Extensive research has documented associations between childhood abuse and neglect and adolescent mental health. This exploratory study adds the examination of differences in types of adverse childhood experiences (ACEs), including abuse, neglect, and household dysfunction, with a little studied population, those in therapeutic residential care. Also documented were the differences between types of treatment categories per the Youth Comprehensive Risk Assessment (YCRA) and adverse experiences, as well as the adolescent strengths of empowerment and social competence related to adverse childhood experiences in therapeutic residential care.
Data was generated from 139 youth in two adolescent therapeutic residential care centers. The most commonly reported adverse experiences were emotional abuse (79.9%) and physical neglect (76.3%). Those with lower empowerment and social competence had significantly higher ACEs in the areas of abuse, neglect, and total ACEs. Youth categorized as high risk to others but not to self, had significantly fewer adverse childhood experiences than others. Study findings support broadening the current discourse on types of adverse events and challenges when considering pathways toward strength building and treatment type, especially related to social competence.
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Affronti, M. L., & Levison-Johnson, J. (2009). The future of family engagement in residential care settings. Residential Treatment for Children & Youth, 26(4), 257–304. https://doi.org/10.1080/08865710903382571.
Anda, R. F., Butchart, A., Felitti, V. J., & Brown, D. W. (2010). Building a framework for global surveillance of the public health implications of adverse childhood experiences. American Journal of Preventive Medicine, 39(1), 93–98. https://doi.org/10.1016/j.amepre.2010.03.015.
Association of Children’s Residential Centers (ACRC). (2014). Trauma-informed care in residential treatment. Residential Treatment for Children & Youth, 31, 97–104. https://doi.org/10.1080/0886571X.2014.918429.
Baglivio, M. T., Epps, N., Swartz, K., Huq, M. S., Sheer, A., & Hardt, N. S. (2014). The prevalence of adverse childhood experiences (ACE) in the lives of juvenile offenders. Journal of Juvenile Justice, 3(2) https://unr.idm.oclc.org/login?url=https://www.proquest.com/docview/1681541057?accountid=452.
Balistreri, K. S., & Alvira-Hammond, M. (2016). Adverse childhood experiences, family functioning and adolescent health and emotional well-being. Public Health, 132, 72–78. https://doi.org/10.1016/j.puhe.2015.10.034.
Bellis, M. A., Lowey, H., Leckenby, N., Hughes, K., & Harrison, D. (2014). Adverse childhood experiences: retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population. Journal of Public Health, 36 (1), 81–91. https://doi.org/10.1093/pubmed/fdt038.
Briggs, E. C., Greeson, J. K., Layne, C. M., Fairbank, J. A., Knoverek, A. M., & Pynoos, R. S. (2012). Trauma exposure, psychosocial functioning, and treatment needs of youth in residential care: preliminary findings from the NCTSN Core Data Set. Journal of Child & Adolescent Trauma, 5(1), 1–15. https://doi.org/10.1080/19361521.2012.646413.
Brown, J. D., Barrett, K., Ireys, H. T., Allen, K., Pires, S. A., & Blau, G. (2010). Family-driven youth-guided practices in residential treatment: findings from a national survey of residential treatment facilities. Residential Treatment for Children & Youth, 27(3), 149–159. https://doi.org/10.1080/0886571X.2010.500137.
Cohen, J. (1988). Statistical power analysis for behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Coll, K. M. (2017). Youth comprehensive risk assessment: a clinically tested approach for helping professionals. Taylor & Francis.
Coll, K. M., Stewart, R. A., Juhnke, G. A., Thobro, P., & Haas, R. (2009). Distinguishing between higher and lower risk youth offenders: applications for practice. Journal of Addictions & Offender Counseling, 29(2), 68–80.
Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the adverse childhood experiences study. Jama, 286(24), 3089–3096. https://doi.org/10.1001/jama.286.24.3089.
Duke, N. N., Pettingell, S. L., McMorris, B. J., & Borowsky, I. W. (2010). Adolescent violence perpetration: associations with multiple types of adverse childhood experiences. Pediatrics, 125(4), e778–e786. https://doi.org/10.1542/peds.2009-0597.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8.
Huang, Y., Duffee, D. E., Steinke, C., & Larkin, H. (2011). Youth engagement and service dosage in a mandated setting: a study of residential treatment centers. Children and Youth Services Review, 33(9), 1515–1526. https://doi.org/10.1016/j.childyouth.2011.03.015.
Kazdin, A. E. (1993). Adolescent mental health: prevention and treatment programs. American Psychologist, 48(2), 127–141. https://doi.org/10.1037/0003-066X.48.2.127.
Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: helping people change. Guilford press.
Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L. L., Redding, C. A., Rosenbloom, D., & Rossi, S. R. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13(1), 39–46. https://doi.org/10.1037/0278-6184.108.40.206.
Quinn, M. M., Rutherford, R. B., Leone, P. E., Osher, D. M., & Poirier, J. M. (2005). Students with disabilities in detention and correctional settings. Exceptional Children, 71(3), 339–345.
Quisenberry, C. M., & Foltz, R. (2013). Resilient youth in residential care. Residential Treatment for Children & Youth, 30(4), 280–293. https://doi.org/10.1080/0886571X.2013.852448.
Search Institute (2019). https://www.search-institute.org
Sesma Jr, A., Mannes, M., & Scales, P. C. (2013). Positive adaptation, resilience and the developmental assets framework. In Handbook of Resilience in Children (pp. 427-442). Springer US. https://doi.org/10.1007/978-1-4614-3661-4_25
Tamman, A. J., Wendt, F. R., Pathak, G. A., Krystal, J. H., Montalvo-Ortiz, J. L., Southwick, S. M., et al. (2020). Attachment style moderates polygenic risk for posttraumatic stress in United States military veterans: results from the National Health and Resilience in Veterans Study. Biological Psychiatry.
Walter, U. M., & Petr, C. G. (2008). Family-centered residential treatment: Knowledge, research, and values converge. Residential Treatment for Children & Youth, 25(1), 1–16.
Williams, N. R., Lindsey, E. W., Kurtz, P. D., & Jarvis, S. (2001). From trauma to resiliency: lessons from former runaway and homeless youth. Journal of Youth Studies, 4(2), 233–253. https://doi.org/10.1080/13676260123589.
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Coll, K.M., Day, A., Stewart, R.A. et al. An Exploration of Adverse Childhood Experiences, Treatment Types, and Strengths in Adolescent Therapeutic Residential Care. Int. Journal on Child Malt. (2021). https://doi.org/10.1007/s42448-021-00067-9
- Child abuse