TY  - JOUR
PY  - 2019//
TI  - Two-generational trauma-informed assessment improves documentation and service referral frequency in a child protection program
JO  - Child abuse and neglect
A1  - Kottenstette, Sarah
A1  - Segal, Rachel
A1  - Roeder, Victoria
A1  - Rochford, Hannah
A1  - Schnieders, Eric
A1  - Bayman, Levent
A1  - McKissic, Devin A.
A1  - Dahlberg, Greta J.
A1  - Krewer, Rebecca
A1  - Chambliss, James
A1  - Theurer, Jennifer L.
A1  - Oral, Resmiye
SP  - e104327
EP  - e104327
VL  - 101
IS  - 
N2  - BACKGROUND: Two-generational trauma-informed assessment (TIA) helps providers conduct holistic family well-being assessment (FWbA). This tool makes it possible to use families' trauma history in the case-finding process. <br><br>OBJECTIVE: This study compares the documentation and frequency of adverse childhood experiences (ACEs) and service referral rates for index children and their caretakers in two groups of families evaluated in a child abuse clinic (CAC). PARTICIPANTS AND SETTING: The sample consisted of 364 children stratified into two groups: Group 1 - children seen in the CAC after implementation of FWbA in years 2014, 2015, 2016 and Group 2 - children seen in the CAC prior to implementation of FWbA in years 2011, 2012, 2013. <br><br>METHODS: Researchers utilized retrospective chart review method and analyzed data regarding ACEs and service referrals for patients and their caregivers. <br><br>RESULTS: Documentation of ACEs was higher in Group 1 for children (77.7 % vs 26.6 %,p <  0.0001) and caretakers (60.7 % vs 7.3 % p <  0.0001). Caretakers in Group 1 had a higher rate of four or more ACEs (47.0 % vs 5.1 % p <  0.001) while the increase for children was not statistically significant (61.4 % vs 51.1 %, p =  0.110). Both children and caretakers were referred to more services in Group 1 (2.7 + 1.5 vs 1.5 + 1.3, and 3.0 + 1.9 vs 1.2 + 1.2, respectively, p <  0.0001). <br><br>CONCLUSIONS: In families evaluated for child abuse and neglect, conducting TIA in addition to conventional psychosocial evaluation increased documentation regarding trauma history, which led to increased referral rates.<br><br>Copyright © 2019 Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2019.104327
ID  - ref1
ER  -