The relation between dimensions of maltreatment, placement instability, and mental health among youth in foster care

McGuire, Austen; Cho, Bridget; Huffhines, Lindsay; Gusler, Stephanie; Brown, Shaquanna; Jackson, Yo

doi:10.1016/j.chiabu.2018.08.012

Cited by 82 publications

(36 citation statements)

References 50 publications

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“…The use of a simple ACE score is likely to be limited in informing treatment plans. Children’s well‐being may best be understood by ‘using a method that captures the entirety of maltreatment’ (McGuire et al, : p. 18). Examining individual types of maltreatment, their severity, timing and frequency, as well as exploring maltreatment as a unitary concept encompassing any/all types of maltreatment the child has experienced can be informative (McGuire et al, ; Nemeroff & Binder, ).…”

Section: Application Of Aces Research To Clinical Work Public Policymentioning

confidence: 99%

“…Children’s well‐being may best be understood by ‘using a method that captures the entirety of maltreatment’ (McGuire et al, : p. 18). Examining individual types of maltreatment, their severity, timing and frequency, as well as exploring maltreatment as a unitary concept encompassing any/all types of maltreatment the child has experienced can be informative (McGuire et al, ; Nemeroff & Binder, ). This work suggests that, if knowledge about ACEs is to inform treatment plans for children and adolescents, careful, sensitive enquiry about exactly what happened, how severe it was and at what developmental stage is going to be needed.…”

Section: Application Of Aces Research To Clinical Work Public Policymentioning

confidence: 99%

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Practitioner Review: Twenty years of research with adverse childhood experience scores – Advantages, disadvantages and applications to practice

Lacey

Minnis

2019

Child Psychology Psychiatry

273

220

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Background: Adverse childhood experience (ACE) scores have become a common approach for considering childhood adversities and are highly influential in public policy and clinical practice. Their use is also controversial. Other ways of measuring adversity -examining single adversities, or using theoretically or empirically driven methods -might have advantages over ACE scores. Methods: In this narrative review we critique the conceptualisation and measurement of ACEs in research, clinical practice, public health and public discourse. Results: The ACE score approach has the advantagesand limitationsof simplicity: its simplicity facilitates wide-ranging applications in public policy, public health and clinical settings but risks over-simplistic communication of risk/causality, determinism and stigma. The other common approachfocussing on single adversities -is also limited because adversities tend to co-occur. Researchers are using rapidly accruing datasets on ACEs to facilitate new theoretical and empirical approaches but this work is at an early stage, e.g. weighting ACEs and including severity, frequency, duration and timing. More research is needed to establish what should be included as an ACE, how individual ACEs should be weighted, how ACEs cluster, and the implications of these findings for clinical work and policy. New ways of conceptualising and measuring ACEs that incorporate this new knowledge, while maintaining some of the simplicity of the current ACE questionnaire, could be helpful for clinicians, practitioners, patients and the public. Conclusions: Although we welcome the current focus on ACEs, a more critical view of their conceptualisation, measurement, and application to practice settings is urgently needed. Researchers need to be clearer about their definitions of adversitywhat constitutes an adversity and what does not?Researchers should consider including additional ACEs other than the 10 frequently investigated ACEs from the Kaiser Permanente Study and justify these clearly.Researchers should explore the different ways in which ACEs tend to cluster cluster and, individually and together, predict outcomes Longitudinal studies are required, particularly those which are able to consider the co-occurrence, timing, frequency, duration and severity of ACEs, and which have high quality prospective ACEs data. Key practitioner messagesTwenty years of adverse childhood experiences (ACEs) research has shown a graded relationship between the number of adversities (ACE score) and health and other outcomes in many different populations, with important implications about the potential impact of ACEs in clinical practice, public policy and public health initiatives.

