243423 Trauma exposure among drug-endangered children

Sunday, October 30, 2011

Ginny Sprang, PhD , Center for the Study of Violence Against Children, University of Kentucky, Lexington, KY
Michele Staton-Tindall, PhD , Center for the Study of Violence Against Children, University of Kentucky, Lexington, KY
James J. Clark, PhD , College of Social Work; Center for Study of Violence against Chilren, University of Kentucky, Lexington, KY
Children have the best chance of developing normally when they live in healthy, predictable, and safe homes with parents who protect and adequately care for them. When they are exposed to stressful and traumatic events over long periods of time, the cumulative effects can create severe barriers to normal development. If not addressed, these stressors are likely to generate negative and serious health and mental health consequences for children. This study examines the differences in trauma exposure and the response to those events between drug endangered children and non-drug endangered children involved in the child welfare system. This data represents the experiences of 1127 children randomly selected from the state's child protective service database and represents 20% of all open cases during 2005-2006. Archival data was analyzed to determine the presence of exposure using DSM-IV-TR PTSD Criteria A1, and whether or not the child's response to exposure met PTSD Criteria A2. Results reveal high rates of trauma exposure in the DEC group and indicate that trauma exposure and trauma response did significantly vary across groups. Implications for the assessment and treatment of child welfare involved children are drawn.

Learning Areas:
Assessment of individual and community needs for health education
Other professions or practice related to public health
Social and behavioral sciences

Learning Objectives:
1. Participants will be able to better understand the relationship between caregiver substance use (including alcohol) and child experiences of trauma events. 2. Participants will gain an understanding of how types of stressful experiences that drug-endangered children experience create a phenomenologically unique set of biopsychosocial conditions that are best understood by using a conceptual framework drawn from trauma theory and research.

Keywords: Child Abuse, Substance Abuse

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I amth Principal Investigator on this study and am the Buckhorn Professor of Child Welfare and Children's Mental Health at the University of Kentucky, and as such, conduct research and provide clinical services to address these issues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.