Personal Trauma and Risk Behaviors Among Youth Entering Residential Treatment

Child and Adolescent Social Work Journal - Tập 30 - Trang 383-398 - 2013
Cynthia R. Harr1, Tancy C. Horn-Johnson2, Nathaniel J. Williams3, Megan Jones1, Kelly Riley1
1School of Social Work, Baylor University, Waco, USA
2Texas Department of State Health Services, Austin, USA
3University of Tennessee, Knoxvillle, USA

Tóm tắt

The focus of this study was to determine the prevalence and types of traumas experienced by adolescents prior to admission to long term mental health residential care and the impact of these traumas on their risk behaviors. The research was conducted at a state-supported residential mental health treatment facility functioning under the authority of the Department of State Health Services. Client level data was extracted from social assessment forms (N = 457) in case records of clients. Results confirmed that exposure to trauma was pervasive among adolescents admitted to the facility. Findings also revealed a link between trauma and risk behaviors among youth entering residential treatment facilities. Increased trauma exposure significantly impacted the risk behaviors of youths entering the residential treatment facility. The results indicate that the total number of traumas experienced was a greater predictor of risk behaviors among these youth than the specific traumas experienced. Internalizing behaviors such as self-harm and suicide attempts also increased with the number of traumas experienced by the adolescent. The study demonstrates the need for further exploration of the complex relationship between personal trauma, mental health, and social development in adolescents.

Tài liệu tham khảo

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.

Allwood, M. A., Dyl, J., Hunt, J. I., & Spirito, A. (2008). Comorbidity and service utilization among psychiatrically hospitalized adolescents with posttraumatic stress disorder. Journal of Psychological Trauma, 7, 104–121. doi:10.1080/19322880802231791.

American Association of Children’s Residential Centers. (2009). Redefining residential: becoming family-driven. Residential Treatment for Children and Youth, 26, 230–236.

Boyer, S. N., Hallion, L. S., Hammell, C. L., & Button, S. (2009). Trauma as a predictive indicator of clinical outcome in residential treatment. Residential Treatment for Children and Youth, 26, 92–104.

Bridges, A. J., Arellano, M. A., Rheingold, A. A., Danielson, C. K., & Silcott, L. (2010). Trauma exposure, mental health, and service utilization rates among immigrant and United-States-born Hispanic youth: results from the Hispanic family study. Psychological Trauma: Theory, research, practice, and policy., 2(1), 40–48.

Bright, C. L., Raghavan, R., Kliethermes, M. D., Juedemann, D., & Dunn, J. (2010). Collaborative implementation of a sequenced trauma-focused intervention for youth in residential care. Residential Treatment for Children and Youth, 27, 69–79.

Child Welfare League of America [CWLA]. (2005). The Odyssey Project: A descriptive and prospective study of children and youth in residential group care and therapeutic foster care. Washington, DC: Child Welfare League of America.

Cohen, J. A., Berliner, L., & Mannarino, A. P. (2000). Treating traumatized children: a research review and synthesis. Trauma, Violence, & Abuse, 1(1), 29–46. doi:10.1177/1524838000001001003.

Connor, D. F., Doerfler, L. A., Toscano, P. F., Volungis, A. M., & Steingard, R. J. (2004). Characteristics of children and adolescents admitted to a residential treatment center. Journal of Child and Family Studies, 13, 497–510.

Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64, 577–584.

Culhane, S. E., & Taussig, H. N. (2009). The structure of problem behavior in a sample of maltreated youths. Social Work Research, 33, 70–78.

Curtis, P. A., Alexander, G., & Lunghofer, L. A. (2001). A literature review comparing the outcomes of residential group care and therapeutic foster care. Child and Adolescent Social Work Journal, 18(5), 377–392.

Dulmus, C. N., & Rapp-Paglicci, L. A. (2000). The prevention of mental disorders in children and adolescents: future research and public-policy recommendations. Families in Society: The Journal of Contemporary Social Services, 81, 294–303. doi:10.1606/1044-3894.1020.

Faust, J. (2002). Youth trauma: closing the gap on research and clinical practice. Journal of Trauma Practice, 1(2), 1–4. doi:10.1300/J189v01n02_01.

Fergusson, D. M., & Horwood, L. J. (2003). Resilience to childhood adversity: results of a 21-year study. In S. S. Luthar (Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities. New York: Cambridge University Press.

Fraser, M. W. (1996). Cognitive problem solving and aggressive behavior among children. Families in Society: The Journal of Contemporary Social Services, 77, 19–32. doi:10.1606/1044-3894.836.

