Attachment, Regulation and Competency (ARC) Grow

Mental Health In-home Parent Skill-Based Does Not Currently Meet Criteria

Attachment, Regulation and Competency (ARC) Grow is a skills and competencies-focused program designed to serve caregivers of children ages 6 months–18 years who have experienced complex trauma. ARC Grow aims to support families affected by chronic adversity or stress to build caregivers’ skills and resilience to foster healthy child development and positive connections with their children. 

 

ARC Grow uses the ARC components-based framework that facilitators deliver in a structured format to individual caregivers. The ARC framework has three core domains: (1) Attachment, (2) Regulation, and (3) Competency. ARC Grow draws heavily from the Attachment domain of ARC. In the Attachment domain, facilitators aim to strengthen the caregiving system by building skills to manage emotional and psychological responses to trauma, enhance the child-caregiver relationship, and effectively respond to the child’s needs (which are often expressed as behavior). In the Regulation domain, facilitators aim to support caregivers in developing tools and strategies for increasing child or adolescent regulation skills, including the ability to identify, understand, tolerate, and manage their internal experience. In the Competency domain, facilitators support caregivers in building tools and strategies to improve caregiver decision-making skills, explore caregiver personal and family identity, and foster positive family connections. 

 

Facilitators begin each structured session with a check-in activity in which caregivers share their energy level before initiating a modulation activity designed to support regulation. Next, caregivers describe how they applied skills at home. Facilitators have caregivers complete an “All About Me Book” activity that aims to enhance their ability to reflect on their identity as an individual and parent. The facilitator then delivers key content from the ARC framework and shows how to apply core skills. Facilitators also assign Home Connection work to practice new skills outside of sessions. The session concludes with another modulation activity and a check-out activity in which the caregiver reflects on their energy and comfort levels.  

 

Within each core domain, the ARC framework includes two to three key treatment targets (eight in total), also known as building block skills. Each has a rationale, key concepts, subskills, tools, and techniques. Every ARC Grow session covers a specific topic related to a key treatment target within the ARC framework and facilitators tailor session activities to caregiver needs.   

 

ARC Grow can be implemented with caregivers of children with intellectual and developmental disabilities who have experienced complex trauma using ARC Grow for Trauma and Intellectual and Developmental Disabilities (TIDD).  


The Prevention Services Clearinghouse’s independent systematic review of ARC Grow found that no studies met eligibility criteria for review.

 

As of December 2025, the ACF Assistant Secretary has final approval authority over the determination of the program or service rating. For more information, please visit the FAQ on the rating determination policy.


Date Last Reviewed by the Prevention Services Clearinghouse (Handbook Version 2.0): Mar 2026

Date Program or Service Description Last Updated: Mar 2026


Sources

The following sources informed the program or service description, target population, and program or service delivery and implementation information: the program or service manual and the program or service developer’s website.


This information does not necessarily represent the views of the program or service developers. For more information on how this program or service was reviewed, download the Handbook of Standards and Procedures, Version 2.0

Target Population

ARC Grow is designed for caregivers of children ages 6 months–18 years who have experienced complex trauma. ARC Grow focuses on trauma-related diagnoses including PTSD, behavioral disorders, depression, and anxiety.  

Dosage

Facilitators deliver ARC Grow to individual caregivers in 12 90-minute sessions. Facilitators deliver ARC Grow TIDD to individual caregivers in 14 90-minute sessions. After the first session, facilitators can offer additional engagement sessions to spend additional time familiarizing the caregiver with what to expect in ARC Grow sessions and discussing caregiver involvement and identification of ARC Grow goals before moving to the second session. 

Location/Delivery Setting
Recommended Locations/Delivery Settings

Facilitators primarily deliver ARC Grow in the home but can deliver the program in other settings.  

Education, Certifications and Training

ARC Grow facilitators include parent support workers or clinical staff. ARC Grow facilitators are required to complete a 3-day training seminar. ARC Grow trainers/consultants instruct facilitators on the foundations of the ARC framework and how to apply the framework within ARC Grow. The training includes opportunities for role play and experiential practice delivering an ARC Grow session. ARC Grow trainers/consultants provide 10–12 months of required consultation to support facilitators as they deliver ARC Grow.  

Program or Service Documentation
Book/Manual/Available documentation used for review

ARC Grow: 

  • Kinniburgh, K. & Blaustein, M. (2016). ARC Grow: An application of the ARC Framework as a caregiver skill-building intervention.  

ARC Grow TIDD: 

  • Kinniburgh, K. & Blaustein, M. (2023). ARC Grow TIDD: A caregiver support and skill-building program for caregivers of children with intellectual differences who are impacted by trauma. 

ARC Grow TIDD was not determined to have any substantial adaptations from ARC Grow and therefore was not considered to be a different program or service for the purposes of the review. 

Available languages

The ARC Grow manual is available in English, Spanish and French. 

The ARC Grow TIDD manual is available in English. 

Other supporting materials

What is ARC? 

ARC Adaptations

For More Information

Website: https://arcframework.org/  

Phone: (781) 400-9173 

Email: info@centerfortraumatraining.org  


Note: The details on Dosage; Location; Education, Certifications, and Training; Other Supporting Materials; and For More Information sections above are provided to website users for informational purposes only. This information is not exhaustive and may be subject to change.

Results of Search and Review Number of Studies Identified and Reviewed for Attachment, Regulation and Competency (ARC) Grow
Identified in Search 0
Eligible for Review 0
Rated High 0
Rated Moderate 0
Rated Low 0
Reviewed Only for Risk of Harm 0