Untangling the relationship between early adversity, placement breakdowns, and obesity in a secure adolescent developmental disorder service: A cross-sectional study

Webb, Elanor Lucy; Moffat, Abigail; Morris, Deborah; Satti, Faisal

doi:10.1016/j.dhjo.2021.101121

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…Such findings may suggest that the relationship between ACEs and offending behaviour may be mediated by the presence or complexity of a developmental diagnosis and additional sources of trauma. Specifically, a developmental disorder diagnosis may, in itself, represent an independent pathway to offending behaviour (Tiffin et al, 2007) and other factors, such as placement breakdowns within inpatient settings, have been found to contribute to outcomes in other domains for this population, irrespective of ACE exposure (Webb et al, 2021). Therefore, the relative contribution of developmental disorder needs on the pathway between ACEs and risk warrants exploration.…”

Section: The Invisibility Of Developmental Disordersmentioning

confidence: 99%

Trauma and institutional risk in a secure developmental disorder service: does the SAVRY inflate risk in adolescents exposed to ACEs?

Webb

Morris

Hamer

et al. 2021

JIDOB

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Purpose Adverse childhood experiences (ACEs) are highly prevalent in people with developmental disorders who engage in offending behaviour. Many violence-based risk assessment tools include items pertaining to ACEs, and may inflate risk scores in trauma-exposed groups. This paper aims to explore the relationships between ACEs, risk assessment scores, incidents of risk and restrictive practices, in adolescents with developmental disorders in a forensic inpatient setting. Design/methodology/approach Secondary analysis was conducted on clinical data for 34 adolescents detained to a developmental disorder service. Data were extracted for Structured Assessment of Violence Risk in Youth (SAVRY) risk scores and risk behaviours and restrictive practices, as measures of observed risk. Findings Participants exposed to more ACEs had higher SAVRY risk scores (p < 0.001, two-tailed), with elevations specifically on the historical subscale (p < 0.001, two-tailed). Neither ACEs nor risk scores were associated with the frequency of risk behaviours. Nevertheless, participants exposed to four or more ACEs were secluded more frequently (p = 0.015, two-tailed), indicating a potential association between trauma and risk severity. Those with more complex developmental disorders experienced fewer ACEs (p = 0.02, two-tailed) and engaged in self-harm behaviours less frequently (p = 0.04, two-tailed). Research limitations/implications The inclusion of ACEs in risk assessment tools may lead to the inadvertent stigmatization of trauma-exposed individuals. Further investigation is necessary to offer clarity on the impact of early adversity on risk assessment accuracy and levels of institutional risk, and the role of developmental disorders in this relationship. Originality/value To the best of the authors’ knowledge, this study is the first to explore the relative associations between ACEs, risk assessment scores and observed institutional risk and does so in a highly marginalized population.

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Section: The Invisibility Of Developmental Disordersmentioning

confidence: 99%

Trauma and institutional risk in a secure developmental disorder service: does the SAVRY inflate risk in adolescents exposed to ACEs?

Webb

Morris

Hamer

et al. 2021

JIDOB

Self Cite

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A differential pathway into secure care: Compulsory care orders as a marker of elevated adverse childhood experiences (ACEs) in adolescents with a developmental disorder

Webb¹,

David²,

Morris³

2021

bpscpf

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Post-COVID Syndrome: Impact, Investigation Strategies and New Treatment Methods for Students with Disabilities

Eliyas,

Rochyadi,

Aprilia

2023

PICSAR

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The COVID-19 pandemic has affected people with disabilities in a number of ways, including the development of post-COVID syndromes. Post-COVID syndrome is a condition that affects individuals who have recovered from COVID-19 but continue to experience a variety of symptoms, such as fatigue, shortness of breath and cognitive impairment. This article examines the impact of post-COVID syndrome on students with disabilities and reveals new investigations and treatment methods for post-COVID syndrome. This study uses the literature review method. This study found that post-COVID syndrome can significantly affect the academic performance and mental health of students with disabilities, requiring a multidisciplinary treatment approach. This article recommends implementing an individualized support plan, including accommodation, mental health services, and physical rehabilitation, to address the unique needs of each student with post-COVID syndrome. It also emphasizes the importance of further research to improve understanding of post-COVID syndromes in people with disabilities.

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Untangling the relationship between early adversity, placement breakdowns, and obesity in a secure adolescent developmental disorder service: A cross-sectional study

Cited by 3 publications

References 31 publications

Trauma and institutional risk in a secure developmental disorder service: does the SAVRY inflate risk in adolescents exposed to ACEs?

Trauma and institutional risk in a secure developmental disorder service: does the SAVRY inflate risk in adolescents exposed to ACEs?

A differential pathway into secure care: Compulsory care orders as a marker of elevated adverse childhood experiences (ACEs) in adolescents with a developmental disorder

Post-COVID Syndrome: Impact, Investigation Strategies and New Treatment Methods for Students with Disabilities

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