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Adverse Childhood Experiences, Coping Resources, and Mental Health Problems among Court-Involved Youth

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Abstract

Background

Mental health problems are gaining attention among court-involved youth with emphasis on the role of childhood adversity, but assessment lags.

Objective

The present study uses a commonly delivered assessment tool to examine mental health problems (current mental health problem, mental health interfered with probation goals, and suicide ideation) as a function of an expanded set of adverse childhood experiences (ACEs; childhood maltreatment, family dysfunction, and social disadvantage). Adaptive coping resources–impulse control, aspirations, and social support–were tested as both direct contributors and moderators of the influence of ACEs on mental health.

Methods

Using a diverse sample of youth on probation (N = 5378), this study utilized logistic regression models to test contributions of the three domains of childhood adversity–childhood maltreatment, family dysfunction, and social disadvantage. These models also examined the moderating roles of coping resources.

Results

Childhood maltreatment emerged as the strongest contributor to mental health problems, with significant moderation from social support. Youth aspirations were inversely related to mental health problems and moderated the relation with ACEs and mental health problems that interfered with probation.

Conclusions

Assessment and mitigation of the detrimental effects of childhood maltreatment are important considerations in the intervention programs that target mental health outcomes of court-involved youth. Intervention programs to prevent recidivism and improve mental health should improve impulse control and aspirations.

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Acknowledgements

We thank TJ Bohl and Shelly Maluo from the Pierce County Juvenile Justice System for their support and contribution to this research. We also thank Isaias Hernandez for his contributions to data cleaning. This research was supported in part by a grant from the National Institute on Mental Health Grant 5 T32 MH20010 “Mental Health Prevention Research Training Program”, the National Center For Advancing Translational Sciences of the National Institutes of Health under Award Number TL1TR000422, and a Eunice Kennedy Shriver National Institute of Child Health and Human Development research infrastructure Grant, R24 HD042828, to the Center for Studies in Demography and Ecology at the University of Washington. The authors thank Dr. Eugene Maguin for his statistical support in the final preparation of this manuscript.

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Authors and Affiliations

  1. School of Social Work, University at Buffalo, 685 Baldy Hall, Buffalo, NY, 14260, USA

    Patricia Logan-Greene

  2. Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA

    Robert L. Tennyson

  3. School of Social Work, University of Washington, Seattle, WA, USA

    Paula S. Nurius

  4. Graduate College of Social Work, University of Houston, Houston, TX, USA

    Sharon Borja

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Correspondence to Patricia Logan-Greene.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The local Institutional Review Board approved all procedures. The first author takes responsibility for the data integrity and analysis procedures.

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Logan-Greene, P., Tennyson, R.L., Nurius, P.S. et al. Adverse Childhood Experiences, Coping Resources, and Mental Health Problems among Court-Involved Youth. Child Youth Care Forum 46, 923–946 (2017). https://doi.org/10.1007/s10566-017-9413-2

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