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Date: April 29, 2024 Mon
Time: 10:27 pm
Time: 10:27 pm
Results for childhood trauma
3 results foundAuthor: Cannon, Yael Title: Adverse Childhood Experiences in the New Mexico Juvenile Justice Population Summary: Study Highlights A retrospective study of adults conducted by the CDC & Kaiser Permanente examined the relationship between several forms of childhood trauma (adverse childhood experiences or ACEs) & related health outcomes. Individuals with 4+ ACEs (12% of sample) were more likely to report health conditions & shorter lifespans. The current study includes all 220 juvenile offenders committed for incarceration in New Mexico during 2011 & uses the results of comprehensive multi-disciplinary psychosocial assessments to examine juveniles' ACEs, psychological & family conditions, & exposure to other traumatic events. 86% of incarcerated New Mexico juveniles experienced 4+ ACEs, 7 times higher than the CDC-Kaiser study. New Mexico juveniles experienced ACEs at a higher rate than juvenile offender populations in other studies. Among incarcerated New Mexico juveniles, majorities experienced emotional (76%) or physical (94%) neglect, parental divorce/separation (86%), and substance abuse in the home (80%). Axis I diagnoses (99.5%), substance abuse disorders (96%), & depression (48%) were widespread among incarcerated New Mexico juveniles. Females had a higher incidence of ACEs. 23% of females experienced 9+ ACEs compared to 3% of males. Females had a statistically significant higher incidence of sexual abuse (63% vs. 21%) & physical abuse (70% vs. 49%) when compared to males. Efforts are needed to identify & prevent early childhood trauma in New Mexico. Intervention goals include preventing additional ACEs in young children who have experienced them & trauma screening when children enter the juvenile justice system. Additionally, evidence-based, trauma-informed, family-engaged mental health & substance-abuse treatments should be available throughout the juvenile justice system and to youth subsequent to discharge from detention and incarceration. Details: Albuquerque: New Mexico Sentencing Commission, 2016. 12p. Source: Internet Resource: Accessed September 29, 2016 at: http://nmsc.unm.edu/reports/2016/adverse-childhood-experiences-in-the-new-mexico-juvenile-justice-population.pdf Year: 2016 Country: United States URL: http://nmsc.unm.edu/reports/2016/adverse-childhood-experiences-in-the-new-mexico-juvenile-justice-population.pdf Shelf Number: 146131 Keywords: Child Abuse and NeglectChildhood TraumaJuvenile Justice SystemsJuvenile OffendersMental Health |
Author: Aho, Nikolas Title: Victimization, Prevalence, Health and Peritraumatic Reactions in Swedish Adolescents Summary: The aim of this thesis was to expand the knowledge of victimization in children and youth in Sweden. Victimization, prevalence, health and peritraumatic reactions were explored in a cross sectional, representative sample of 5,960 second grade high school students in Sweden. A computerized survey was developed and administered in class room setting. Lifetime victimization was found in 84.1% of the sample (m=83.0%, f=85.2%), and, in relation to the five domains, 66.4% had experienced conventional crime, 24% child maltreatment, 54.4% peer and sibling victimization, 21.8% sexual victimization, and 54% had experienced witness victimization. Females experienced significantly more child maltreatment, peer and sibling victimization, sexual victimization, and witnessed victimization, males more conventional crime (p<0.001). Using logistic regression risk factors for victimization were confirmed by a significant increase OR regarding gender, environment and lack of both parents. Symptoms (TSCC), were clearly associated with both victimizations per se and the number of victimizations. The results indicated a relatively linear increase in symptoms with an increase in number of events experienced. Mental health of the polyvictimized group was significantly worse than that of the non-polyvictimized group, with significantly elevated TSCC scores (t<0.001). Hierarchical regression analysis resulted in beta value reduction when polyvictimization was introduced supporting the independent effect on symptoms. Social anxiety was found in 10.2 % (n = 605) of the total group (n = 5,960). A significant gender difference emerged, with more females than males reporting social anxiety. Elevated PTSS was found in 14.8 % (n=883). Binary logistic regression revealed the highest OR for having had contact with child and adolescent psychiatry was found for the combined group with social anxiety