Evaluating the Use of Trauma‐Informed Mental Health Assessment Measures in Care Planning for Children and Adolescents in Out‐of‐Home Residential Care in Singapore

Peh, Chao Xu; Tan, Jackson; Lei, Tracy; Wong, Eunice; Henn‐Haase, Clare

doi:10.1002/car.2732

Cited by 3 publications

(2 citation statements)

References 58 publications

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“…Zhu et al (2023) also studied 874 children in Japan and found statistically significant differences between their negative experiences and emotional problems. In another study carried out in Singapore, Peh et al (2022) found the prevalence of PTSD in out of home care children to be 23.1% and the prevalence of emotional problems to be 7.7%). Peer problems could be due to poor parenting and insecure attachments which are the basis for relationships with the world ( Van et al, 2022).…”

Section: Discussion Of Resultsmentioning

confidence: 92%

“…Most are rescued from abusive situations, poor parenting, and neglect hence mental and behaviors needs from the largest percentage of their health needs (American Academy of Pediatrics, 2021;Font & Gershoff, 2020;Kim et al, 2021;Suh et al, 2020). In Singapore, children and young people in out of home care have gone through adverse experiences and have been reported to have symptoms of post-traumatic stress disorders, depression, anxiety, and conduct problems (Peh et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Association between Demographic Profile and Mental Health Needs of Children in Statutory Institutions of Care and Protection in Nairobi County, Kenya

Muema,

Njoroge,

Nyagwencha

2023

TUJ

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Children bring into the justice system their past and current experiences both positive and negative. Despite this, studies show that child justice systems have limited mechanisms for screening and assessment of their psychosocial needs. This lack of internal audit mechanisms by agencies can contribute to worsening of the young person’s mental status. This study screened children in need of care and protection residing in child protection units, remand homes and rescue centres in Nairobi County. Participants constituted 32 female and nine (9) male children recruited from these institutions. The Kiswahili version of strengths and difficulties questionnaire was used to determine their psychosocial needs. A brief questionnaire was developed for use in identifying their social and demographic profiles. The results showed that 64.41 % of respondents had prior contacts with the child protection system. The children had high scores in emotional (M=5.41, SD=1.78) and peer problems (M=3.24, SD=1.97). The study found an association between the nature of the statutory institution the child was residing and hyperactivity problems (p=.0.034), ethnicity and conduct problems (0.009), and between family type and prosocial behaviors (p=0.001). The study findings point to the need for in depth assessments for all children entering statutory institutions and development of evidence-based treatment programs to address their psychosocial wellbeing

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Section: Discussion Of Resultsmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Association between Demographic Profile and Mental Health Needs of Children in Statutory Institutions of Care and Protection in Nairobi County, Kenya

Muema,

Njoroge,

Nyagwencha

2023

TUJ

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Prevalence of Adverse Childhood Experiences in Child Population Samples

Madigan,

Thiemann,

Deneault

et al. 2024

JAMA Pediatr

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ImportanceExposure to adverse childhood experiences (ACEs) before the age of 18 years is a major contributor to the global burden of disease and disability.ObjectiveTo meta-analyze data from samples with children 18 years or younger to estimate the average prevalence of ACEs, identify characteristics and contexts associated with higher or lower ACE exposure, and explore methodological factors that might influence these prevalence estimates.Design, Setting, and ParticipantsStudies that were published between January 1, 1998 and February 19, 2024, were sourced from MEDLINE, PsycINFO, CINHAL, and Embase. Inclusion criteria required studies to report the prevalence of 0, 1, 2, 3, or 4 or more ACEs using an 8- or 10-item ACEs questionnaire (plus or minus 2 items), include population samples of children 18 years or younger, and be published in English. Data from 65 studies, representing 490 423 children from 18 countries, were extracted and synthesized using a multicategory prevalence meta-analysis. These data were analyzed from February 20, 2024, through May 17, 2024.Main Outcomes and MeasuresACEs.ResultsThe mean age of children across studies was 11.9 (SD, 4.3) years, the age range across samples was 0 to 18 years, and 50.5% were female. The estimated mean prevalences were 42.3% for 0 ACEs (95% CI, 25.3%-52.7%), 22.0% for 1 ACE (95% CI, 9.9%-32.7%), 12.7% for 2 ACEs (95% CI, 3.8%-22.3%), 8.1% for 3 ACEs (95% CI, 1.4%-16.8%), and 14.8% for 4 or more ACEs (95% CI, 5.1%-24.8%). The prevalence of 4 or more ACEs was higher among adolescents vs children (prevalence ratio, 1.16; 95% CI, 1.04-1.30), children in residential care (1.26; 95% CI, 1.10-1.43), with a history of juvenile offending (95% CI, 1.29; 1.24-1.34), and in Indigenous peoples (1.63; 95% CI, 1.28-2.08), as well as in studies where file review was the primary assessment method (1.29; 95% CI, 1.23-1.34). The prevalence of 0 ACEs was lower in questionnaire-based studies where children vs parents were informants (0.85; 95% CI, 0.80-0.90).ConclusionsIn this study, ACEs were prevalent among children with notable disparities across participant demographic characteristics and contexts. As principal antecedent threats to child and adolescent well-being that can affect later life prospects, ACEs represent a pressing global social issue. Effective early identification and prevention strategies, including targeted codesigned community interventions, can reduce the prevalence of ACEs and mitigate their severe effects, thereby minimizing the harmful health consequences of childhood adversity in future generations.

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Communimetrics—Measurement in TCOM

Lyons

2022

Transformational Collaborative Outcomes Management

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Evaluating the Use of Trauma‐Informed Mental Health Assessment Measures in Care Planning for Children and Adolescents in Out‐of‐Home Residential Care in Singapore

Cited by 3 publications

References 58 publications

Association between Demographic Profile and Mental Health Needs of Children in Statutory Institutions of Care and Protection in Nairobi County, Kenya

Association between Demographic Profile and Mental Health Needs of Children in Statutory Institutions of Care and Protection in Nairobi County, Kenya

Prevalence of Adverse Childhood Experiences in Child Population Samples

Communimetrics—Measurement in TCOM

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