256624 Resources matter: Resources types, trauma types, and treatment needs for youth receiving services in a public behavioral health system

Monday, October 29, 2012

Sarah Accomazzo, MSW, Doctoral Student , Department of Social Welfare, UC Berkeley, Berkeley, CA
Nathaniel Israel, PhD , San Francisco Department of Public Health, San Francisco Children's System of Care, San Francisco, CA
Using Conservation of Resources Theory (COR), the current study examines the effects of resources on the behavioral health treatment needs of youth who have experienced trauma. The sample includes 173 clients, aged 5-22 years, who had received six months of treatment-as-usual in a large, urban, diverse public behavioral health system, and who had experienced at least one type of traumatic event. Ninety-nine percent of youth entered treatment with at least one type of resource. At entry to the system, youth averaged experiencing three types of traumas and seven types of resources. Consistent with COR, at Initial Assessment, resources predicted behavioral health needs above and beyond the contribution of trauma experiences. This association also held at the six-month reassessment. Preliminary data also suggest that the development of resources during treatment results in more rapid clinical improvement, though the effect appears to be small (t=3.226, pvalue<.001).Though clinicians and policy makers often focus on risks and pathology, these data suggest that both trauma and resources are normative for youth in a public behavioral health system. Even youth who have experienced several types of traumatic events come to treatment with a remarkably high number of identified resources that could be leveraged to support healing and recovery. This study highlights the need for more resource and wellness-based research on youth receiving treatment in a public behavioral health system so that appropriate interventions may be initiated.

Learning Areas:
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
1) Describe preliminary data from a longitudinal data set drawn from an innovative assessment system that measures change in children's resources during treatment (in addition to the more typical change in behavioral health symptoms) in an urban, diverse, public behavioral health system). 2) Asses preliminary findings on the effects of resources on the behavioral health treatment needs of children who have experienced trauma 3) Discuss implications of a focus on building resources and strengths during clinical treatment for youth wellness across the lifespan.

Keywords: Adult and Child Mental Health, Mental Health System

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principle Investigator on this study and have led this study for the past two years.
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.