and elevated PTSS (OR = 4.88, 95 % CI = 3.53 - 6.73, p<001). Significant associations were also found between use of child and adolescent psychiatry and female gender (OR = 2.05, 95 % CI = 1.70 - 2.45), Swedish birth origin (OR = 1.68, 95 % CI = 1.16-2.42) and living in a small municipality (OR = 1.33, 95 % CI = 1.02-1.73). Mediation models used peritraumatic reactions (PT): total, physiological arousal (PA), peritraumatic dissociation (PD), and intervention thoughts (IT) and JVQ and TSCC. Of the n=5,332 cases, a total of n=4,483 (84.1%) reported at least one victimizing event (m = 83.0%, f = 85.2%). Of these, 74.9% (n=3,360) also experienced a PT reaction of some kind. The effect mediated by PT tot was b= 0.479, BCa CI [0.342 - 0.640], representing a relatively small effect of 7.6%, 2=0.076, 95% BCa CI [0.054-0.101]. The mediating effect of JVQ on TSCC was mediated by PD more for males (b=0.394 BCa CI [0.170-0.636]) than for females (b=0.247, BCa CI [0.021-0.469]). The indirect effect of the JVQ on the TSCC total mediated by the different PT reactions was significant for PD (b=0.355, BCa CI [0.199-0.523]. In males a mediating effect of PD could be seen in the different models, while females had a more mixed result. IT did not show any indirect effect in males, but had a mixed effect for females. The empirical findings in this thesis lead to the conclusion that victimization is highly prevalent in children and youth and is related to health issues. The association of victimization on symptoms was mediated by peritraumatic reactions. Using a comprehensive instrument such as the JVQ provides the researcher or clinician the opportunity to acquire more complete measurement and also makes it possible to identify polyvictimization, a high-level category of events with severe impact on health. Details: Linköping, Sweden: Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry, Linköping University, 2016. 145p. Source: Internet Resource: Dissertation: Accessed January 30, 2017 at: https://liu.diva-portal.org/smash/get/diva2:1047437/FULLTEXT01.pdf Year: 2016 Country: Sweden URL: https://liu.diva-portal.org/smash/get/diva2:1047437/FULLTEXT01.pdf Shelf Number: 146036 Keywords: Childhood TraumaJuvenile VictimsPolyvictimizationRepeat VictimizationVictimizationVictims of Crime |
Author: Kezelman, Cathy Title: The Cost of Unresolved Childhood Trauma and Abuse in Adults in Australia Summary: Executive Summary Childhood trauma including abuse affects an estimated five million Australian adults. It is a substantial public health issue with significant individual and community health, welfare and economic repercussions. Unresolved childhood trauma has short-term and life-long impacts which substantially erode both national productivity and national well-being. It needs to be seen as a mainstream public health policy issue and responded to accordingly. Pegasus Economics estimates that if the impacts of child abuse (sexual, emotional and physical) on an estimated 3.7 million adults are adequately addressed through active timely and comprehensive intervention, the combined budget position of Federal, State and Territory Governments could be improved by a minimum of $6.8 billion annually. In the population of adult survivors of childhood trauma more broadly i.e. a figure of 5 million adults, this estimate rises to $9.1 billion. These figures represent a combined effect of higher Government expenditure and foregone tax revenue. If adult survivors of childhood trauma and abuse experienced the same life outcomes as nontraumatised adults, the collective budget deficits of Australian governments would be improved, at a minimum, by an amount roughly equivalent to the entire Government outlay on tertiary education. These estimates, based on a conservative set of assumptions, indicate extraordinary cost savings. On different, but still plausible assumptions, the annual budgetary cost of unresolved childhood trauma could be as high as $24 billion. While child abuse includes sexual, physical and emotional abuse, childhood trauma is a broader more comprehensive category. For each, the common element is the powerlessness of the child, due to age and dependency, to prevent or minimise it. Early life trauma and abuse affect the developing brain and have many possible impacts on daily adult life. These include the coping strategies children adopt to minimise overwhelm. Such strategies, highly creative and potentially effective in the short-term, may still be used in adult life. Perpetuated when the underlying trauma is not resolved, these coping strategies are associated with health risks in adulthood. Reducing costs of childhood