Abstract
Millions of adolescents are currently living with the effects of abuse and neglect. This leaves them vulnerable to significant health, emotional, and behavioral impacts. Systems have arisen around this need, but they have often pathologized or blamed youth, retraumatized victims, and failed to consider the impact of maltreatment on the whole person. The tide is turning. Systems and those who function within them have a growing understanding of trauma and its effects on the whole person, as well as the importance of empowering adolescents in their own healing and avoiding retraumatization. This chapter explores adolescent maltreatment and the ways it impacts those who have been targeted. It describes encouraging developments that are springing from an enhanced understanding of trauma-informed practice, resilience, and hope. It examines implications for policy and practice and presents a framework for integrating mental health and healthcare responses to better support adolescents who have experienced maltreatment as they continue their journey toward healing.
This chapter was initially published with an incorrect copyright holder name. It has been corrected to © Springer Nature Switzerland AG.
References
American Academy of Child and Adolescent Psychiatry. (2015). American Academy of Child and Adolescent Psychiatry: Recommendations about the use of psychotropic medications for children and adolescents involved in child-serving systems. Available from https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/systems_of_care/AACAP_Psychotropic_Medication_Recommendations_2015_FINAL.pdf
American Academy of Orthopaedic Surgeons. (2007). Child abuse or maltreatment, elder maltreatment, and intimate partner violence (IPV): The orthopaedic surgeon’s responsibilities in domestic and family violence (Issue brief). Retrieved July 18, 2019 from https://www.aaos.org/
Balogh, R., Mcmorris, C., Lunsky, Y., Ouellette-Kuntz, H., Bourne, L., Colantonio, A., & Gonçalves-Bradley, D. (2016). Organizing healthcare services for persons with an intellectual disability. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd007492.pub2.
Barile, J., Edwards, V., Dhingra, S., & Thompson, W. (2015). Associations among county-level social determinants of health, child maltreatment, and emotional support on health-related quality of life in adulthood. Psychology of Violence, 5(2), 183–191. https://doi.org/10.1037/a0038202.
BHM Healthcare Solutions. (2019). The big five healthcare accreditation organizations – Side by side comparison. Retrieved August 2, 2019 from http://bhmpc.com/calltoaction/accreditation-comparison-cta/Accreditation-Comparison-Tool.pdf
Block, R., & Palusci, V. (2006). Child abuse pediatrics: A new pediatric subspecialty. The Journal of Pediatrics, 148(6), 711–712. https://doi.org/10.1016/j.jpeds.2006.01.033.
Caringi, J., Lawson, H., & Devlin, M. (2012). Planning for emotional labor and secondary traumatic stress in child welfare organizations. Journal of Family Strength, 12(1). Available at https://www.digitalcommons.library.tmc.edu/jfs/vol12/iss1/11.
Center of Excellence for Integrated Health Solutions. (2018). About CIHS. Retrieved from https://www.integration.samhsa.gov/.
Cocker, F., & Joss, N. (2017). Compassion fatigue among healthcare, emergency and community service workers: A systematic review. PsycEXTRA Dataset. https://doi.org/10.1037/e510112017-001.
Conley, A., & Griffith, C. (2016). Trauma-informed response in the age of title IX: Considerations for college counselors working with survivors of power-based personal violence. Journal of College Counseling, 19, 276–288. https://doi.org/10.1002/jocc.12049.
DREDF. (2014, March 8). Disability discrimination in health care. Retrieved from https://dredf.org/public-policy/health-access-to-care-old/disability-discrimination-in-health-care/.
Drossman, D. A. (2011). Abuse, trauma, and GI illness: Is there a link? American Journal of Gastroenterology, 106(1), 14–25. https://doi.org/10.1038/ajg.2010.453.
Eklund, K., & Rossen, E. (2016). Guidance for trauma screening in schools. Delmar: The National Center for Mental Health and Juvenile Justice.
Felitti, V., Anda, R., Nordenberg, D., Williamson, D., Spitz, A., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8.
Flaherty, E., Schwartz, K., Jones, R., & Sege, R. (2013). Child abuse physicians: Coping with challenges. Evaluation and the Healthcare Professions, 36(2), 163–173. https://doi.org/10.1177/0163278712459196.
