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Gepubliceerd in:

17-02-2015 | Original Paper

Resources, Exposure to Trauma, and the Behavioral Health of Youth Receiving Public System Services

Auteurs: Sarah Accomazzo, Nathaniel Israel, Stephanie Romney

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 11/2015

Abstract

Using Conservation of Resources Theory (COR), the current study examined the relationship between exposure to trauma, resources, and behavioral health in a prospective longitudinal cohort of youth in a public behavioral health system. The sample includes 303 youth, aged 5–19, who had received 6 months of treatment-as-usual in an urban, diverse public behavioral health system, and who had experienced at least one type of trauma. Youth entered treatment with an average of four types of trauma and five accessible resources. Consistent with COR, multivariate regression model results showed that both lifetime exposure to trauma and youth resources were significantly associated with behavioral health needs, upon entry to treatment and after 6 months of treatment. Losing resources over 6 months of treatment was associated with greater behavioral health needs, while maintaining or gaining resources over 6 months of treatment was associated with fewer behavioral health needs. This study highlights the need to explore resource gain and resource loss among clients with trauma exposure receiving services in a public system, further test COR-related hypotheses in treatment settings, and develop applicable, multi-level interventions.

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Afifi, T. O., & MacMillan, H. L. (2011). Resilience following child maltreatment: A review of protective factors. La résilience aprés la maltraitance clans l’enfance: une revue des facteurs protecteurs, 56(5), 266–272.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

Batty, M. J., Moldavsky, M., Foroushani, P. S., Pass, S., Marriott, M., Sayal, K., & Hollis, C. (2013). Implementing routine outcome measures in child and adolescent mental health services: From present to future practice. Child and Adolescent Mental Health, 18(2), 82–87.CrossRef

Bickman, L. (1996). A continuum of care: More is not always better. American Psychologist, 51(7), 689.

Breslau, N., & Anthony, J. (2007). Gender differences in the sensitivity to posttraumatic stress disorder: An epidemiological study of urban young adults. Journal of Abnormal Psychology, 116(3), 607–611. doi:10.1037/0021-843X.116.3.607.CrossRefPubMed

Catalano, R. F., Berglund, M. L., Ryan, J. A. M., Lonczak, H. S., & Hawkins, J. D. (2004). Positive youth development in the United States: Research findings on evaluations of positive youth development programs. The Annals of the American Academy of Political and Social Science, 591(1), 98–124. doi:10.1177/0002716203260102.CrossRef

Chor, K. H. B., McClelland, G. M., Weiner, D. A., Jordan, N., & Lyons, J. S. (2014). Out-of-home placement decision-making and outcomes in child welfare: A longitudinal study. Administration and Policy in Mental Health,. doi:10.1007/s10488-014-0545-5.PubMedCentralPubMed

Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64(5), 577–584. doi:10.1023/A:1014851823163.CrossRefPubMed

Costello, E. J., Erkanli, A., Fairbank, J. A., & Angold, A. (2002). The prevalence of potentially traumatic events in childhood and adolescence. Journal of Traumatic Stress, 15(2), 99–112. doi:10.1023/A:1014851823163.CrossRefPubMed

Crusto, C. A., Whitson, M. L., Walling, S. M., Feinn, R., Friedman, S. R., Reynolds, J., & Kaufman, J. S. (2010). Posttraumatic stress among young urban children exposed to family violence and other potentially traumatic events. Journal of Traumatic Stress, 23(6), 716–724. doi:10.1002/jts.20590.PubMedCentralCrossRefPubMed

Dunleavy, A. M., & Leon, S. C. (2011). Predictors for resolution of antisocial behavior among foster care youth receiving community-based services. Children and Youth Services Review, 33, 2347–2354.CrossRef

Edwards, V. J., Holden, G. W., Felitti, V. J., & Anda, R. F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: Results from the adverse childhood experiences study. The American Journal of Psychiatry, 160(8), 1453–1460.CrossRefPubMed

Ellis, B. H., Fogler, J., Hansen, S., Forbes, P., Navalta, C. P., & Saxe, G. (2012). Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change. Psychological Trauma: Theory, Research, and Practice. doi:10.1037/a0025192.

