Adverse childhood experiences among youth reported to child welfare: Results from the national survey of child & adolescent wellbeing

Antonio R. Garcia, Meera Gupta, Johanna K.P. Greeson, Allison Thompson, Christina DeNard

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

The negative influence of adverse childhood experiences (ACEs) on social, emotional, and behavioral (SEB) outcomes are well documented. However, no research to date has examined the effect of ACEs on SEB outcomes in youth who received mental health services after reporting to the child welfare system. This study's analyses of data from the National Survey of Child and Adolescent Well-Being II revealed that the most prevalent ACEs included hospitalization for a medical condition, neglect, and exposures to domestic and community violence. Logistic regression of this data showed that the odds of being diagnosed with internalizing problems increased with age and when sexual abuse was reported. The results also showed that compared to Caucasian youth, Latinos were less likely to be diagnosed with externalizing behaviors, even when sexual abuse had been reported. Contrary to one of this study's hypotheses, mental health service use within the past 18 months increased the odds of being diagnosed with SEB problems. These findings highlight the persistence of SEB problems despite receipt of mental health services. Future research should assess the impact of interventions that aim to mitigate poor SEB outcomes due to ACEs, especially sexual abuse.

Original languageEnglish
Pages (from-to)292-302
Number of pages11
JournalChild Abuse and Neglect
Volume70
DOIs
StatePublished - Aug 2017

Bibliographical note

Publisher Copyright:
© 2017 Elsevier Ltd

Keywords

  • Adverse childhood experience
  • Child abuse
  • Mental health
  • Mental health service use
  • Racial disparity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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