Child and Adolescent Social Work Journal

, Volume 30, Issue 3, pp 181–195 | Cite as

The Youngest Victims of Violence: Examining the Mental Health Needs of Young Children Who Are Involved in the Child Welfare and Juvenile Justice Systems

  • Kathryn S. Whitted
  • Elena Delavega
  • Robin Lennon-Dearing


Children placed in the state’s custody due to neglect, abuse or maltreatment are one of America’s most vulnerable populations. Seventy-five percent of child victims of maltreatment are under the age of 12. Not only is their suffering a problem, these children are also at increased risk for delinquent behavior later in life. While research has documented the potential long-term consequences of child abuse and neglect, the mental health needs of young children involved in the foster care and juvenile justice systems have been largely overlooked. This study examined the social, emotional and behavioral difficulties of 670 children, age 3–11, who were involved in the child welfare and juvenile justice systems. Children in this study were living in residential treatment facilities, group homes, foster care homes or were receiving intensive home-based services. To assess the children’s mental health needs caregivers completed the parent form of the Strengths and Difficulties Questionnaire (Goodman, Journal of Child Psychology and Psychiatry 38:581–586, 1997). The findings indicated a high prevalence of mental health problems, with 81 % of the children in the sample having a total difficulties score in the borderline or abnormal range and 90 % of the children having borderline or abnormal scores on at least one of the subscales (conduct, emotional, peer or attention problems). When characteristics such as gender, race and age were considered significant differences were found among boys and girls, Caucasian and minority children, and age groups. The findings highlight the importance of mental health assessment and interventions that are gender and culturally sensitive and developmentally appropriate.


The Strengths and Difficulties Questionnaire (SDQ) Residential care Foster care Juvenile justice Social problems Behavioral problems Emotional problems Developmental needs Mental health 