Feldman, B. J., Conger, R. D., & Burzette, R. G. (2004). Traumatic events, psychiatric disorders, and pathways of risk and resilience during the transition to adulthood. Research in Human Development, 1(4), 259–290. doi:10.1207/s15427617rhd0104_3.CrossRef

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. doi:10.1016/S0749-3797(98)00017-8.CrossRefPubMed

Finkelhor, D., Ormrod, R., & Turner, H. (2007). Polyvictimization and trauma in a national longitudinal cohort. Development and Psychopathology, 19(1), 149–166. doi:10.1017/S0954579407070083.CrossRefPubMed

Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health, 37, 1–2.

Giaconia, R. M., Reinherz, H. Z., Silverman, A. B., Pakiz, B., Frost, A. K., & Cohen, E. (1995). Traumas and posttraumatic stress disorder in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34(10), 1369–1380. doi:10.1097/00004583-199510000-00023.CrossRefPubMed

Graves, K. N., & Shelton, T. L. (2007). Family empowerment as a mediator between family-centered systems of care and changes in child functioning: Identifying an important mechanism of change. Journal of Child and Family Studies, 16(4), 556–566.CrossRef

Griffin, G., Martinovich, Z., Gawron, T., & Lyons, J. (2009). Strengths moderate the impact of trauma on risk behaviors in child welfare. Residential Treatment for Children and Youth, 26(2), 105–118. doi:10.1080/08865710902872994.CrossRef

Hoagwood, K., & Kolko, D. (2009). Introduction to the special section on practice contexts: A glimpse into the nether world of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36, 35–36.CrossRefPubMed

Hobfoll, S. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513–524.CrossRefPubMed

Hobfoll, S. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6(4), 307–324.CrossRef

Hobfoll, S., Vinokur, A., Pierce, P., & Lewandowski-Romps, L. (2012). The combined stress of family life, work, and war in air force men and women: A test of conservation of resources theory. International Journal of Stress Management. doi:10.1037/a0029247.

Institute of Medicine (U.S.), & O’Connell, M. (2009). Preventing mental, emotional, and behavioral disorders among young people : Progress and possibilities. Washington D.C.: National Academies Press.

Israel, N. (2005). Intergenerational transmission of economic risk and resource characteristics. Available from ProQuest Dissertations and Theses database. (UMI No. 3198702).

Israel, N. (2014) San Francisco County: 360-degree implementation. In Israel, N. (Chair), Taking systems change to scale: building replicable processes. Symposium conducted at the 26th Annual Children Mental Health Research & Policy Conference, Tampa, FL.

Jenson, J. M., Alter, C., Nicotera, N., Anthony, E., & Forrest-Bank, S. (2013). Risk, resilience, and positive youth development: Developing effective community programs for at-risk youth : lessons from the Denver Bridge Project. New York: Oxford University Press.

Johnson, D., Palmieri, P., Jackson, A., & Hobfoll, S. (2007). Emotional numbing weakens abused inner-city women’s resiliency resources. Journal of Traumatic Stress, 20(2), 197–206. doi:10.1002/jts.20201.CrossRefPubMed

Kolko, D. J., Hurlburt, M. S., Zhang, J., Barth, R. P., Leslie, L. K., & Burns, B. J. (2010). Posttraumatic stress symptoms in youth and adolescents referred for child welfare investigation. A national sample of in-home and out-of-home care. Child Maltreatment, 15(1), 48–63. doi:10.1177/1077559509337892.CrossRefPubMed

Lambert, W., & Bickman, L. (2004). The clock-setting cure: How children’s symptoms might improve after ineffective treatment. Psychiatric Services, 55, 381–382.CrossRefPubMed

Luthar, S. S., & Brown, P. J. (2007). Maximizing resilience through diverse levels of inquiry: Prevailing paradigms, possibilities, and priorities for the future. Development and Psychopathology, 19(3), 931–955.

Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The Construct of Resilience: A Critical Evaluation and Guidelines for Future Work. Child Development, 71, 543–562.

Lyons, J. S. (2009). Communimetrics: A communication theory of measurement in human service settings. Dordrecht: Springer.

