Exposure to Adverse Childhood Experiences (ACEs) can increase the risk of physical, mental, behavioral, and educational difficulties across the lifespan. ACEs research to date has largely had an individualistic approach, considering experience impacting one person within their own family. In order to be more relevant across societies and cultures around the globe, there is a need to build on current ACEs research by also considering broader aspects of the social ecology including individual, societal, and cultural factors. This commentary discusses the limitations of the current ACEs research and the need to also consider social and methodological aspects of adversity. The importance of considering protective factors is also discussed.
Kafui Sawyer, Samantha Kempe, Matthew Carwana et al.
The current study used quantitative and qualitative responses from 250 forensic interviewers (FIs) in the United States to examine predictors of burnout and personal coping mechanisms. Findings indicated that burnout was primarily driven by work-related factors including frequently feeling overwhelmed with job-related duties, inadequate organizational support, and direct exposure to graphic materials involving children. Moreover, having a higher degree of compassion satisfaction and being non-White significantly mitigated symptoms of burnout. Qualitative findings indicated that FIs regularly experienced varied and personalized feelings of burnout and utilized a variety of coping methods to combat their stressors. FIs in this study also made individual suggestions regarding how their respective agencies can assist in the coping process. Policy implications are discussed.
Ashley K. Fansher, Sara B. Zedaker, Patrick Q. Brady
This study tested whether a child sexual abuse (CSA) prevention program, Smart Parents–Safe and Healthy Kids (SPSHK), could be implemented as an additional module in evidence-based parent training and whether the added module might detract from the efficacy of the original program. In a cluster randomized trial, six community-based organizations were randomized to deliver Parents as Teachers (PAT) with SPSHK (PAT+SPSHK) or PAT as usual (PAT-AU). CSA-related awareness and protective behaviors, as well as general parenting behaviors taught by PAT were assessed at baseline, post-PAT, post-SPSHK, and 1-month follow-up. Multilevel analyses revealed significant group by time interactions for both awareness and behaviors ( ps < .0001), indicating the PAT+SPSHK group had significantly greater awareness of CSA and used protective behaviors more often (which were maintained at follow-up) compared to the PAT-AU group. No differences were observed in general parenting behaviors taught by PAT suggesting adding SPHSK did not interfere with PAT efficacy as originally designed. Results indicate adding SPHSK to existing parent training can significantly enhance parents’ awareness of and readiness to engage in protective behavioral strategies. Implementing SPHSK as a selective prevention strategy with at-risk parents receiving parent training through child welfare infrastructures is discussed.
Kate Guastaferro, John Michael Felt, Sarah A. Font et al.
Background The juvenile justice system was established with the intent of rehabilitation (Fagan & Zimring, 2000). However, despite these intentions, the reality of juvenile incarceration is that it often fails in this rehabilitative process, with numerous studies highlighting the adverse outcomes associated with confinement (Lambie & Randell, 2013; Gatti et al., 2009). Objective The aim of this systematic review was to consolidate current knowledge and provide a comprehensive understanding of how juvenile incarceration affects various domains of life including mental and physical health, adaptive functioning, educational attainment, employment, and recidivism. Participants Many of the studies reviewed used samples from larger longitudinal projects (1970s-2000s) and were later filtered to focus on individuals incarcerated during adolescence. Additionally, some studies included a broader range of participants with any justice system contact, such as arrests, serving as a useful comparison group to those incarcerated. Method The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were followed to conduct our review (PRISMA; Moher et al., 2009). A modified checklist was used to outline the inclusion and exclusion criteria for individual studies. Results Two electronic databases were searched, including PsycINFO and PubMed/MEDLINE. Thirty-four full-text articles were reviewed for quality, and sixteen were excluded due to either the (a) sample population, (b) lack of statistical outcomes, or (c) omission of the association between juvenile incarceration and outcomes. Guided by methodological quality criteria, eighteen studies were included in the review. Conclusions Juvenile incarceration and subsequent interactions that occur within correctional settings, create a cascading effect that shape long-term trajectories often marked by diminished opportunities for positive development and an increase in adverse outcomes. The findings of this review underscore the systemic challenges and shortcomings within the juvenile justice system.
Recent federal laws and state policies reflect the government’s investment in improving education and employment outcomes for youth with foster care histories. However, little research has assessed the roles of these programs using national data. Drawing on data from the National Youth in Transitions Database (NYTD) ( n = 7797), this study examines the roles that state-level policies and programs, youth-level participation in programs and services, and youth characteristics play in youths’ connection to employment and education (“connectedness”) at age 21. Results from multilevel regression analyses find that foster youth in states with widely available tuition waiver programs increases the odds of connectedness to school. The amount of time youth spend in extended foster care, as well as receipt of postsecondary education aid and services, also increases connectedness. Study findings underscore the importance of material and relational supports in supporting foster youths’ connection to employment and education in early adulthood.
