Polyvictimization and Psychosocial Outcomes Among Trauma-Exposed, Clinic-Referred Youth Involved in the Juvenile Justice System

2021 ◽  
pp. 107755952110250
Author(s):  
Heather T. Pane Seifert ◽  
Angela M. Tunno ◽  
Ernestine C. Briggs ◽  
Sherika Hill ◽  
Damion J. Grasso ◽  
...  

Polyvictimization is a robust predictor of emotional and behavioral problems and is linked to involvement in juvenile justice and other public sector systems. This study extends prior research by employing person-centered methods for identifying polyvictimization patterns among trauma-exposed, clinic-referred, justice-involved youth ( n = 689; ages 12–18 years) and how identified classes differ on psychosocial outcomes and demographic characteristics. Most participants had experienced multiple traumatic event (TE) types. Latent class analyses identified three classes: mixed trauma/bereavement exposure group (55.1%; Mean = 3.0 TE types); maltreatment polyvictimized group (29.3%; Mean = 5.7 TE types); and maltreatment plus extreme violence polyvictimized group (15.7%; Mean = 9.3 TE types). Polyvictimized youth were more likely to be female, in out-of-home placements, and experiencing negative psychosocial outcomes (e.g., Posttraumatic Stress Disorder). Hispanic/Latino youth were overrepresented in the extreme polyvictimized subgroup. Results underscore the need for cross-system coordination of trauma-informed, comprehensive services for clinic-referred, justice-involved youth.

2018 ◽  
Vol 31 (04) ◽  
pp. 1307-1324 ◽  
Author(s):  
Brenda L. Volling ◽  
Tianyi Yu ◽  
Richard Gonzalez ◽  
Elizabeth Tengelitsch ◽  
Matthew M. Stevenson

AbstractThe current study examined trajectories of maternal and paternal depression in the year following the birth of an infant sibling, and relations with family risk factors and firstborn children's internalizing and externalizing behavior problems. Latent class growth analysis was conducted on 231 families in a longitudinal investigation (prebirth and 1, 4, 8, and 12 months postbirth) and revealed four classes of families: both mother and father low in depressive symptoms (40.7%); mother high–father low (25.1%); father high–mother low (24.7%), and both mother and father high (9.5%). Families with both mothers and fathers high on depressive symptoms were higher on marital negativity, parenting stress, and children's internalizing and externalizing problems, and lower on marital positivity and parental efficacy than other classes. Children, parents, and marital relationships were more problematic in families with fathers higher on depressive symptoms than in families in which mothers were higher, indicating the significant role of paternal support for firstborn children undergoing the transition to siblinghood. Maternal and paternal depression covaried with an accumulation of family risks over time, no doubt increasing the likelihood of children's problematic adjustment after the birth of their infant sibling.


2011 ◽  
Vol 51 (3) ◽  
pp. 133
Author(s):  
Yogi Prawira ◽  
Intan Tumbelaka ◽  
Ali Alhadar ◽  
Erwin Hendrata ◽  
Renno Hidayat ◽  
...  

Background Disasters, including earthquakes, may strike abruptly without warning. Children may develop psychological damage resulting from experiencing an overwhelmingly traumatic event. They may feel very frightened during a disaster and demonstrate emotional and behavioral problems afterwards.Objective To evaluate the presence of developmental disorders, behavioral disorders, and depression in children after the earthquake at Padang and Pariaman on September 30th, 2009.Methods This was a cross􀁘sectional study using the developmental pre screening questionnaire (KPSP), Pediatric Symptoms Checklist-17 (PSC-17), and Child Depression Inventory (CDI) in children after the Padang and Pariaman earthquake (September 30th, 2009), in Sungai Limau and Sungai Geringging District, Pariaman Region, West Sumatera. Our study was conducted October 15th to November 28th, 2009.Results There were 172 children screened using the KPSP. Forty-two (25%) children scored 7􀁘8 (reason for concern), 18 (10%) children scored <7 (suspected to have a developmental disorder), and the remainder scored as developmentally appropriate. Behavioral disorder screening was perfonned in 339 children using the PSC􀁘 17. Internalizing disorder alone was suspected in 58 (17%) children, externalizing disorder alone in 26 (7.7%), and attention􀁘defidt disorder alone in 5 (1.5%). Eight (2.4%) children were suspected to have both internalizing and attention􀁘defidt disorders, 4 (1.2%) children externalizing and attention􀁘defidt disorders, 22 (6.5%) children internalizing and externalizing disorders, and 15 (4.4%) children all three disorders. From 4 9 children who underwent depression screening using CDI, 15(30.6%) children were suspected to have depression. Conclusion After the Padang and Pariaman earthquake, we found 10% of subjects screened were suspected of having a developmental disorder. The most connnonbehavioral disorder found was internalizing disorder. Possible depression was found in 30.6% of children surveyed. Traumatized children are at risk for developing post traumatic stress disorder. 2011;5' :133-7]. 