Gershoff, E. T., Font, S. A., Taylor, C. A., Garza, A. B., Olson-Dorff, D., & Foster, R. H. (2018). A short-term evaluation of a hospital no hit zone policy to increase bystander intervention in cases of parent-to-child violence. Children and Youth Services Review, 94, 155–162. https://doi.org/10.1016/j.childyouth.2018.09.040.
Guarino, K., Soares, P., Konnath, K., Clervil, R., & Bassuk, E. (2009). Trauma-informed organizational toolkit. Rockville: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, and the Daniels Fund, The National Child Traumatic Stress Network, and the W.K. Kellogg Foundation. Available at www.homeless.samhsa.gov and www.familyhomelessness.org.
Gwinn, C., & Hellman, C. (2018). Hope rising: How the science of hope can change your life. New York: Morgan James Publishing.
Harris, M., & Fallot, R. (Eds.). (2001). Using trauma theory to design service systems: New directions for mental health services. San Francisco: Jossey-Bass.
Heath, B., Wise-Romero, P., & Reynolds, K. (2013). A review and proposed standard framework for levels of integrated healthcare. Washington, DC: SAMHSA-HRSA Center for Integrated Health Solutions.
Hovelson, S. A., Scheiman, L., & Pearlman, M. (2016, November 28). After a sexual assault: A guide for the ob/gyn. Retrieved July 17, 2019 from https://www.contemporaryobgyn.net/article/after-sexual-assault-guide-obgyn
Jaffee, S., & Christian, C. (2014). The biological embedding of child abuse and neglect: Implications for policy and practice. Social Policy Report, 28(1), 1–19. https://doi.org/10.1002/j.2379-3988.2014.tb00078.x.
Kibby, M. (2015). Applying ‘hope theory’ to first year learning. A practice report. The International Journal of the First Year in Higher Education, 6(1), 147–153. https://doi.org/10.5204/intjfyhe.v6i1.248.
Lehman, B., David, D., & Gruber, J. (2017). Rethinking the biopsychosocial model of health: Understanding health as a dynamic system. Social and Personality Psychology Compass, 11(8). https://doi.org/10.1111/spc3.12328.
Lindauer, R. (2015). Trauma treatment for children and adolescents: Stabilizing or trauma-focused therapy? European Journal of Psychotraumatology, 6(1), 27630. https://doi.org/10.3402/ejpt.v6.27630.
Luoni, C., Agosti, M., Crugnola, S., Rossi, G., & Termine, C. (2018). Psychopathology, dissociation and somatic symptoms in adolescents who were exposed to traumatic experiences. Frontiers in Psychology, 9, 2390. https://doi.org/10.3389/fpsyg.2018.02390.
Mauer, B. (2006). Behavioral health/primary care integration: Finance, policy, and integration of services (pp. 1–20, Rep.). Rockville: National Council for Community Behavioral Healthcare.
Mauritz, M., Goossens, P., Draijer, N., & Achterberg, T. (2013). Prevalence of interpersonal trauma exposure and trauma-related disorders in severe mental illness. European Journal of Psychotraumatology, 4(1), 19985. https://doi.org/10.3402/ejpt.v4i0.19985.
Mckinney, C., Harris, T., & Caetano, R. (2009). Reliability of self-reported childhood physical abuse by adults and factors predictive of inconsistent reporting. Violence and Victims, 24(5), 653–668. https://doi.org/10.1891/0886-6708.24.5.653.
Meredith, L., Eisenman, D., Han, B., Green, B., Kaltman, S., Wong, E., et al. (2016). Impact of collaborative care for underserved patients with PTSD in primary care: A randomized controlled trial. Journal of General Internal Medicine, 31(5), 509–517. https://doi.org/10.1007/s11606-016-3588-3.