This study examines the concordance of abuse self-reported by adolescents at 18 years and child protective service (CPS) determinations and how abuse characteristics predict concordance. It includes 819 youths participating in 18-year interviews of the Longitudinal Study of Child Abuse and Neglect (LONGSCAN). Cross-tabulations revealed low correspondence between self-reports and CPS determinations of physical, sexual, and emotional abuse. Logistic regression identified that among youths with CPS physical abuse determinations, White race, chronicity, and co-occurring neglect were positively associated with corresponding self-reports. Co-occurring CPS-determined emotional abuse was more concordant with self-reports. More frequent self-reported physical abuse was associated with corresponding CPS determinations. Self-reports of childhood emotional abuse and perpetration by nonparental family/other household members were positively associated with corresponding CPS determinations. CPS determination concordance also varied significantly by LONGSCAN site. Results demonstrate differences in abuse characteristics captured by CPS data and youth self-report, which may impact research findings on abuse correlates.
Home visitation (HV) interventions may hold promise to improve parenting and prevent child maltreatment recidivism in families reported to child protective services (CPS) with young children, but this has rarely been studied. Findings are presented from an 18-month randomized controlled trial in which intact families ( N = 122) with at least one CPS report were provided with a facilitated connection to a paraprofessional evidence-based HV program or usual care services from child protection. Results are reported for changes in maternal stress, depression, and social support outcomes and repeat reports to CPS. No significant changes were found in maternal outcomes by group. Among nondepressed mothers or families without multiple CPS reports prior to study enrollment, HV was associated with a significantly lower likelihood of CPS report recidivism. These results indicate potential for HV to prevent maltreatment recidivism but suggest that higher intensity intervention is warranted for mothers exhibiting significant depressive symptoms or families with extensive CPS histories.
Melissa Jonson‐Reid, Brett Drake, John Nicholas Constantino et al.
The high co-occurrence of intimate partner violence (IPV) and physical child abuse suggests that studying these forms of aggression simultaneously, bidirectionally, and longitudinally is critical. Guided by family systems theory, this study examined parent-child aggression (PCA) risk, IPV victimization, and child behavior problems as reported by mothers and fathers when their child was 18 months and at 4 years old, to evaluate whether negative processes can transmit across family subsystems (i.e., spillover hypothesis) and/or across individuals (i.e., crossover hypothesis). Results indicated that mothers' PCA risk predicted their subsequent IPV victimization and their reported child behavior problems (i.e., spillover effects) as well as fathers' reported IPV victimization (i.e., crossover effect). Maternal reports of child behavior problems also predicted mothers' reported IPV victimization and fathers' reported child behavior problems, indicating child-driven effects. Overall, mothers rather than fathers appear more vulnerable to harmful spillover effects. Findings underscore the need for early prevention and intervention given the complex, transactional nature of family violence.
Parasympathetic processes appear to underlie maladaptive parent-child interactions in maltreating families, but it is unknown whether parent-child coregulation of respiratory sinus arrhythmia (RSA) differs by child maltreatment severity and subtype. RSA coregulation in maltreating and nonmaltreating mother-child dyads ( N = 146; age 3-5 years) during two dyadic tasks was analyzed using dynamic time series modeling. Nonmaltreating dyads showed positive RSA concordance but maltreating dyads (when examined as one group) did not. However, when examined separately by subtype, physically abusive dyads showed positive concordance and neglectful dyads no concordance, in dyadic RSA. Patterns were further modified by maltreatment severity, which predicted discordant RSA (one partner's RSA predicting decreases in the other's) in both groups. Specifically, higher physical abuse severity predicted lower resting child RSA, declining mother RSA over time, and mother RSA predicting declines in child RSA over time, suggesting a mother-driven dyadic stress response. Higher neglect severity predicted increasing child RSA over time and child RSA predicting declines in mother RSA over time, suggesting a child-driven maternal stress response. These findings show there are distinct patterns of RSA coregulation in nonmaltreating, physically abusive, and neglectful mother-child dyads, which may inform etiology and intervention with respect to stress regulation in maltreating families.
Erika S. Lunkenheimer, Alex Busuito, Kayla M. Brown et al.
Trauma-informed care (TIC) initiatives in state child welfare agencies are receiving more attention, but little empirical evidence exists as to their efficacy. The purpose of this study was to assess changes in self-reported practices and perceptions of child welfare staff involved in a multifaceted, statewide TIC intervention. Ten child welfare offices were matched and randomized to an early or delayed cohort. Staff were surveyed at Time 1 prior to any intervention, Time 2 postintervention for Cohort 1, and Time 3 postintervention for Cohort 2. The survey covered six domains: trauma screening, case planning, mental health and family involvement, progress monitoring, collaboration, and perceptions of the state's overall system performance. Linear mixed modeling assessed the effect of the intervention. Cohort by time interaction was significant for three intervention targets. We demonstrate, using a rigorous study design, the mixed results of a multimodal intervention to improve trauma-informed attitudes, practices, and system performance. TIC initiatives must account for complex, dynamic contextual factors.
Mary Kay Jankowski, Karen E. Schifferdecker, Rebecca L. Butcher et al.
