Adverse childhood experiences and Self Sufficiency Problems among serious, violent and chronic offenders Menno Segeren, Thijs Fassaert, Arne Popma, Matty.

Slides:



Advertisements
Similar presentations
The Relationship of Adverse Childhood
Advertisements

Katrina’s Children in the Aftermath of the Disaster: What Have We Learned? Joy D. Osofsky, Ph.D. Howard J. Osofsky, M.D., Ph.D. Louisiana Spirit Louisiana.
Community Dashboards Survey Results for the 17 Most At- Risk Communities.
MHSA Full Service Partnership (FSP) For YOUTH (Ages 0-15) and TAY (Transition-Age Youth) (Ages 16-25) Santa Clara County Mental Health Board System Planning.
Domestic Violence, Parenting, and Behavior Outcomes of Children Chien-Chung Huang Rutgers University.
Transitional Age Youth Program (TAYP) Program Description and Initial Outcomes Stars Behavioral Health Group.
'Women with Mental Health Issues in the Criminal Justice System in Northern Ireland- A Misunderstood and Victimised Group'. Elizabeth Craig-PhD Student.
A Psychotherapy Service in a Homeless Setting
The Impact of Trauma Teaching Resilience Through Positive Adult Relationships.
The Massachusetts Early Childhood Linkage Initiative (MECLI) John A. Lippitt, Ph.D. Jack P. Shonkoff, M.D. Institute for Child, Youth, and Family Policy.
A Trauma-Informed Answer
SOAR: Mental Health Trauma Intervention Program Robert Niezgoda, MPH Taney County Health Department September 2014.
Families (continued) Correlates. Correlates (continued) High levels of conflict Escalation of conflict More likely to have witnessed violence.
Childhood Violence Exposure and the Behavioral Health/Juvenile Justice Initiative Jeff Kretschmar, Ph.D. Begun Center for Violence Prevention Research.
Division of Behavioral Health Department of Health & Social Services Clinical Application of the Alaska Screening Tool & Client Status Review of Life Domains.
Bridgeport Safe Start Initiative Update Meeting September 23, 2004 Bridgeport Holiday Inn.
Understanding Psychological Evaluations in Family Court Helen T. Brantley, Ph.D. March 8, 2006.
1. 2 BEHAVIORAL HEALTH OF PARENTS/CAREGIVERS: IMPACT ON CHILDREN IN CHILD WELFARE SYSTEM Pamela S. Hyde, J.D. SAMHSA Administrator Regional Partnership.
Community Profile 2008 Broken Arrow & Wagoner County Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council.
Chapter 2 The Problem of Dual Diagnosis. Dual Diagnosis and Comorbidity Dual diagnosis – Describes individuals who meet diagnostic criteria for a mental.
My Partner For Learning Solutions Student Support Services: Impacting student achievement by addressing non-academic barriers to learning 1.
Behavioral Health in Health Care Reform: Why and How? Mike Hogan, Ph.D. Commissioner, NYS Office of MH Chair, Pres. NFC on Mental Health (2002-3)
Assessing Risk: Gender responsive considerations Samantha Crawford & Sarah Passmore Higher Assistant Psychologists.
SUICIDE: RISK FACTORS Dr. Nooshin Parvaresh Child & Adolescent Psychiatrist Kerman University Of Medical Sciences.
Learning and Environment. Factors in the Environment Community Family School Peers.
Region IV Behavioral Health Adult and Children. Population: 430,000 Employees: approx. 460 How many people do we serve? In October in SR alone: Processed.
Ohio Justice Alliance for Community Corrections October 13, 2011.
Intervening with Domestic Violence Perpetrators: How Focusing on Perpetrators Improves Community- Wide Practice for Families Kristen Selleck, MSW David.
Working with prisoners in the field of mental health Dr. Maura O’Sullivan Senior Clinical Psychologist Irish Prison Service.