Minkoff, K., Lloyd, D., Capobianco, J., & Reynolds, K. (2014). Organizational assessment toolkit for primary and behavioral health care integration. Retrieved from https://www.integration.samhsa.gov/operations-administration/OATI_Overview_FINAL.pdf
National Association of Children’s Hospitals and Related Institutions. (2011, October). Defining the children’s hospital role in child maltreatment (Rep.). Retrieved July 18, 2019 from National Association of Children’s Hospitals and Related Institutions website: www.childrenshospitals.net
National Child Abuse and Neglect Training and Publications Project. (2014). The child abuse prevention and treatment act: 40 years of safeguarding America’s children. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.
Nevo, G., & Manassis, K. (2011). An adaptation of prolonged exposure therapy for pediatric single incident trauma: A case series. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(2), 127–133.
Nugus, P., Carroll, K., Hewett, D., Short, A., Forero, R., & Braithwaite, J. (2010). Integrated care in the emergency department: A complex adaptive systems perspective. Social Science & Medicine, 71(11),1997–2004.
Payne, P., Levine, P., & Crane-Godreau, M. (2015). Corrigendem: Somatic experiencing: Using interoception and proprioception as core elements of trauma therapy. Frontiers in Psychology, 6, 423. https://doi.org/10.3389/fpsyg.2015.00423.
Pelletier, H. L., & Knox, M. (2016). Incorporating child maltreatment training into medical school curricula. Journal of Child & Adolescent Trauma, 10(3), 267–274. https://doi.org/10.1007/s40653-016-0096-x.
Ruan, W., Appasani, N., Kim, K., Vincelli, J., Kim, H., & Lee, W. (2018). Pictorial visualization of EMR summary interface and medical information extraction of clinical notes. In 2018 Institute of electrical and electronics engineers international conference. https://doi.org/10.1109/CIVEMSA.2018.8439958.
Schauer, M., Neuner, F., & Elbert, T. (2017). Narrative exposure therapy for children and adolescents (KIDNET). In M. A. Landolt, M. Cloitre, & U. Schnyder (Eds.), Evidence-based treatments for trauma related disorders in children and adolescents (pp. 227–250). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-46138-0_11.
Schulman, M. & Maul, A. (2019). Screening for adverse childhood experiences and trauma. Center for Healthcare Strategies. Retrieved from https://www.chcs.org/media/TA-Tool-Screening-for-ACEs-and-Trauma_020619.pdf
Shapiro, F. (2014). The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine: Addressing the psychological and physical symptoms stemming from adverse life experience. The Permanente Journal, 18(1), 71–77. https://doi.org/10.7812/tpp/13-098.
Substance Abuse and Mental Health Services Administration. (2014a). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. HHS publication number (SMA). Rockville: Substance Abuse and Mental Health Services Administration.
Substance Abuse and Mental Health Services Administration. (2014b). Trauma-informed care in behavioral health services. Treatment improvement protocol (TIP) series 57. HHS publication no. (SMA) 13–4801. Rockville: Substance Abuse and Mental Health Services Administration, 2014.
Swenson, C., Schaeffer, C., Henggeler, S., Faldowski, R., & Mayhew, A. (2010). Multisystemic therapy for child abuse and neglect: A randomized effectiveness trial. Journal of Family Psychology, 24(4), 497–507. https://doi.org/10.1037/a0020324.
The Mayo Clinic. (2018, October 5) Child abuse. Retrieved June 30, 2019, from https://www.mayoclinic.org/diseases-conditions/child-abuse/symptoms-causes/syc-20370864.
Timmer, S., & Urquiza, A. (2014). Empirically based treatments for maltreated children: A developmental perspective. In J. Korbin & R. Krugman (Eds.), Handbook of child maltreatment (pp. 351–376). Dordrecht: Springer Science and Business Media. https://doi.org/10.1007/978-94-007-7208-3_19.
U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth, and Families, Children’s Bureau. (2019). Child maltreatment 2017. Available from https://www.acf.hhs.gov/cb/research-data-technology/statistics-research/child-maltreatment
Vieth, V., Goulet, B., Knox, M., Parker, J., & Johnson, L. (2019). Child advocacy studies (CAST): A national movement to improve the undergraduate and graduate training of child protection professionals. Mitchell Hamline Law Review, 45(4), 1129–1159.
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Singer, P. (2020). Mental Health and Healthcare System Responses to Adolescent Maltreatment. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-62122-7_296-1
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