Lyons, J. S., Griffin, G., Quintenz, S., Jenuwine, M., & Shasha, M. (2003). Clinical and forensic outcomes from the illinois mental health juvenile justice initiative. Psychiatric Services, 54(12), 1629–1634.CrossRefPubMed

Lyons, J., Uziel-Miller, N., Reyes, F., & Sokol, P. (2000). Strengths of youths and adolescents in residential settings: Prevalence and associations with psychopathology and discharge placement. Journal of the American Academy of Child and Adolescent Psychiatry, 39(2), 176–181.CrossRefPubMed

Lyons, J. S., Woltman, H., Martinovich, Z., & Hancock, B. (2009). An outcomes perspective of the role of residential treatment in the system of care. Residential Treatment for Children and Youth, 26(2), 71–91. doi:10.1080/08865710902872960.CrossRef

Masten, A. S. (2007). Resilience in developing systems: Progress and promise as the fourth wave rises. Development and Psychopathology, 19(3), 921–930.CrossRefPubMed

Ozer, E. J., Richards, M. H., & Kliewer, W. (2004). Introduction to the special section on protective factors in the relation between community violence exposure and adjustment in youth. Journal of Clinical Child and Adolescent Psychology, 33(3), 434–438. doi:10.1207/s15374424jccp3303_1.CrossRefPubMed

Pine, D. S., & Cohen, J. A. (2002). Trauma in youth and adolescents: Risk and treatment of psychiatric sequelae. Biological Psychiatry, 51(7), 519–531. doi:10.1016/S0006-3223(01)01352-X.CrossRefPubMed

Poston, J. M., & Hanson, W. E. (2010). Meta-analysis of psychological assessment as a therapeutic intervention. Psychological Assessment, 22(2), 203–212.CrossRefPubMed

Pynoos, R. S., Steinberg, A. M., Layne, C. M., Briggs, E. C., Ostrowski, S. A., & Fairbank, J. (2009). DSM-V PTSD diagnostic criteria for children and adolescents: A developmental perspective and recommendations. Journal of Traumatic Stress, 22(5), 391–398. doi:10.1002/jts.20450.CrossRefPubMed

Radigan, M., & Wang, R. (2013). Relationships Between Youth and Caregiver Strengths and Mental Health Outcomes in Community Based Public Mental Health Services. Community Mental Health Journal, 49(5), 499–506.

San Francisco Department of Public Health (2009). CANS 5—18 Initial Assessment Scoring Manual. Retrieved from: https://www.sfdph.org/dph/files/cbhsdocs/bhisdocs/Userdoc/CANS_5-18_Year_Old_Rating_Manual.pdf.

Sieracki, J. H., Leon, S. C., Miller, S. A., & Lyons, J. S. (2008). Individual and provider effects on mental health outcomes in child welfare: A three level growth curve approach. Children and Youth Services Review, 30(7), 800–808.

Schumm, J. A., Hobfoll, S. E., & Keogh, N. J. (2004). Revictimization and interpersonal resource loss predicts PTSD among women in substance-use treatment. Journal of Traumatic Stress, 17(2), 173–181. doi:10.1023/B:JOTS.0000022624.53181.21.CrossRefPubMed

Snyder, F. J., Roberts, Y. H., Crusto, C. A., Connell, C. M., Griffin, A., Finley, M. K., & Kaufman, J. S. (2012). Exposure to traumatic events and the behavioral health of children enrolled in an early childhood system of care. Journal of Traumatic Stress, 25(6), 700–704. doi:10.1002/jts.21756.PubMedCentralCrossRefPubMed

Stroul, B. A., & Friedman, R. M. (1994). A system of care for children and youth with severe emotional disturbances. (Revised edition). Washington, D.C.: Georgetown University Child Development Center, CASSP Technical Assistance Center.

Trask, E., & Garland, A. (2012). Are children improving? Results from outcome measurement in a large mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 39, 210–220. doi:10.1007/s10488-011-0353-0.CrossRefPubMed

Unsworth, G., Cowie, H., & Green, A. (2012). Therapists’ and clients’ perceptions of routine outcomes measurement in the NHS: A qualitative study. Counselling and Psychotherapy Research, 12(1), 71–80.CrossRef

Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006). Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direct comparisons. American Psychologist, 61(7), 671–689. doi:10.1080/10503300701472131.CrossRefPubMed

Yampolskaya, S., Armstrong, M. I., & Vargo, A. C. (2007). Factors associated with exiting and reentry into out-of home care under community-based care in Florida. Children and Youth Services Review, 29, 1352–1367.CrossRef

Titel: Resources, Exposure to Trauma, and the Behavioral Health of Youth Receiving Public System Services
Auteurs: Sarah Accomazzo
Nathaniel Israel
Stephanie Romney
Publicatiedatum: 17-02-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 11/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-015-0121-y

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