Effectiveness of Mental Health Treatment Interventions for At-Risk Youth Within the Minnesota Runaway Intervention Program.

IF 0.9
Journal of forensic nursing Pub Date : 2025-07-01 Epub Date: 2025-02-24 DOI:10.1097/JFN.0000000000000538
Romana Triliegi, Elizabeth Fleming, Kathryn LaBore, Karla Hurtley
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Abstract

Abstract: The Runaway Intervention Program (RIP) is a strengths-based, nurse-led home visitation and case management model for runaway youth at risk of sexual exploitation, violence, and mental health challenges. RIP aims to promote healthy development, reduce trauma responses, and lower risk behaviors. This study evaluates the effectiveness of three optional psychological interventions-individual therapy, group therapy, and combined therapy-administered by licensed mental health practitioners. Using archival data from 128 RIP participants enrolled between 2015 and 2019, the study assessed pretreatment and posttreatment posttraumatic stress disorder (PTSD) symptoms using the University of California Post t raumatic Stress Disorder Index.Statistical analysis suggested a reduction in PTSD symptoms from pretreatment ( M  = 35.33, SD = 15.29) to posttreatment ( M  = 22.91, SD = 16.31), regardless of treatment type. There was no significant difference in symptom reduction between the three treatment modalities, indicating comparable effectiveness across modalities. Across all treatment modalities, clinically significant change analysis showed that 41% of participants recovered, 51% showed no change, 2% improved, and 6% deteriorated. These findings suggest that although RIP interventions effectively reduce PTSD symptoms, no single modality outperformed the others. The results underscore the value of flexible therapeutic options to address the diverse needs of runaway youth.

明尼苏达州离家出走干预计划中对高危青少年的心理健康治疗干预效果。
摘要:逃逸干预项目(RIP)是一个以优势为基础,以护士为主导的家访和案例管理模式,旨在帮助面临性剥削、暴力和心理健康挑战风险的逃逸青少年。RIP旨在促进健康发育,减少创伤反应,降低风险行为。本研究评估了三种可选的心理干预措施的有效性——个体治疗、团体治疗和联合治疗——由有执照的心理健康从业人员实施。该研究使用2015年至2019年期间注册的128名RIP参与者的档案数据,使用加州大学创伤后应激障碍指数评估了创伤后应激障碍(PTSD)治疗前和治疗后的症状。统计分析表明,无论何种治疗方式,PTSD症状从治疗前(M = 35.33, SD = 15.29)到治疗后(M = 22.91, SD = 16.31)均有所减轻。三种治疗方式在减轻症状方面无显著差异,表明不同治疗方式的疗效相当。在所有治疗方式中,临床显著变化分析显示41%的参与者恢复,51%没有变化,2%改善,6%恶化。这些发现表明,尽管RIP干预有效地减轻了PTSD症状,但没有一种方式优于其他方式。结果强调了灵活的治疗方案的价值,以解决离家出走的青少年的不同需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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