Author(s):  
Darson Rhodes ◽  
Carol Cox ◽  
Patrick Hebert ◽  
Haley Bylina ◽  
Parker Heman ◽  
...  

Youth taken from the home and placed in emergency shelter, secure detention, and residential set-tings are exposed to new sources of trauma and danger that may re-activate severe stress symptoms leading to re-traumatization. A juvenile justice center planned a trauma-informed, system-focused in-tervention that included recommended elements: appropriate assessments of trauma symptoms, evi-dence-based programs and treatments to build resilience skills in youth and families, staff training, community collaboration and partnerships, and a safe environment to reduce the risk of re-traumatization. The purpose of this study was to describe the implementation over two years of the trauma-informed, system-focused intervention in the juvenile justice center and associated effects on youth trauma symptoms. Current and past traumatic event exposure, change in youth participants’ emotional regulation, effects of an evidence-based, trauma-informed therapeutic intervention on youth participants’ stress symptoms, and quality of the organizational trauma-informed care plan were assessed. Although efforts to improve participant emotional regulation and post-traumatic stress symptoms did not demonstrate significant differences, efforts to screen for trauma exposure at intake provided important information about participant multiple traumas to assist with the therapeutic pro-cess. Efforts in changing organizational culture and policy did result in minor self-reported facility envi-ronmental improvements. For the practitioner, even when an intervention is well planned, results are not always positive in actual practice.


Author(s):  
Ashli Owen-Smith ◽  
Holle Black ◽  
David Emerson ◽  
Michaela Cotner ◽  
Herschel Smith ◽  
...  

Abstract The purpose of the present study was to adapt and pilot a trauma-informed, mindfulness-based yoga (TIMBY) intervention focused on enhancing self-regulation among youth in the Georgia Department of Juvenile Justice system. In this article we (1) describe the process by which we systematically adapted an evidence-based protocol specifically for this population, (2) describe the nature of and rationale for those adaptations, (3) present some preliminary qualitative findings based on interviews with youth participants, and (4) briefly summarize how the adapted protocol will be evaluated in the subsequent feasibility trial. The iterative drafting and revision process involved modifications to a well-established, protocolized Trauma-Informed Yoga program and was identified by the project advisory board and t h rough formal interviews with intervention staff. Qualitative interviews were conducted with youth participants concerning intervention impact, credibility, and satisfaction. Several needed modifications were identified so that the intervention would be contextually appropriate for justice-involved youth. Thirty youth were enrolled in the pilot study: 77% we re Non - Hispanic Black/African-American, 18% were Non-Hispanic White, and 5% were Hispanic White. The average age was 16.45 years (range 14–20). The youth consistently reported satisfaction with the sessions and positive beliefs about how the sessions were helping them with a range of physical and psychological/ emotional challenges. Adaptations to the protocol in the present study highlight how mindfulness-based interventions for justice-involved youth need to consider what is both developmentally suitable for youth and appropriate in a justice setting. A feasibility study using this revised TIMBY protocol is underway at four Georgia Department of Juvenile Justice facilities to formally identify the barriers and facilitators to implementation for the present study and a future, larger-scale trial.


2019 ◽  
pp. 088626051985716 ◽  
Author(s):  
Carly Lyn Baetz ◽  
Michael Surko ◽  
Mahtab Moaveni ◽  
Felicia McNair ◽  
Amanda Bart ◽  
...  

The majority of youth in the juvenile justice system have experienced multiple traumatic events in their lives, including community violence, physical abuse, neglect, and traumatic loss. These high prevalence rates, coupled with the known negative consequences of trauma in childhood and adolescence, have led to a greater emphasis on implementing trauma-informed services and practices within juvenile justice settings. However, although many stakeholders and government entities have expressed support for creating more trauma-informed juvenile justice systems, there is still limited empirical knowledge about which interventions are most effective at improving outcomes, particularly at the organizational or facility level. In an effort to fill this gap, the current study evaluated the impact of a trauma-informed milieu intervention, including skills training for youth and training for staff, on rates of violence at two secure juvenile detention facilities ( N = 14,856) located in a large Northeastern city. The analyses revealed that the intervention was significantly related to a reduction of violent incidents in Facility A, with no impact on incidents in Facility B. Follow-up analyses revealed that a larger proportion of eligible youth in Facility A completed the skills group program as compared with eligible youth in Facility B (16% vs. 9%). This finding has important implications for the implementation of trauma-informed interventions for youth in juvenile detention settings, as it suggests that to impact outcomes at the facility level, a minimum threshold of youth may need to be exposed to the intervention. In addition, reductions in violence at Facility A were only realized after both staff training and youth skills components were implemented, suggesting that both components are necessary to create change at the facility level. Future research is needed to further explore the impact of organizational and implementation-level factors on trauma-informed care outcomes in juvenile justice settings.


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