Trauma Exposure, Psychosocial Functioning, and Treatment Needs of Youth in Residential Care: Preliminary Findings from the NCTSN Core Data Set

Briggs, Ernestine C.; Greeson, Johanna K.P.; Layne, Christopher; Fairbank, John A.; Knoverek, Angel; Pynoos, Robert S.

doi:10.1080/19361521.2012.646413

Cited by 164 publications

(98 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Findings from the Adverse Childhood Experiences (ACE) studies demonstrate a graded relationship between number of adverse childhood experiences and significant adult physical health and mental health problems (Anda et al 2006;Fellitti and Anda 2010). This finding is echoed in recent studies of youth in residential treatment in which the number of types of traumas were positively correlated with breadth and depth of symptomatology, functional impairment (Briggs et al 2012), and treatment response (Boyer et al 2009). …”

mentioning

confidence: 56%

“…The equivocal findings on the effectiveness of residential treatment for youth suggest that further parsing out of etiology, diagnosis, and treatment focus and approach is warranted (Boyer et al 2009;Briggs et al 2012). Findings from the Adverse Childhood Experiences (ACE) studies demonstrate a graded relationship between number of adverse childhood experiences and significant adult physical health and mental health problems (Anda et al 2006;Fellitti and Anda 2010).…”

mentioning

confidence: 99%

“…Recent research indicates that youth in residential treatment settings are best understood by a framework that accounts for the complexity of their traumatic exposure (Briggs et al 2012;Zelechoski et al 2013) and the consequent breadth of impact on functional and developmental domains (Cook et al 2003(Cook et al , 2005D'Andrea et al 2012). The expanding corpus of neuroscientific findings generated by Teicher and colleagues (for example, 1993Teicher and colleagues (for example, , 2002Teicher and colleagues (for example, , 2004 and DeBellis (1999aDeBellis ( , b, 2002 has established the manifold effects of severe or chronic trauma exposure on the developing brain and subsequent neuropsychological functioning (DeBellis et al 2009;Spann et al 2012).…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Body Can Change the Score: Empirical Support for Somatic Regulation in the Treatment of Traumatized Adolescents

Warner

Spinazzola

Westcott

et al. 2014

Journ Child Adol Trauma

View full text Add to dashboard Cite

mentioning

confidence: 56%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Body Can Change the Score: Empirical Support for Somatic Regulation in the Treatment of Traumatized Adolescents

Warner

Spinazzola

Westcott

et al. 2014

Journ Child Adol Trauma

View full text Add to dashboard Cite

“…The CDS includes information on demographics, family characteristics, service use, trauma exposure, functioning, and standardized assessments of emotional-behavioral problems. NCTSN procedures for gathering CDS data are described in detail elsewhere (Briggs et al, 2012;Layne et al, 2014).…”

Section: Methodsmentioning

confidence: 99%

Unseen wounds: The contribution of psychological maltreatment to child and adolescent mental health and risk outcomes.

Spinazzola

Hodgdon

Liang

et al. 2014

Psychological Trauma: Theory, Research, Practice, and Policy

Self Cite

205

125

View full text Add to dashboard Cite

For this study, we evaluated the independent and additive predictive effects of psychological maltreatment on an array of behavioral problems, symptoms, and disorders in a large national sample of clinic-referred children and adolescents drawn from the National Child Traumatic Stress Network Core Data Set (CDS; see Layne, Briggs-King, & Courtois, 2014). We analyzed a subsample of 5,616 youth with lifetime histories of 1 or more of 3 forms of maltreatment: psychological maltreatment (emotional abuse or emotional neglect), physical abuse, and sexual abuse. Measures included the University of California, Los Angeles Posttraumatic Stress Disorder–Reaction Index (Steinberg et al., 2004), Child Behavior Checklist (Achenbach & Rescorla, 2004), and 27 diagnostic and CDS-specific clinical severity indicators. Psychologically maltreated youth exhibited equivalent or greater baseline levels of behavioral problems, symptoms, and disorders compared with physically or sexually abused youth on most indicators. The co-occurrence of psychological maltreatment with physical or sexual abuse was linked to the exacerbation of most outcomes. We found that the clinical profiles of psychologically maltreated youth overlapped with, yet were distinct from, those of physically and/or sexually abused youth. Despite its high prevalence in the CDS, psychological maltreatment was rarely the focus of intervention for youth in this large national sample. We discuss implications for child mental health policy; educational outreach to providers, youth, and families; and the development or adaptation of evidence-based interventions that target the effects of this widespread, harmful, yet often overlooked form of maltreatment.

