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This investigation evaluated trauma-focused cognitive behavioral therapy (T-F CBT) with detained male adolescents with serious offending behaviors. One hundred and seventeen youth with trauma symptoms participated in an average of twelve T-F CBT individual sessions. Trauma symptoms were assessed prior to and following treatment using the Trauma Symptom Checklist for Children (TSCC) and a paired sample t-test was used to analyze changes from pre- to posttest. Trauma symptoms in five of the six scales (i.e., anger, depression, anxiety, posttraumatic stress, dissociation) were significantly reduced following treatment. T-F CBT may be effective in reducing general trauma symptoms among detained adolescents; assessing and treating trauma symptoms are recommended as standard protocol in the juvenile justice system; and T-F CBT may be effective without caregiver participation.

Training in trauma-informed early intervention programs is greatly needed for Part C early intervention providers (EIs). This study evaluated the feasibility, acceptability, and initial outcomes of Trauma-Informed Behavioral Parenting (TIBP; subsequently renamed Smart Start), an early intervention program designed to meet the social–emotional needs of toddlers enrolled in Part C services. This pilot study consisted of training and supervising 5 EIs to implement TIBP with 8 parent–child dyads as part of their Part C services. Preliminary changes in child behavior problems, trauma exposures, parenting stress, and parenting skills were evaluated quantitively. EIs completed treatment integrity measures. Focus groups provided data regarding the feasibility of implementation and caregiver attitudes about TIBP. Significant reductions in child trauma symptoms on both the YCPC-PTSD (S = 11.5, p = 0.0586, rMPRB = 0.64) and YCPC-FI (S = 11.5, p = 0.0586, rMPRB = 0.53) were indicated. No significant changes in externalizing behaviors were observed. Caregivers demonstrated improved use of positive verbal reinforcement and verbal reflections, and reported improvements on parent–child dysfunctional interactions on the PSI-SF (S = 16, p = 0.0117, rMPRB = 0.89). All focus group participants reported benefits from participating in TIBP. EIs demonstrated high adherence to treatment protocol and identified TIBP as a feasible program to implement within Part C services. This study showed promising results as a means to disseminate evidence-based practices into a community-level program to address the social–emotional needs of toddlers. The need for additional, large sample research was highlighted.

Poor maternal mental health, including depression and high stress levels, can negatively impact many domains of child development, particularly among low-income, ethnic minority families experiencing multiple stressors. Low-income minority mothers, particularly Hispanic mothers, are also at increased risk of experiencing exposure to community violence and other types of trauma. However, studies exploring the additional impact of maternal trauma symptoms on children’s functioning are rare. This study aims to address this gap by examining the impact of maternal trauma symptoms on young children’s functioning in a low-income, predominantly Hispanic sample through the mechanisms of maternal depressive symptoms, and mother’s experiences of parenting stress and strain. The sample consisted of 158 biological mothers (58% Hispanic, 13% African American, 5.7% White American) who were participating in community-based mental health treatment for their children (MAGE = 3.7, SD = 1.2). Mothers completed questionnaires providing information on their children’s behaviors and their own mental health and stress levels at intake. Path analysis indicated that there was a significant indirect effect of maternal trauma symptoms on children’s behavior problems through maternal depressive symptoms and maternal stress in the parent-child relationship (β = 0.09, p

There have been large, recent increases in the number of children and families migrating from Central America to the U.S. to escape regional cartel and gang violence. The rate of trauma exposure in recently immigrated youth from Central America is therefore alarmingly high and current trauma symptom measures have not been evaluated for use in this population. The broad goal of this study was to report on the psychometric properties of one such measure in two studies of recently immigrated youth. Data collected included self-report of recent immigrants from Central America attending public high school in the Southwestern U.S. and caregiver-report from a sample of Central American immigrants who arrived in the U.S. within the last 24 hours and reported on trauma symptoms in their children. Aims included providing descriptive data and examining inter-item correlations and factor structure. Results indicated trauma symptoms far exceeding published cutoff levels as well as adequate internal consistency and inter-item correlations. Findings of the current studies suggest a pressing need for the assessment of trauma symptoms among recently immigrated youth from Central America, in which the rates of exposure and symptoms were striking.

Child maltreatment can lead to a unique set of trauma stress among young children that can be challenging to measure. The purpose of this review was to review measures of maltreatment-related trauma outcomes (trauma-related symptoms and post-traumatic stress disorders) in very young children (ages 0–6) and to examine research trends in how and if child development is accounted for in this area of measurement. A systematic search strategy was used to identify articles in two databases, CINAHL and PsychInfo. Articles were eligible for inclusion in the review if they measured trauma symptoms in children ages 0–6, were quantitative research reports of studies conducted in North America, and were published in English. The search resulted in 74 articles meeting prespecified inclusion criteria. Results suggested that recognition of the ways maltreatment trauma affects child development and the importance of developmental sensitivity in assessing trauma symptoms has grown in recent years. However, many research studies did not use developmental frameworks and applied adult-oriented trauma symptom frameworks in measurement and treatment. Behavioral symptoms were the primary outcome of interest for this age group. There was also incongruity and lack of consensus about diagnostic tools for post-traumatic stress disorders in young children. Further research is needed to resolve theoretical and empirical controversies related to measurement and diagnosis of trauma symptomatology in young children.

Victimization has been associated with increased depression, anxiety, anger, and delinquency; yet, research on adolescent victimization has largely relied on variable-centered approaches to examine associations with singular outcomes. With secondary data from the Developmental Victimization Survey, we utilized latent profile analysis to identify subgroups of youth, ages 12–17, based on clusters of internalizing and externalizing behaviors. We also examined how the behavioral outcome clusters were associated with different forms of victimization. Four behavioral subscales were included within the latent profile analysis and a four-class model had the best fit. Youth in Class 3 (high depression, anxiety, anger, and delinquency) were significantly more likely to have experienced peer/sibling victimization and to have experienced indirect victimization than youth in Class 2 (high depression, anxiety, and anger). The study findings indicate that certain types of victimization have greater consequences on mental health and that the unique clustering of symptoms is at least partially accounted for by the types of victimization experienced.

Parental incarceration is often an adverse childhood experience that has been characterized as an enduring trauma that involves ongoing and repeated stressors. In this study we focus on the role of parental incarceration in predicting child trauma symptomology as well as key mediating family processes such as visitation and children’s caregiving arrangement. We utilize a comparison group design of single caregiver and child dyads (N = 45) among similarly disadvantaged single caregiver families to first determine mean differences in child trauma symptomology. Findings revealed that both child and caregiver reports of child trauma symptomology were significantly higher in single caregiver families impacted by parental incarceration and these levels were in the clinical range (parent reports) or approached the clinical range (child reports). We then tested a mediational model examining family processes linked to child trauma symptomology. Parental incarceration was associated with more serious visitation problems (than other contexts of visitation to a nonresident parent) and children being raised by someone other than a biological parent. Parental incarceration also significantly predicted parent and child reports of child trauma symptoms. The effect of parental incarceration on parent reports of child trauma symptomology was fully mediated by the quality of children’s visitation suggesting the importance of developing interventions aimed at alleviating child distress during visits in correctional settings.