  1. Anda, R. F., Brown, D. W., Felitti, V. J., Bremner, J. D., Dube, S. R., & Giles, W. H. (2007). Adverse childhood experiences and prescribed psychotropic medications in adults. American Journal of Preventative Medicine, 32(5), 389–394.CrossRefGoogle Scholar
  2. Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J., Whitfield, C. L., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neurosciences, 256(3), 174–186.CrossRefGoogle Scholar
  3. Broidy, L., Nagin, D., Tremblay, R., Bates, J., Brame, B., Dodge, K., et al. (2003). Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: A six-site, cross-national study. Developmental Psychology, 39(2), 222–245.PubMedCrossRefGoogle Scholar
  4. Child Welfare Information Gateway. (2008a). Long-term consequences of child abuse and neglect. Retrieved November 6, 2012 from
  5. Child Welfare Information Gateway. (2008b). Systems of care. Bulletin for professionals. Children’s Bureau/ACYF. Retrieved November 6, 2012 from
  6. Centers for Disease Control and Prevention (CDC). (2012). Child maltreatment: Consequences. Retrieved November 6, 2012 from
  7. Colman, R., & Widom, C. (2004). Childhood abuse and neglect and adult intimate relationships: A prospective study. Child Abuse and Neglect, 28(11), 1133–1151.PubMedCrossRefGoogle Scholar
  8. Crijnen, A. A., Achenbach, T. M., & Verhulst, F. C. (1999). Problems reported by parents of children in multiple cultures: The Child Behavior Checklist syndrome constructs. American Journal of Psychiatry, 156, 569–574.PubMedGoogle Scholar
  9. Dallam, S. J. (2001). The long-term medical consequences of childhood maltreatment. In K. Franey, R. Geffner, & R. Falconer (Eds.), The cost of child maltreatment: Who pays? We all do. San Diego, CA: Family Violence & Sexual Assault Institute.Google Scholar
  10. Darwish, D., Esquivel, G., Houtz, J., & Alfonso, V. (2001). Play and social skills in maltreated and non-maltreated preschoolers during peer interactions. Child Abuse and Neglect, 25(1), 13–31.PubMedCrossRefGoogle Scholar
  11. Delbello, M. P., Lopez-Larson, B. S., Soutullo, C. A., & Strakowski, S. M. (2001). Effects of race on psychiatric diagnosis of hospitalized adolescents: A retrospective chart review. Journal of Child and Adolescent Psychopharmacology, 11, 95–103.PubMedCrossRefGoogle Scholar
  12. Dodge, K. (1993). The future of research on conduct disorder. Development and Psychopathology, 5, 311–320.CrossRefGoogle Scholar
  13. Edwards, V. J., Anda, R. F., Dube, S. R., Dong, M., Chapman, D. F., & Felitti, V. J. (2005). The wide-ranging health consequences of adverse childhood experiences. In Kathleen Kendall-Tackett & Sarah Giacomoni (Eds.), Victimization of children and youth: patterns of abuse, response strategies. Kingston, NJ: Civic Research Institute.Google Scholar
  14. Eschenbeck, H., Kohlmann, C., & Lohaus, A. (2007). Gender differences in coping strategies in children and adolescents. Journal of Individual Differences, 28(1), 18–26.CrossRefGoogle Scholar
  15. Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.PubMedCrossRefGoogle Scholar
  16. Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire (SDQ). Journal of the American Academy of Child and Adolescent Psychiatry, 40(11), 1337–1345.PubMedCrossRefGoogle Scholar
  17. Hatcher, S., Maschi, T., Morgen, K., & Toldson, I. (2009). Exploring the impact of racial and ethnic differences in the emotional and behavioral responses of maltreated youth: Implications for culturally competent services. Children and Youth Services Review, 31(9), 1042–1048.CrossRefGoogle Scholar
  18. Kortenkamp, K., & Ehrele, J. (2002). The well-being of children involved with the child welfare system: A national overview. Washington, DC: Urban Institute.Google Scholar
  19. Langsford, J. E., Miller-Johnson, S., Berlin, L. J., Dodge, K. A., Bates, J. E., & Pettit, G. S. (2007). Early physical abuse and later violent delinquency: A prospective longitudinal study. Child Maltreatment, 12(3), 233–245.CrossRefGoogle Scholar
  20. Leone, P., & Weinberg, L. (2010). Educational needs of children and youth in the juvenile justice and child welfare systems. Washington, DC: Center for Juvenile Justice Reform.Google Scholar
  21. Mak, W., & Rosenblatt, A. (2002). Demographic influences on psychiatric diagnoses among youth served in California systems of care. Journal of Child and Family Studies, 11, 165–178.CrossRefGoogle Scholar
  22. Mark, T. L., & Buck, J. A. (2006). Characteristics of U.S. youths with serious emotional disturbance: Data from the National Health Interview Survey. Psychiatric Services, 57, 1573–1578.PubMedCrossRefGoogle Scholar
  23. Maschi, T., Morgen, K., Bradley, C., & Hatcher, S. (2008). Exploring gender differences on internalizing and externalizing behavior among maltreated youth: Implications for social work action. Child and Adolescent Social Work Journal, 25(6), 531–547.CrossRefGoogle Scholar