show abstract

“…For example, through analysis of one of the world's largest child trauma databases, our colleagues at National Center for Child Traumatic Stress (NCCTS) have demonstrated that youth in residential treatment settings constitute the most vulnerable subgroup of children and adolescents victimized by trauma, exhibiting the highest rates of trauma exposure, associated impairment, and need for extensive intervention (Briggs et al 2012). Just as often, however, out-of-home placement decisions are seemingly "the luck of the draw," predicated upon local resources and capacity, and in many instances ultimately decided by whoever happens to be next in line for an available bed.…”

mentioning

confidence: 99%

Editorial Introduction: Residential Services for Children and Adolescents Impacted by Family Violence and Trauma

Pond

Spinazzola

2013

J Fam Viol

View full text Add to dashboard Cite

There are times when our experiences as clinicians, practitioners, and managers align in a moment of enlightenment. This happened for one of us (Pond) several months ago at a meeting of foster parents who have been trained to provide intensive support to particularly vulnerable youth. In my welcoming remarks, I reflected upon some of the challenges associated with working with children whose lives have been impacted by multiple and chronic or recurrent interpersonal trauma, violence and neglect, experiences often referred to collectively as "complex trauma" (see Cook et al. 2005;Spinazzola et al. 2005;Spinazzola et al. 2013). I noted that residential programs see the same population of traumatized youth-often sharing cases and transition plans. We know from consistent federal data that in excess of 100,000 U.S. children and adolescents newly enter out-of-home placements each year (U.S. Department of Health and Human Services 2012).In some instances the determination of whether to place a maltreated child with a foster family versus within a congregate is based upon the acuity or severity of emotional and behavioral difficulties exhibited by these highly vulnerable youth. For example, through analysis of one of the world's largest child trauma databases, our colleagues at National Center for Child Traumatic Stress (NCCTS) have demonstrated that youth in residential treatment settings constitute the most vulnerable subgroup of children and adolescents victimized by trauma, exhibiting the highest rates of trauma exposure, associated impairment, and need for extensive intervention (Briggs et al. 2012). Just as often, however, out-of-home placement decisions are seemingly "the luck of the draw," predicated upon local resources and capacity, and in many instances ultimately decided by whoever happens to be next in line for an available bed.Later during this meeting we had a guest speaker, Hector, a man now in his mid-thirties, who spoke about his life as one of these children who spent years in out-of-home placements. His story is all too common, although his level of insight about the impact of his experiences was exceptional. Hector approached me after the event, and told me that when I spoke about the impact of repeated, familial trauma-physical abuse, witnessing domestic violence, and chronic disruption of placements-"You are talking about me. That's my story." Sadly, this disclosure was hardly surprising considering recent research by our NCCTS colleagues establishing that over 70 % of children in foster care have been exposed to complex trauma (see Greeson et al. 2011).Through his entire childhood, Hector witnessed severe domestic violence and suffered frequent physical abuse. The violence escalated; his mother began to beat him to the point that he feared for his life. Even though he had barely turned 13, Hector had the bravery to walk into a social services office and ask that he be put into a safe place. Hector thought this act would be his salvation-what he knew of foster families was from television, and he...

show abstract

Trauma Exposure, Psychosocial Functioning, and Treatment Needs of Youth in Residential Care: Preliminary Findings from the NCTSN Core Data Set

Cited by 164 publications

References 25 publications

The Body Can Change the Score: Empirical Support for Somatic Regulation in the Treatment of Traumatized Adolescents

The Body Can Change the Score: Empirical Support for Somatic Regulation in the Treatment of Traumatized Adolescents

Unseen wounds: The contribution of psychological maltreatment to child and adolescent mental health and risk outcomes.

Editorial Introduction: Residential Services for Children and Adolescents Impacted by Family Violence and Trauma

Contact Info

Product

Resources

About