Community Profile 2008 Tulsa County Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa.
Introduction The Relationship between Neurocognitive Functioning and Childhood Abuse among Persons with SMI: Mediating Proximal and Distal Factors L. Felice.
Chapter 15 The Juvenile System. CHILD SAVERS Child Savers: Wealthy, civic minded citizens who were concerned with the welfare of disadvantaged children.
Information About Child Abuse & Prevention By: Antonio Harris 1.
Infants and Young Children at Risk… From Community Service Council of Greater Tulsa’s Community Profile 2007.
Blind Spot: Missed Early Warning Signs and Children’s Mental Health.
FAS Screening for Young Offenders Patricia M. Blakley, MD, PhD¹ and Garry Perry² Alvin Buckwold Child Development Program, Department of Pediatrics, ¹.
Community Profile 2008 Tulsa County Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa.
©2012 Cengage Learning. All Rights Reserved. Chapter 10 Maltreatment of Children: Abuse and Neglect.
Section 5: Principles of Drug Addiction Treatment 1.
Overview of the Adverse Childhood Experiences (ACE) Study Robert F. Anda, MD, MS ACE Study Co-Principal Investigator Co-Founder ACE Interface
Mental Health in Juvenile Justice 1 Cathy Craig-Myers Vicki Waytowich, Ed.D.
J. Aaron Johnson, PhD 1 and J. Paul Seale, MD 2 1 Institute of Public and Preventive Health and Department of Psychology, Georgia Regents University, Augusta,
KITS V JUNE , 2014 BREAKING DOWN AND UNDERSTANDING THE PSYCHOLOGICAL : WHAT YOU DON’T KNOW CAN HURT YOU M. Connie Almeida, PhD, LSSP, Licensed Psychologist.
Medication Adherence and Substance Abuse Predict 18-Month Recidivism among Mental Health Jail Diversion Program Clients Elizabeth N. Burris 1, Evan M.
Not One More Child in Arapahoe County Arapahoe County Department of Human Services Children, Youth and Family Services 2012, 2013 and 2014 Child Abuse.
What is Health and were do I find it?. Definition of Health Health no longer means the absence of illness. Health refers to overall “well being” of your.
Syed Gillani DO, Kaitlin Leckie PhD, Jodi Hasenack, RN, Kristine Miller DO, and Leslie Dempsey MD Southern Colorado Family Medicine Residency Program,
ADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH
KAREN BAILEY, KINGS COLLEGE LONDON NATIONAL ADDICTION CENTRE
Investigating the Associations Between Childhood Experience and
TRAUMA INFORMED SCHOOLS TRAINING
MEDICS CATALONIA PROJECT
The Association of Exposure to Adverse
ICAAP & IEA host a screening and discussion of Paper Tigers
Research on family violence and child abuse and the link with research on the MDCK model Majone Steketee.
Cow Creek Health & Wellness Clinic & Behavioral Health
Youth homelessness in Denmark Trends, profiles and family background
Laurie Ross, PhD 2018 Family Impact Seminar Mosakowski Institute
Recidivism of female systematic offenders:
Joy D. Osofsky, Ph.D. Howard J. Osofsky, M.D., Ph.D. Louisiana Spirit
Assessing Opioid Use Disorder, part 1
Frequent violent offenders: health issues from past to present
Addressing Strategies and Techniques to Reduce Violence and Aggression through Trauma Informed Practices Brian R. Sims, M.D.
The context Child welfare New World order
Wisconsin Adverse Childhood Experiences (ACE) Data
Adverse Childhood experiences (ACE)
Examining Deprivation and Threat Dimensions of Trauma Exposure with Recidivism Outcomes and Risk Among Justice-Involved Youth Becca K. Bergquist, M. A.,
Aims To introduce the Residential Support Programme model used in Liverpool To discuss some outcomes of the programme.
Arely M. Hurtado1,2, Phillip D. Akutsu2, & Deanna L. Stammer1
Presentation transcript:

