Service use typologies among trauma-exposed children: The roles of PTSD and dissociation

遭受创伤的儿童的服务使用类型：创伤后应激障碍和解离的作用

• 批准号: 9121058
• 负责人: Kristen Rae Choi
• 金额: $ 3.6万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-12 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9121058
• 关键词: Address; Adolescent; Adult; Age; Caring; Child; Child Abuse; Child Abuse and Neglect; Child Traumatic Stress; Child Welfare; Childhood; Chronic; Chronic Disease; Community Services; Consensus; Data; Data Analytics; Data Set; Development; Diagnosis; Diagnostic; Diagnostic and Statistical Manual of Mental Disorders; Disease; Dissociation; Domestic Violence; Exposure to; Fellowship; Foundations; Goals; Health; Health Professional; Health system; Homelessness; Individual; Intake; Literature; Longevity; Maintenance; Maps; Measures; Mental Health; Mental Health Services; Mental disorders; Mentors; Methodology; Modeling; Outcome; Pattern; Policies; Population; Post-Traumatic Stress Disorders; Prevalence; Prevention; Provider; Psychopathology; Public Health; Publishing; Recording of previous events; Reporting; Research; Research Personnel; Research Training; Risk; Role; Sampling; Services; Social Health Services; Societies; Survivors; Symptoms; System; Taxonomy; Training; Trauma; Typology; United States; United States Substance Abuse and Mental Health Services Administration; Update; Violence; Writing; abuse neglect; base; burden of illness; coping; cost; design; experience; health care delivery; health equity; health service use; healthcare community; improved; juvenile justice system; killings; meetings; neglect; novel diagnostics; physical conditioning; population health; post-traumatic stress; pre-doctoral; public health relevance; restoration; service intervention; service utilization; sexual assault; skills; stress symptom; symptomatology; violence victimization

 DESCRIPTION (provided by applicant): Childhood maltreatment trauma is an important public health problem because it can result in posttraumatic psychopathology, including posttraumatic stress disorder (PTSD) and dissociation, along with other chronic illnesses. However, posttraumatic stress symptomatology is often missed or misdiagnosed in children, and there is poor consensus about diagnostic taxonomies for abuse-related posttraumatic stress. In addition, little is known about patterns of service usage for children with posttraumatic stress and best practices for service delivery for this population. The purpose of this secondary analysis project is to describe the prevalence of PTSD and dissociation and patterns of service usage for trauma-exposed adolescents (12-18) under the new DSM-5 posttraumatic stress diagnostic taxonomy which includes a dissociative subtype. A large national data set of trauma-exposed children from the National Child Traumatic Stress Network will be used for the analysis. This predoctoral fellowship dissertation project is the foundation for a long-term research trajectory on health service delivery for child survivors of trauma and violence, with an ultimate end goal of optimizing intervention service delivery and achieving better health equity for abused, neglected, and exploited children. The training plan for this project includes quantitative methodology, substantive content in child trauma and mental health, and academic researcher role attainment activities through interdisciplinary coursework, mentored training, research, community service, and writing.

 描述(申请人提供)：儿童期虐待创伤是一个重要的公共卫生问题，因为它可以导致创伤后精神病理，包括创伤后应激障碍(PTSD)和分离，以及其他慢性病。然而，创伤后应激症状学在儿童中经常被遗漏或误诊，对于与虐待相关的创伤后应激障碍的诊断分类也缺乏共识。此外，对创伤后应激儿童的服务使用模式以及为这一群体提供服务的最佳做法知之甚少。这个二次分析项目的目的是描述创伤后应激障碍的流行率和创伤暴露青少年(12-18)在新的DSM-5创伤后应激诊断分类下的服务使用模式，其中包括一个分离亚型。来自国家儿童创伤应激网络的大量全国创伤暴露儿童数据集将用于分析。这一博士前奖学金论文项目是关于为创伤和暴力幸存者的儿童提供卫生服务的长期研究轨迹的基础，最终目标是 优化干预服务提供，为受虐待、被忽视和受剥削的儿童实现更好的健康公平。该项目的培训计划包括量化方法、儿童创伤和心理健康的实质性内容，以及通过跨学科课程、指导培训、研究、社区服务和写作实现学术研究人员的作用活动。

项目成果

Human Trafficking Victim's Service Needs and Outcomes: An Analysis of Clinical Law Data.

人口贩运受害者的服务需求和结果：临床法律数据分析。

• DOI: 10.1080/23322705.2019.1574476
• 发表时间: 2020
• 期刊: Journal of human trafficking
• 作者: Munro-Kramer,Michelle;Beck,Dana;Choi,Kristen;Singer,Rebecca;Gebhard,Annemarie;Carr,Bridgette
• 通讯作者: Carr,Bridgette