trauma -- Addressing child sexual, emotional and physical abuse alone could lead to a potential minimum gain of $6.8 billion for the combined Federal, State and Territory Government budgets. The minimum gain from addressing the problem of childhood trauma more generally is $9.1 billion. Active timely and comprehensive intervention, with appropriate support, resources, services and treatment enables adult survivors to participate more fully and productively in the Australian community. Governments are currently exploring a range of revenue measures and expenditure cuts to restore the budget position. As Australia's population ages the long-term prognosis for the budget is for continuing strain; the main driver of deteriorating finances is forecast health expenditures. The Commonwealth Government's most recent inter-generational report (Swan, 2012) showed the major future stress on government expenditures to be in health outlays. As a percentage of GDP, health expenditure is forecast to rise from 3.9% in this current year to 7.1% in 2049-50 (an almost doubling in proportional expenditure). Progress in reducing the impact of childhood trauma and abuse in adults can make a positive contribution not only to the health budget challenges that lie ahead but also to those related to the welfare and criminal justice systems and the lower taxation revenue associated with the impact. Active timely comprehensive intervention will help address childhood trauma and abuse in adults Active investment in specialist services Specialist services are needed to spearhead policy and practice responses to adult childhood trauma and abuse survivors. Active investment to support a coordinated comprehensive model of care, including continued and increased access to effective help lines and online services, is needed. Timely active comprehensive intervention including appropriate support, counselling, resources and services promotes recovery. When survivors comprehensively overcome their trauma they and their children are freed to live productive, healthy and constructive lives. A key by-product of addressing the impacts of childhood trauma in adults is a financial benefit to Federal, State and Territory Government budgets. People affected by unresolved childhood trauma incur significant costs on taxpayers. This occurs through higher Government expenditure on health spending, welfare support and criminal justice costs, as well as via lower taxation revenue. More and better trained treating practitioners - counsellors/therapists Unfortunately our public health system has evolved in a way which means that adult mental health services focus on addressing immediate health issues (such as depression and alcoholism) rather than identifying and addressing underlying causes (such as prior childhood trauma and abuse). A convenient and failsafe pathway to treatment - No wrong door Frontline practitioners: General Practitioners and nurse practitioners will inevitably see people who have been impacted by childhood trauma including abuse, on a daily basis. These contacts provide an opportunity to facilitate a process whereby the person who presents can start receiving the right support, either directly or through targeted referral including specialist counselling, ideally from an accredited practitioner. Training is needed to enable primary care practitioners to identify trauma survivors and to respond appropriately. System, service and institutional improvements - Trauma-informed practice Benefits can also be achieved by raising awareness around the possibility of unresolved trauma in people who seek diverse services across health and human service systems, agencies, organisations and institutions. Adults who experience the ongoing impacts of unresolved childhood trauma will necessarily need to access various services. Broad-based implementation of trauma-informed practice and responses will help minimise the impact of trauma and the risk of re-traumatisation of people who have experienced childhood trauma including abuse. Details: Milson's Point, New South Wales, Australia: Blue Knot Foundation, 2015. 71p. Source: Internet Resource: Accessed January 16, 2019 at: https://www.blueknot.org.au/Portals/2/Economic%20Report/The%20cost%20of%20unresolved%20trauma_budget%20report%20fnl.pdf Year: 2015 Country: Australia URL: https://www.blueknot.org.au/Portals/2/Economic%20Report/The%20cost%20of%20unresolved%20trauma_budget%20report%20fnl.pdf Shelf Number: 154214 Keywords: AbuseAdult SurvivorsChild AbuseChildhood TraumaCounsellingEmotional AbusePhysical AbusePublic HealthSexual AbuseSurvivorsTraumaVictim AssistanceVictim Services |