A hospital and community-based violence intervention program for Black & Latino youth and their caregivers

IF 1.8 4区 医学 Q3 PSYCHIATRY
Arturo Zinny, Judith A Cohen, Randall L Sell, Edward Gracely, John A Rich, Theodore J Corbin
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Abstract

BackgroundBlack and Latino youth are disproportionately affected by trauma from community violence, but to date, few data support the benefit of evidence-based treatments for these youth or of including peer support to engage these youth in mental health services.ObjectiveFrom 2018 until 2020, a hospital and community-based violence intervention program in Philadelphia pilot tested the integration of home and community-based Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) with peer services and case management for youth impacted by community violence. This study describes the implementation of this intervention.MethodData was gathered by querying the program’s database. The Child Post Traumatic Stress Symptom Severity Scale (CPSS-SR-5) and the Short Mood and Feelings Questionnaire (SMFQ) were utilized to evaluate the participants’ pre- and post-intervention assessment of PTSD and depression. The sample ( N = 50) consisted of Black and Latino youth, mean age 14.ResultsTwenty-nine (58%) completed TF-CBT, and 82% met peer and case management goals. Youth who completed therapy showed significant improvement in both PTSD and depression symptoms at post-test.ConclusionTo our knowledge, this is the first study describing the implementation of home and community-based TF-CBT with peer support and case management. The study’s limitations and need for further research are discussed.
针对黑人和拉丁裔青少年及其照顾者的医院和社区暴力干预计划
背景黑人和拉丁裔青少年受社区暴力造成的创伤影响尤为严重,但迄今为止,很少有数据支持循证治疗对这些青少年的益处,或支持同伴参与这些青少年的心理健康服务。目标从 2018 年到 2020 年,费城的一项医院和社区暴力干预计划试点测试了家庭和社区创伤认知行为疗法(TF-CBT)与同伴服务和个案管理的整合,以帮助受社区暴力影响的青少年。本研究介绍了这一干预措施的实施情况。方法通过查询项目数据库收集数据。采用儿童创伤后应激症状严重程度量表(CPSS-SR-5)和简短情绪与情感问卷(SMFQ)来评估参与者在干预前后的创伤后应激障碍和抑郁情况。样本(N = 50)包括黑人和拉丁裔青少年,平均年龄为 14 岁。结果29 人(58%)完成了 TF-CBT,82% 达到了同伴和个案管理目标。完成治疗的青少年在测试后的创伤后应激障碍和抑郁症状均有明显改善。结论据我们所知,这是第一项描述基于家庭和社区的 TF-CBT 与同伴支持和个案管理实施情况的研究。本文讨论了研究的局限性和进一步研究的必要性。
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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
130
期刊介绍: Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.
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