Treating Mental Health Disorders for Children in Child Welfare Care: Evaluating the Outcome Literature

Stewart, Shannon L.; Leschied, Alan W.; Dunnen, Wendy den; Zalmanowitz, Sharla J.; Baiden, Philip

doi:10.1007/s10566-012-9192-8

Cited by 16 publications

(7 citation statements)

References 54 publications

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“…NSSI appears to be related to factors surrounding the abuse such as the age of the child at the time of the abuse, the severity and chronicity of the abuse, the child's connection to the perpetrator, as well as whether the child received validation at the time of the disclosure (Gladstone, Parker, Mitchell et al, 2004;Lange, De Beurs, Dolan et al, 1999;Wind & Silvern, 1994). Issues related to the violation of trust as well as the lack of validation after the disclosure have been previously reported to have a significant impact on future healing (Gladstone, Parker, Mitchell et al, 2004;Stewart, Leschied, den Dunnen et al, 2013). Tailored interventions to address unresolved trauma while combating selfdefeating coping styles are needed to address issues of self worth and selfdefinition that may, in turn, prevent future self-damaging behaviors as well as re-victimization (Gladstone, Parker, Mitchell et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Stewart

Baiden

Theall

2014

Archives of Suicide Research

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The objectives of this study were to examine the prevalence of non-suicidal self-injury (NSSI) among adolescents with mental health needs and specific factors associated with NSSI among adolescents aged 14 to 18 years who received mental health services in adult mental health facilities in Ontario, Canada. Data on 2,013 adolescents were obtained from the Ontario Mental Health Reporting System using the Resident Assessment Instrument-Mental Health (RAI-MH) and were analyzed using logistic regression. Approximately, 20.2% (407 adolescents) of the sample engaged in NSSI within the last 12 months. Results from multivariate logistic regression indicate that females were 2.19 times more likely to engage in NSSI than males. Intentional misuse of prescription medication emerged as the most important factor associated with NSSI. Other factors found to be associated with NSSI included multiple psychiatric admissions, sexual abuse, use of alcohol, mood disorders (e.g., depression), adjustment disorders, personality disorders and symptoms of depression. The article discusses the implications of the findings, with suggestions for future research.

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Section: Discussionmentioning

confidence: 99%

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Stewart

Baiden

Theall

2014

Archives of Suicide Research

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“…Calculation of effect sizes. Following previous procedures (S. Stewart, Leschied, den Dunnen, Zalmanowitz, & Baiden, 2013;Van Adel, Geier, Perry, & Reitzel, 2011), calculation of effect sizes for the GRADE analysis was based on means and standard deviations, proportions benefiting from an intervention, or values of chi-square analyses, t tests, or F tests. The Effect Size Generator was utilized for studies that used t tests, F tests, or regression (Devilly, 2004).…”

Section: Methodsmentioning

confidence: 99%

Supporting Students: A GRADE Analysis of the Research on Student Wellness and Classroom Mental Health Support

Rodger

Bourdage

Hancock

et al. 2016

Canadian Journal of School Psychology

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Recommendations derived from research evidence regarding program implementation in school-based mental health [SBMH] require knowledge of the intervention outcomes as well as the potential to translate program components into schools. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) analysis was applied to major areas of the SBMH literature in addressing the areas of effectiveness and the strength of recommendation in implementation. Nine areas were addressed: emotional intelligence, stigma reduction, mindfulness, anxiety, depression, addictions, suicide prevention, trauma, and eating disorders. Ninetyeight studies were retrieved across the nine areas. Effect sizes based on reported outcomes and estimates on the strength of recommendation were generated in each of the nine areas of interest. These results provide an overview of the quality of the evidence that will be of relevance to school personal in making program selections.

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“…Muratori et al (2016) stressed the importance of positive parenting with this population (see also Scheeringa, Myers, Putnam, & Zeanah, 2015). One factor that may account for the inconsistent positive outcomes with the RAD/DSED population may be at least in part explained by the deficit of trauma-informed practices incorporated into treatment, including PMT (Stewart, Leschied, den Dunnen, Zalmanowitz, & Baiden, 2013, p. 132). Luxenberg, Spinazzola, Hidalgo, Hunt, and van der Kolk (2001) likewise detailed that the first phase in any treatment for traumatic stress should focus on psychoeducation for both the child and his or her family members to address the areas of affect dysregulation, dissociation, and disturbances in self-perception.…”

Section: Therapeutic Protocols For Early Childhood Traumamentioning

confidence: 99%

Obscure Dichotomy of Early Childhood Trauma in PTSD Versus Attachment Disorders

Owen

2017

Trauma, Violence, & Abuse

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There are two competing schools of thoughts involving children who have experienced early childhood trauma. One posture's nosology focuses on the post-traumatic stress responses; the other focuses on the deviant behaviors that ensue from pathogenic care in early childhood. This author sought to review the literature from a holistic perspective, embracing both diagnostic positions. Seventy-three articles addressing childhood trauma and the ensuing emotional or behavioral disturbances were evaluated, mostly empirical-including 16 that specified posttraumatic stress disorder (PTSD), 21 that specified attachment disorders, and 37 that included potential overlaps between both trauma derivatives. An additional 138 studies were reviewed but not included herein because those focused on broader issues. Statistical data, financial and emotional impacts, and the effects of disrupted attachments were addressed-including both children with secure attachments and those with compromised attachments. The critical effect of both positive and negative parental responses was evaluated, as well as correlations or overlaps in the diagnostic criteria and symptom manifestations of the children and any apparent gaps in the current research. The literature details that the prognosis and course of treatment vary significantly between the two etiologies-apparently at least in part due to possible clinician bias in conceptualizations of the two populations. There are clear overlaps in the diagnostic criteria that strongly suggest comorbidity between the disorders, however, which is especially critical to analyze in the future, since there are solid, empirical, evidence-based treatment protocols for PTSD, but not for attachment disorders resulting from pathogenic caregiver maltreatment.

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Treating Mental Health Disorders for Children in Child Welfare Care: Evaluating the Outcome Literature

Cited by 16 publications

References 54 publications

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Supporting Students: A GRADE Analysis of the Research on Student Wellness and Classroom Mental Health Support

Obscure Dichotomy of Early Childhood Trauma in PTSD Versus Attachment Disorders

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