  24. Maughan, A., & Cicchetti, D. (2002). Impact of child maltreatment and interadult violence on children’s emotion regulation abilities and socioemotional adjustment. Child Development, 73, 1525–1542.PubMedCrossRefGoogle Scholar
  25. Morrison, J. A., Frank, S. J., Holland, C. C., & Kates, W. R. (1999). Emotional development and disorders in young children in the child welfare system. In J. A. Silver, B. J. Amster, & T. Haecker (Eds.), Young children and foster care: A guide for professionals (pp. 33–64). Baltimore, MD: Paul H. Brookes.Google Scholar
  26. National Survey of Child and Adolescent Well-Being. (2003). NSCAW one year in foster care wave 1 data analysis report, executive summary. Retrieved November 6, 2012 from
  27. Nguyen, L., Huang, L., Arganza, G., & Liao, Q. (2007). The influence of race and ethnicity on psychiatric diagnoses and clinical characteristics of children and adolescents in children’s services. Cultural Diversity and Ethnic Minority Psychology, 13(1), 18–25.PubMedCrossRefGoogle Scholar
  28. Perry, B. D. (2001). Bonding and attachment in maltreated children: Consequences of emotional neglect in childhood. Retrieved November 6, 2012 from
  29. Roberts, R. E., Attkisson, C. C., & Rosenblatt, A. (1998). Prevalence of psychopathology among children and adolescents. American Journal of Psychiatry, 155(6), 715–725.PubMedGoogle Scholar
  30. Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27, 227–249.CrossRefGoogle Scholar
  31. Shields, A., & Cicchetti, D. (2001). Parental maltreatment and emotion dysregulation as risk factors for bullying and victimization in middle childhood. Journal of Clinical Child Psychology, 30, 349–363.PubMedCrossRefGoogle Scholar
  32. Shufelt, J., & Cocozza, J. (2006). Youth with mental health disorder in the juvenile justice system: Results from a multi-state prevalence study. National Center for Mental Health and Juvenile Justice. Retrieved November 6, 2012 from
  33. Simms, M. D., Dubowitz, H., & Szilagyi, M. A. (2000). Health care needs of children in the foster care system. Pediatrics, 106(4), 909–918.PubMedGoogle Scholar
  34. Snyder, H., & Sickmund, M. (2006). Juvenile offender and victims: A national report. Washington, DC: Office of Juvenile Justice and Delinquency Prevention.Google Scholar
  35. Stiffman, A. R., Cheuh, H., & Earls, F. (1992). Predictive modeling of change in depressive disorder and counts of depressive symptoms in urban youths. Journal of Research on Adolescence, 2, 295–316.CrossRefGoogle Scholar
  36. Stone, L. L., Otten, R., Engels, R. M., Vermulst, A. A., & Janssens, J. M. (2010). Psychometric properties for the parent and teacher version of the Strengths and Difficulties Questionnaire for 4–12 year-olds: A review. Clinical Child and Family Psychology Review, 13(3), 254–274.PubMedCrossRefGoogle Scholar
  37. Teplin, L., Abram, K., McClelland, G., Dulcan, M., & Mericle, A. (2002). Psychiatric disorders in youth in juvenile detention. Archives of General Psychiatry, 59, 1133–1143.PubMedCrossRefGoogle Scholar
  38. U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau (USDHHS). (2008). Child maltreatment 2008. Retrieved November 6, 2012 from
  39. Wasserman, G. A., McReynolds, L. S., Lucas, C., Fisher, P., & Santos, L. (2002). The voice DISC-IV with incarcerated male youth: Prevalence of disorder. Journal of the Academy of Child and Adolescent Psychiatry, 41(3), 314–321.CrossRefGoogle Scholar
  40. Widom, C. S., & Maxfield, M. G. (2001). An update on the “cycle of violence”. Washington, DC: National Institute of Justice.Google Scholar
  41. Yeh, M., McCabe, K., Hurlburt, M., Hough, R., Hazen, A., Culver, S., et al. (2002). Referral sources, diagnoses, and service types for youth in the public outpatient mental health sector: A focus on ethnic minorities. Journal of Behavioral Health Services and Research, 29, 45–60.PubMedCrossRefGoogle Scholar
  42. Young, S., Murphy, C. M., & Coghill, D. (2011). Avoiding the “twilight zone”: Recommendations for the transition of services from adolescence to adulthood for young people with ADHD. BMC Psychiatry, 11, 174. doi:10.1186/1471-244X-11-174.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Kathryn S. Whitted
    • 2
  • Elena Delavega
    • 3
  • Robin Lennon-Dearing
    • 1
  1. 1.Department of Social Work, School of Urban Affairs and Public PolicyThe University of MemphisMemphisUSA
  2. 2.Department of Social Work, School of Urban Affairs and Public PolicyThe University of MemphisMemphisUSA
  3. 3.Department of Social Work, School of Urban Affairs and Public PolicyThe University of MemphisMemphisUSA

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