Greenwald, R. (2005). Child trauma handbook: a guide for helping trauma-exposed children and adolescents. New York: Haworth Maltreatment and Trauma.

Greenwood, P. (2008). Prevention and intervention programs for juvenile offenders. The Future of Children, 18(2), 185–210.

Griffin, G., Martinovich, Z., Gawron, T., & Lyons, J. S. (2009). Strengths moderate the impact of trauma on risk behaviors in child welfare. Residential Treatment for Children and Youth, 26, 105–118.

Hagaman, J. L., Trout, A. L., Chmelka, M. B., Thompson, R. W., & Reid, R. (2010). Risk profiles of children entering residential care: a cluster analysis. Journal of Child and Family Studies, 19, 525–535.

Henggeler, S. W. (1999). Multisytemic therapy: an overview of clinical procedures, outcomes, and policy implications. Child Psychology & Psychiatry Review, 4(2), 2–10.

Herman, J. L. (1992). Trauma and recovery. New York: Basic Books.

Hussey, D. L., & Guo, S. (2005). Forecasting length of stay in child residential treatment. Child Psychiatry and Human Development, 36, 95–111.

Kilpatrick, D. G., Ruggiero, K. J., Acierno, R., Saunders, B. E., Resnick, H. S., & Best, C. L. (2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology, 71, 692–700.

Kirk, A. B., & Madden, L. L. (2003). Trauma related critical incident debriefing for adolescents. Child and Adolescent Social Work Journal, 20(2), 123–134.

Laursen, E. K., & Birmingham, S. M. (2003). Caring relationships as a protective factor for at-risk youth: an ethnographic study. Families in Society: The Journal of Contemporary Social Services, 84, 240–246. doi:10.1606/1044-3894.101.

Moroz, K. J. (2005). The effects of psychological trauma on children and adolescents. Retrieved July 24, 2012 from Vermont Agency of Human Services Department of Health Division of Mental Health Child, Adolescent and Family Unit. http://mentalhealth.vermont.gov/sites/dmh/files/report/cafu/DMH-CAFU_Psychological_Trauma-_Moroz.pdf.

Mueser, K. T., & Taub, J. (2008). Trauma and PTSD among adolescents with severe emotional disorder involved in multiple service systems. Psychiatric Services, 59, 627–634. doi:10.1176/appi.ps.59.6.627.

Nickerson, A. B., Salamone, F. J., Brooks, J. L., & Colby, S. A. (2004). Promising approaches to engaging families and building strengths in residential treatment. Residential Treatment for Children and Youth, 22, 1–18.

Rivard, J. C., McCorkle, D., Duncan, M. E., Pasquale, L., Bloom, S., & Ahramovitz, R. (2004). Implementing a trauma recovery framework for youths in residential treatment. Child and Adolescent Social Work Journal, 21(5), 529–550.

Satcher, D. (2001). Mental health: Culture, race, and ethnicity—a supple mental to mental health: A report of the Surgeon General. Washington, DC: U.S. Department of Health and Human Services.

Strand, V. C., Samiento, T. L., & Pasquale, L. E. (2005). Assessment and screening tools for trauma in children and adolescents. Trauma, Violence, & Abuse, 6, 55–78. doi:10.1177/1524838004272559.

Taylor, L. K., & Weems, C. F. (2009). What do youth report as a traumatic event? Toward a developmentally informed classification of traumatic stressors. Psychological Trauma: Theory, Research, Practice, and Policy, 1, 91–106. doi:10.1037/a0016012.

Teisl, M., & Cicchetti, D. (2008). Physical abuse, cognitive and emotional processes, and aggressive/disruptive behavior problems. Social Development, 17, 1–23. doi:10.1111/j.1467-9507.2007.00412.x.

Tolin, D. F., & Foa, E. B. (2008). Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychological Trauma: Theory, Research, Practice, and Policy, S, 1, 37–85. doi:10.1037/1942-9681.S.1.37.

U.S. Census Bureau (2010). State and county quick facts. Retrieved July 24, 2012 from http://quickfacts.census.gov/qfd/states/48000.html.

U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity-a supplement to mental health: A Report of the Surgeon General. Rockville: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

Vance, J. E., Bowen, N. K., Fernandez, G., & Thompson, S. (2002). Risk and protective factors as predictors of outcome in adolescents with psychiatric disorder and aggression. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 36–43.

Wurtele, S. K., Wilson, D. R., & Prentice-Dunn, S. (1983). Characteristics of children in residential treatment programs: findings and clinical implications. Journal of Clinical Child Psychology, 12, 137–144.

Thông tin
Thông tin xuất bản

Child and Adolescent Social Work Journal

Tập 30

383-398

Thông tin tác giả