Adverse childhood experiences and Self Sufficiency Problems among serious, violent and chronic offenders Menno Segeren, Thijs Fassaert, Arne Popma, Matty de Wit AD

Adverse Childhood Experiences (ACEs) abuse, neglect, sexual abuse, domestic violence, loss of a parent, parental addiction problems, parental mental illness, detention family member ACE associated with many (seperate) negative outcomes in adulthood psychiatric disorders, physical illness, unhealthy life style, risk-taking behaviors Dose-response relationships between ACE and single outcomes Elevated ACE prevalence in vulnerable populations Are ACEs associated with problematic functioning in several life domains simultaneously? Het woord graded is geen inhoudelijke toevoeging tov een dose – response relatie. Voor beide geldt hoe hoger de exposure, hoe hoger de uitkomst. Graded benadrukt alleen het onderscheid met een quantal dose-response. Daarbij is de uitkomst ja/nee, afhankelijk of de exposure-treshhold wordt overschreden. Bij (graded) dose-response is de uitkomst continu. Laatste bullet eventueel naar sheet 4: research questions?

Context: diversion program (Top 600) Serious violent and chronic offenders (SVC) Selection of mostly young adults (Mage = 26) who commit high impact crimes (i.e. violence) Combined approach from law enforcement and public health Social psychiatric screening By a social psychiatric nurse Evaluation by a psychiatrist / clinical psychologist Voluntary Permission for collection of (medical) file information Results in: Advice to other parties involved Referral to care / social support Feedback to client - Voorbeelden law enforcement = tit-for-tat; fast-lane through court procedures; police ‘stalks’ Top600-individuals, monitors their whereabouts - Screening wordt uitgevoerd door mensen met een aantekening psychodiagnostiek: SPV, forensic pedagogues, psychologists, psychiatrists - Evaluation: Of een working diagnosis wordt geformuleerd door een psychiater/klinisch psycholoog

Research questions Prevalence, diversity and accumulation of ACES in the childhood of SVC offenders? Outcomes in young adulthood: Problems in functioning in several life-domains Prevalence of psychopathology and addiction Associations: childhood young adulthood ACES problems in functioning in multiple life domains psychopathology and addiction

Methods: ACEs  file study 2/3 history of youth care in A’dam Juvenile probation files of a sample Structured scoring of criminogenic factors with “Juvenile Forensic Profile” (FPJ)* 9 FPJ-items represent the ‘big ten ACEs’ Big ten ACEs bevat uitspliting abuse in physical and emotional abuse. In FPJ zit alleen fysieke mishandeling. Emotionele mishandeling hebben we niet. Maar wel emotionele verwaarlozing *Brand & van Heerde, 2004

Methods: outcomes in young adulthood Based on social psychiatric screening Problems in self-suffiency problems Psychopathology: Axis 1 disorders and/or personality disorders Substance use disorders exluded Addiction: substance abuse or dependency Differential diagnoses excluded Psychopathology = Axis 1 disorder, substance use disorders excluded, and/or personality disorder. Differential diagnoses excluded Addiction = substance abuse/dependency disorder. Differential diagnoses excluded

Self-sufficiency problems (SSP) An acceptable level of functioning in the essentials domains of daily life if nessecary by organizing appropriate support A photo of the situation Outcome of personal and environmental attributes Such as: skills, motivation, economic situation, infrastructure, formal and informal support Instrument SSM-D (self-sufficiency matrix-Dutch; Fassaert et al 2014) SSM-D referentie benoemen, en dat het een matrix is?

Prevalence of ACEs (n=146) Average # ACE’s: 2,6 no ACE: 20% 4 ACEs or more: 33%

Self-sufficiency problems (n=293) Misschien nog een vergelijking met andere groepen presenteren? Maar welke dan? Was jij nog van plan de grafiek te vervangen door eentje met de percentages erin? Domains are dichotimised: barely self-sufficiency or less (-3)= problem Law and order excluded Average number of problem domains: 5.6 (sd = 2.3)

Psychopathology & addiction; young adults Only confirmed diagnoses were included in the analyses, since a high level of uncertainty was seen for several diagnoses but especially personality disorders. Outcome measures used in study: Psychopathology = Axis 1 disorder, substance use disorders excluded, and/or personality disorder. Differential diagnoses excluded Addiction = substance abuse/dependency disorder. Differential diagnoses excluded Addiction problems mostly cannabis (38%), alcohol (18%) en cocaine (1%)

Associations childhood - young adulthood (SS and psychopathology) 96 persons with data from both sources (logistic) regression analyses: Predictor = diversity of ACEs Outcome: self-sufficiency problems, psychopathology and addiction Association ACE and self sufficiency problems Diversity of ACES are associated with a diversity of problems domains Strongest association of ACE with problems in Finances (OR = 1,80) and Housing (OR = 1,44) ACE positively associated with psychopathology (OR = 1.26) ACE positively associated with addiction (OR = 1.24) Predictor = ACE  sumscore of 9 dichotomous (absent vs. present) ACEs  indicates diversity in ACE exposure Outcoms = SSP  sumscore of 10 dichotomoized SSM-D domains  indicates diversity in problematic functioning in important life domains Misschien aardig om de OR voor psychopathologie bij het gemiddeld van 2.6 ACEs te vertalen in een kans.

Conclusion Questions: High prevalence of multiple ACEs in this group of severe, violent and chronic offenders Many problems in young adulthood ACE associated with problems in self sufficiency in several domains Psychopathology and addiction ACES in childhood can lead to an overall problematic level of self sufficiency, reflected in a wide array of domains Interventions for svc in young adulthood should be sensitive for personal histories and alert on multiproblems situations Structural support on the full range of life domains might be necessary Questions: Menno Segeren msegeren@ggd.amsterdam.nl