The Outcomes of Trauma-Informed Practice in Youth Justice: An Umbrella Review

IF 1.7 Q2 FAMILY STUDIES
Catia G. Malvaso, Andrew Day, Carolyn M. Boyd
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Abstract

Findings of high rates of complex trauma among justice-involved young people have engendered interest in developing trauma-informed youth justice systems. Although there have been several reviews of trauma-informed practice in youth justice settings, uncertainty remains about whether this approach can produce the outcomes expected of youth justice services. In this study we summarize findings from recent systematic reviews and meta-analyses to provide an overview of evidence relevant to implementing trauma-informed youth justice. We conducted an umbrella review of systematic reviews published between 2017 and 2023 that included group-based primary studies of trauma-informed interventions for justice-involved young people. Reviews were located via searches of PsycINFO, PubMedCentral, Embase, Criminal Justice Abstracts with Full Text, and ProQuest. Data extracted from each review included the number and type of primary studies reviewed, and outcomes related to trauma symptomatology, mental health and wellbeing, and justice system involvement. Nine systematic reviews met our inclusion criteria. Improvements in trauma symptoms, mental health and wellbeing, and justice system involvement were documented in each review. The strongest evidence related to the impact of trauma-focused interventions on posttraumatic stress disorder symptoms, but less evidence was available to demonstrate outcomes of organizational level and systemic components of trauma-informed practice. Each review highlighted the need to strengthen the methodological quality of primary studies. Trauma-informed practice should be seriously considered as part of any effort to implement evidence-based youth justice. This should extend beyond treatment of trauma symptomatology to incorporate a broader approach to trauma-informed practice that is organizationally embedded.

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青少年司法中的创伤认知实践成果:综述
有研究发现,在受到司法管辖的青少年中,复杂心理创伤的发生率很高,这引起了人们对建立关注心理创伤的青少年司法系统的兴趣。尽管已有多篇关于青少年司法环境中创伤知情实践的综述,但这种方法是否能产生青少年司法服务的预期结果仍存在不确定性。在本研究中,我们总结了近期系统综述和荟萃分析的结果,提供了与实施创伤知情青少年司法相关的证据概览。我们对 2017 年至 2023 年间发表的系统性综述进行了总括性回顾,这些综述包括针对涉法青少年的创伤知情干预措施的基于小组的初步研究。我们通过检索 PsycINFO、PubMedCentral、Embase、《刑事司法文摘全文》和 ProQuest 找到了相关综述。从每篇综述中提取的数据包括所综述的主要研究的数量和类型,以及与创伤症状、心理健康和福祉以及司法系统参与相关的结果。九篇系统性综述符合我们的纳入标准。每篇综述都记录了创伤症状、心理健康和幸福感以及司法系统参与方面的改善情况。最有力的证据涉及以创伤为重点的干预措施对创伤后应激障碍症状的影响,但较少证据可证明创伤知情实践的组织层面和系统组成部分的成果。每篇综述都强调需要加强主要研究的方法质量。在实施以证据为基础的青少年司法时,应认真考虑创伤知情实践。这不应局限于创伤症状的治疗,而应纳入更广泛的、以组织为根基的创伤知情实践方法。
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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
71
期刊介绍: Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.
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