Screening for post-traumatic stress symptoms in looked after children

Morris, Lottie; Šalkovskis, Paul M.; Adams, Jo; Lister, Andrew; Meiser‐Stedman, Richard

doi:10.1108/jcs-10-2014-0045

Cited by 15 publications

(20 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study of looked‐after children using the CRIES‐8 as a screening instrument, Morris et al . (2015) reported that 75 per cent scored above the threshold for probable PTSD.…”

Section: Discussionmentioning

confidence: 99%

“…However, our finding is more in line with studies involving similar at-risk populations of 'justice involved' or 'looked after' children and young people. In a study of looked-after children using the CRIES-8 as a screening instrument, Morris et al (2015) reported that 75 per cent scored above the threshold for probable PTSD.…”

Section: 'Almost Half the Sample… Of Youth Screened Positively For Co...mentioning

confidence: 99%

“…Children with the highest levels of trauma‐related psychopathology are sometimes the least supported (van Vugt et al ., 2014). There are several reasons why this may be the case, including uncertainty regarding conceptualisation of the negative mental health effects of childhood trauma, in particular, the recognition and diagnosis of PTSD (see Hatfield et al ., 1996; Morris et al ., 2015). While it is known that early interventions after trauma exposure can be effective, it has previously been noted that they are not often offered (Kramer & Landolt, 2011) and, arguably, this is still true a decade later.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Screening Children with a History of Maltreatment for PTSD in Frontline Social Care Organisations: An Explorative Study

et al. 2021

View full text Add to dashboard Cite

Traumatic experiences during childhood are common and often lead to chronic mental health conditions such as posttraumatic stress disorder (PTSD). The primary aim of this study was to determine whether a well‐validated screening tool for PTSD administered in frontline services effectively identifies diagnosable PTSD in young people with a history of maltreatment. In total, 141 young people in community care settings were screened using three screening instruments (Child Revised Impact of Events Scale‐8; Generalised Anxiety Disorder‐2; Patient Health Questionnaire‐2). Participants described a range of adverse life events: 110 of the 141 participants reported at least one adverse life experience (mean number for the total sample was 2.8), with 44.2 per cent (n = 46) experiencing at least one form of interpersonal trauma; and 102 participants (72.3 per cent) screened positively for probable PTSD and subsequent mental health assessments confirmed this condition in 64.7 per cent of these participants. Further, 36.9 per cent (n = 52) and 46.8 per cent (n = 66) met the threshold for probable depression and anxiety, respectively. Three items were associated with positive PTSD screens: a history of being on the child protection register, previous mental health contact and interpersonal index trauma. Interpersonal traumas were also associated with higher risks of offending. It seems feasible to use screening measures effectively within frontline social care services if staff are provided with appropriate training and support to identify young people with PTSD who may benefit from evidence‐based mental health therapies. Key Practitioner Messages There is strong evidence of the link between childhood adversities and poor mental health, including PTSD. This study found that a short instrument can be embedded within social care services to screen children and young people for PTSD. It is important that frontline staff have the necessary training and tools to understand the effects of trauma and screen children's mental health in order to facilitate access to effective therapies at an early stage.

show abstract

“…In a study of looked‐after children using the CRIES‐8 as a screening instrument, Morris et al . (2015) reported that 75 per cent scored above the threshold for probable PTSD.…”

Section: Discussionmentioning

confidence: 99%

Section: 'Almost Half the Sample… Of Youth Screened Positively For Co...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Screening Children with a History of Maltreatment for PTSD in Frontline Social Care Organisations: An Explorative Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…We used British data from both a general population sample and from a survey of children who had been removed from unsafe family homes and placed in foster care, and who are more vulnerable and deemed at higher risk of mental health issues, particularly PTSD. [11][12] In Britain, these children are called 'looked-after-children' (LAC) but are more commonly referred to as children-in-care, and from here on, we use the term LAC to refer to this group. We report the correlates of AA-PTSD with regard to demographics and comorbid diagnoses to explore whether there are any individual-level characteristics that may be over-or under-represented when using the different diagnostic criteria.…”

Section: Introductionmentioning

confidence: 99%

Population Prevalence of the Posttraumatic Stress Disorder Subtype for Young Children in Nationwide Surveys of the British General Population and of Children in Care

Hitchcock

Goodall

Sharples

et al. 2021

Journal of the American Academy of Child & Adolescent Psych

Self Cite

View full text Add to dashboard Cite

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

“…These discouraging findings have prompted governments to address these concerns; positioning this population at the forefront of policy and legislation [9,10]. Yet despite being classified as a high-risk group; factors such as multiple placements, residential moves, poor screening in development and education, delays in service provision, limited data collation, consent and segregated service sectors are still suggested to contribute to these outcomes [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

A systematic review protocol to explore the prevalence and impacts of neurodevelopmental disorders in the care experienced by the looked after population

Heady

Watkins

John

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: A looked after child (LAC) is defined as a child or young adult, that has been placed in either a foster care, kinship, residential or adoption care setting. While embedded in the care of these services, these children still develop debilitating disorders that significantly impact their future overall wellbeing. Prevalence of these disorders are often depicted under broad, umbrella categories such as mental, behavioural or developmental disorders. What specific disorders fall under these broad categories is limited in research. This review aims to explore the prevalence and early impacts of neurodevelopmental disorders in the LAC and if feasible, compare prevalence with those children who are not looked after (NoN-LAC). Disorders such as dyslexia, bipolar and autism which are classified as neurodevelopmental or associated disorders in the expert field of genetics and neuropsychiatry will be explored. These disorders significantly impact on emotions, memory, ability to learn and socialize and are diagnosed solely based on behaviour. As a result; attaining a diagnosis can take years due to the associated complex behavioural symptomology.With an increasing rate of children entering the care system on a global level; it is an appropriate time to examine the prevalence and impact of these neurodevelopmental disorders in this already, vulnerable population.Methods: A literature search will be conducted using several multiple databases such as PubMed, PsychINFO and Web of Science Core Collection. Secondary literature, grey literature and government publications will also be searched systematically to further identify any eligible studies. Children involved in foster, residential, adopted or kinship care will be identified as a LAC. NoN-LAC will be children who are not placed in the looked after care setting. The age limit is 25 years as the review aims to explore the earlier impacts these disorders may have on the overall wellbeing of these children. Appropriate statistical techniques will be utilised and adapted throughout the review dependent on the research designs of the eligible studies. Discussion: This review could identify gaps in LAC research and potentially contribute to the understanding of the adverse life outcomes that many of these children are predicted to attain. Systematic review registration: PROSPERO Registration number: CRD4201913103

show abstract

Screening for post-traumatic stress symptoms in looked after children

Cited by 15 publications

References 26 publications

Screening Children with a History of Maltreatment for PTSD in Frontline Social Care Organisations: An Explorative Study

Screening Children with a History of Maltreatment for PTSD in Frontline Social Care Organisations: An Explorative Study

Population Prevalence of the Posttraumatic Stress Disorder Subtype for Young Children in Nationwide Surveys of the British General Population and of Children in Care

A systematic review protocol to explore the prevalence and impacts of neurodevelopmental disorders in the care experienced by the looked after population

Contact Info

Product

Resources

About