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Section: Application Of Aces Research To Clinical Work Public Policymentioning

confidence: 99%

Section: Application Of Aces Research To Clinical Work Public Policymentioning

confidence: 99%

Practitioner Review: Twenty years of research with adverse childhood experience scores – Advantages, disadvantages and applications to practice

Lacey

Minnis

2019

Child Psychology Psychiatry

273

220

View full text Add to dashboard Cite

show abstract

“…While this study has raised concerns about the rapid placement of children out of residential care, there may be opportunities to keep many of those children in families and to prevent their re-entry into residential settings. Moving a child in and out of care settings, and particularly out of family, can be traumatic and is associated with maladaptive development ( Almas et al, 2020 ; Lewis, Dozier, Ackerman, & Sepulveda-Kozakowski, 2007 ; McGuire et al, 2018 ). Each case plan should focus on the extent to which the provision of family support may facilitate the long-term reintegration of that child into a safe and nurturing family.…”

Section: Discussionmentioning

confidence: 99%

Rapid return of children in residential care to family as a result of COVID-19: Scope, challenges, and recommendations

Wilke¹,

Howard

Goldman³

2020

Child Abuse & Neglect

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Background As a result of the COVID-19 pandemic, some governments have mandated that residential care providers rapidly return children and youth to family. Objective The goal of the present study was to better understand the scope and characteristics of rapid return, and to provide data-informed recommendations for service providers working with this population. Participants and setting Representatives from 67 non-government organizations (NGOs) providing residential care that were government-mandated to rapidly return children and youth to family completed a brief online survey. They collectively serve 12,494 children in 14 nations. Methods Using a mixed methods design, results examined 1) characteristics of the rapid return mandate, 2) preparation received by children and families, 3) support services provided since the return, and 4) primary concerns for children and families. Results Data revealed that rapid return was characterized by compressed timelines that did not allow for adequate child and family assessment and preparation. However, all respondents indicated they believed at least some families would be able to remain intact safely with appropriate support. Primary concerns for children and families related to unresolved antecedents to separation, lack of economic capacity, limited monitoring, and lack of access to education. Conclusions Based on the findings, 9 recommendations were made for service providers working with children and families that have been rapidly reunified as a result of the COVID-19 pandemic.

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“…The study established that general emotion dysregulation, not just regulation around eating behaviours, is related to obesogenic food consumption in early childhood. Given that cumulative lifetime adversity exposure may be a stronger predictor of increased health risk compared to dichotomously measuring the presence or absence of adversity, 18,50 this study employed a comprehensive measure of cumulative lifetime adversity exposure. In addition, the study examined obesogenic food consumption with a widely used, valid and reliable measure, allowing for a clearer understanding of how adversity and emotion dysregulation is associated with unhealthy eating.…”

Section: Discussionmentioning

confidence: 99%

Adversity exposure and obesogenic food consumption in young children: The transgenerational role of emotion dysregulation

2020

Self Cite

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Background: Childhood adversity is linked with unhealthy eating behaviours and obesity, but the mechanisms underlying this association are unclear, specifically the transgenerational behavioural precursors that develop in early childhood. Objective: To determine whether adversity predicts change in obesogenic food consumption through child emotion dysregulation, and whether caregiver emotion dysregulation modifies this association. Methods: Participants included 190 low-income caregiver-child dyads (mean child age = 4.31 years [SD = 0.85]). Cumulative lifetime adversity exposure was assessed via study-created measure. The Difficulties with Emotion Regulation Scale and Emotion Regulation Checklist assessed caregiver and child emotion dysregulation, respectively. Children's obesogenic food consumption was assessed at two time points 6 months apart using a caregiver-report measure: the Children's Eating Habits Questionnaire. Moderated mediation models were tested using autoregressive structural equation modelling. Results: Cumulative lifetime adversity was associated with child emotion dysregulation only when caregiver emotion dysregulation was high. Child emotion dysregulation in turn was associated with greater obesogenic food consumption 6 months later. Conclusions: Among young children with caregivers high in emotion dysregulation, cumulative lifetime adversity was linked to an increase in obesogenic food consumption through child emotion dysregulation.

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The relation between dimensions of maltreatment, placement instability, and mental health among youth in foster care

Cited by 82 publications

References 50 publications

Practitioner Review: Twenty years of research with adverse childhood experience scores – Advantages, disadvantages and applications to practice

Practitioner Review: Twenty years of research with adverse childhood experience scores – Advantages, disadvantages and applications to practice

Rapid return of children in residential care to family as a result of COVID-19: Scope, challenges, and recommendations

Adversity exposure and obesogenic food consumption in young children: The transgenerational role of emotion dysregulation

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