in Psychology, 38, 103–108.
Granqvist, P., et al. (2020). Disorganized attachment and developmental trauma. Development and Psychopathology, 32(1), 1–15.
Hassall, A., McKenna, S., & Pasalich, D. S. (2024). How does kinship and foster care differ on caregiver-child relationship quality and child and caregiver mental health? Children and Youth Services Review, 156, 107301. DOI: 10.1016/j.childyouth.2023.107301
Kohlhoff, J., Lieneman, C., Cibralic, S., Traynor, N., & McNeil, C. B. (2022). Attachment-based parenting interventions and evidence of changes in toddler attachment patterns: An overview. Clinical Child and Family Psychology Review, 25(4), 737–753. DOI: 10.1007/s10567-022-00405-4
LaBrenz, C. A., Findley, E., Graaf, G., Baiden, P., Kim, J., Choi, M. J., & Chakravarty, S. (2021). Racial and ethnic disproportionality in reunification across U.S. child welfare systems. Child Abuse & Neglect, 114, 104894. DOI: 10.1016/j.chiabu.2020.104894
Lecompte, V., Pascuzzo, K., & Hélie, S. (2023). A look inside family reunification for children with attachment difficulties: An exploratory study. Children and Youth Services Review, 154, 107140. DOI: 10.1016/j.childyouth.2023.107140
Lindner, A. R., & Hanlon, R. (2024). Outcomes of youth with foster care experiences based on permanency outcome: Adoption, aging out, long-term foster care, and reunification. Children and Youth Services Review, 156, 107366. DOI: 10.1016/j.childyouth.2023.107366
Lloyd Sieger, M. H., Becker, J., & Brook, J. (2021). Family treatment court participation and permanency in a rural setting: Outcomes from a rigorous quasi-experiment. Child & Family Social Work, 26(4), 540–549. DOI: 10.1111/cfs.12836
McLaughlin, K. A., Colich, N. L., Rodman, A. M., & Weissman, D. G. (2020). Mechanisms linking childhood trauma exposure and psychopathology: A transdiagnostic model of risk and resilience. BMC Medicine, 18, 96. DOI: 10.1186/s12916-020-01561-6
McLaughlin, K., Colich, N., Rodman, A. & Weissman, D. (2020). Mechanisms linking childhood trauma exposure and psychopathology: A transdiagnostic model of risk and resilience. BMC Medicine, 18(1), 96.
Norlén, A., Andersson, G., & Nilsson, D. (2025). The effectiveness of child–parent psychotherapy on attachment and trauma outcomes. Journal of Child and Adolescent Trauma. Advance online publication.
Pereira, M., Denis, A., Wendland, J., & Dugravier, R. (2025). The Safe Families study protocol: A randomized controlled trial evaluating the Circle of Security Parenting program for foster carers in France. BMC Psychology, 13, 231. DOI: 10.1186/s40359-025-02424-6
Phillips, A., Diamond, G., & Kobak, R. (2025). Dyadic approaches to treating individual functioning: A meta-analysis of attachment-based interventions. Clinical Psychology Review. Advance online publication.
Roberts, G. (2023). Social care professionals’ perceived barriers to implementing attachment and trauma-informed care training in their practice. Developmental Child Welfare, 5(1), 21–38. DOI: 10.1177/25161032231153643
Samson, J. A., Anderson, C. M., & Ohashi, K. (2024). Practitioner review: Neurobiological consequences of childhood maltreatment. Journal of Child Psychology and Psychiatry, 65(3), 391–414. DOI: 10.1111/jcpp.13883
Siegel, D. (2012). The developing mind: How relationships and the brain interact to shape who we are (2nd ed.). Guilford Press.
Spinazzola, J., van der Kolk, B. A., & Ford, J. D. (2021). Developmental trauma disorder: A legacy of attachment trauma in victimized children. Journal of Traumatic Stress, 34(4), 711–720. https://doi.org/10.1002/jts.22697
Spinazzola, J., van der Kolk, B. A., & Ford, J. D. (2021). Developmental trauma disorder: A legacy of attachment trauma in victimized children. Journal of Traumatic Stress, 34(4), 711–720. DOI: 10.1002/jts.22697
Swerbenski, H. G., & Russotti, J. (2026). Dyadic approaches to treating individual functioning: A review and dual meta-analysis of the effects of attachment-based interventions on caregiver and child psychopathology. Clinical Psychology Review, 123, 102691. DOI: 10.1016/j.cpr.2025.102691
Teicher, M. H., Samson, J. A., Anderson, C. M., & Ohashi, K. (2016). The effects of childhood maltreatment on brain structure, function, and connectivity. Nature Reviews Neuroscience, 17(10), 652–666. DOI: 10.1038/nrn.2016.111
Teicher, M. H., Samson, J. A., Anderson, C. M., & Ohashi, K. (2021). The effects of childhood maltreatment on brain structure, function, and connectivity. Nature Reviews Neuroscience, 22(9), 581–600. https://doi.org/10.1038/s41583-021-00476-5
Tomoda, A. (2025). The neurobiological effects of childhood maltreatment on brain structure, function, and connectivity. European Archives of Psychiatry and Clinical Neuroscience, 275, 1–16. DOI: 10.1007/s00406-024-01779-y
Torraco, R. J. (2016). Writing integrative literature reviews: Using the past and present to explore the future. Human Resource Development Review, 15(4), 404–428. https://doi.org/10.1177/1534484316671606
van der Kolk, B. A., Ford, J. D., & Spinazzola, J. (2021). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 51(6), 266–272. DOI: 10.3928/00485713-20210512-01
Van der Kolk, Ford, J. & Spinazzola, J. (2021). Developmental trauma disorder: Toward a rational diagnosis. Psychiatric Annals, 51(6), 266–272
Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Wittkowski, A., Vatter, S., Cowley, S., & Garrett, C. (2025). Manualised attachment-based interventions for improving caregiver-infant relational outcomes: A systematic review. Clinical Child and Family Psychology Review, 28, 1–26. DOI: 10.1007/s10567-024-00497-0
Zagaria, A., Andò, A., & Zennaro, A. (2024). Toward a definition of attachment trauma. European Journal of Trauma & Dissociation, 8(3), 100409. DOI: 10.1016/j.ejtd.2024.100409
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