abstract: 'ObjectiveMale youth who have been involved in the juvenile legal system

  have disproportionate rates of trauma and violence exposure. Many

  justice-involved youth have untreated mental illness, with an estimated

  66\% of young men who are incarcerated meeting criteria for at least one

  mental health disorder, including posttraumatic stress disorder (PTSD),

  depression, and substance abuse. While Cognitive Behavioral Therapy

  (CBT) approaches are considered among effective evidence-based

  treatments for addressing and treating behavioral and emotional

  difficulties, male youth with a history of incarceration and youth who

  are at risk for (re)incarceration, violence, emotion dysregulation, and

  trauma face significant barriers in accessing these services.

  MethodsRoca, Inc. (Roca), an internationally recognized organization

  moving the needle on urban violence by working relentlessly with young

  people at the center of violence in Massachusetts and Maryland, employs

  a trauma-informed CBT-based skills curriculum and approach in their

  intervention model, to improve youths'' educational, employment,

  parenting, and life skills opportunities, while decreasing risk for

  recidivism, addressing trauma and increasing skills for emotion

  regulation. The aim of this analysis was to assess the effectiveness of

  Roca''s trauma-informed CBT skills curriculum on youths'' emotional and

  behavioral outcomes. We analyzed data from over 300 participating

  emerging adult men from four sites in Massachusetts and one site in

  Baltimore, Maryland who had at least three series of data collection

  across multiple skills-based sessions. ResultsWe found improvements in

  outcomes in overall mean scores related to decreased distress about

  employment and education, as are expected with standard intervention

  approaches for justice-involved youth. Participants who show improvement

  in emotion regulation across engagement (approximately half the cohort),

  were found to have significant improvements in distress related to

  relationship and family functioning and self-care, and decreased

  substance use, along with other outcomes compared to those participants

  with less improvement in emotion regulation. Furthermore, improvement in

  different aspects of emotion regulation were associated with improved

  relationships, life distress, substance use, and improved prosocial

  thinking. ConclusionsTogether, these data suggest that adding mental

  health support and skills training, such as with trauma-informed CBT

  models, to programs for justice-involved youth may lead to significant

  improvements in functioning, quality of life, and mental health

  outcomes.'
affiliation: 'Ressler, KJ (Corresponding Author), McLean Hosp, Div Depress \& Anxiety
  Disorders, Belmont, MA 02478 USA.

  Ressler, KJ (Corresponding Author), Harvard Med Sch, Dept Psychiat, Boston, MA 02115
  USA.

  Dumornay, Nathalie M.; Finegold, Katherine E.; Ressler, Kerry J.; Moreland-Capuia,
  Alisha, McLean Hosp, Div Depress \& Anxiety Disorders, Belmont, MA 02478 USA.

  Dumornay, Nathalie M., Univ Minnesota, Inst Child Dev, Minneapolis, MN USA.

  Finegold, Katherine E., Univ Toronto, Sch \& Child Clin Psychol, Toronto, ON, Canada.

  Chablani, Anisha; Elkins, Lili; Krouch, Sotun; Baldwin, Molly, Roca Inc, Chelsea,
  MA USA.

  Youn, Soo Jeong; Marques, Luana, Massachusetts Gen Hosp, Dept Psychiat, Boston,
  MA USA.

  Youn, Soo Jeong; Marques, Luana; Ressler, Kerry J.; Moreland-Capuia, Alisha, Harvard
  Med Sch, Dept Psychiat, Boston, MA 02115 USA.'
article-number: '951429'
author: Dumornay, Nathalie M. and Finegold, Katherine E. and Chablani, Anisha and
  Elkins, Lili and Krouch, Sotun and Baldwin, Molly and Youn, Soo Jeong and Marques,
  Luana and Ressler, Kerry J. and Moreland-Capuia, Alisha
author-email: kressler@mclean.harvard.edu
author_list:
- family: Dumornay
  given: Nathalie M.
- family: Finegold
  given: Katherine E.
- family: Chablani
  given: Anisha
- family: Elkins
  given: Lili
- family: Krouch
  given: Sotun
- family: Baldwin
  given: Molly
- family: Youn
  given: Soo Jeong
- family: Marques
  given: Luana
- family: Ressler
  given: Kerry J.
- family: Moreland-Capuia
  given: Alisha
da: '2023-09-28'
doi: 10.3389/fpsyt.2022.951429
files: []
issn: 1664-0640
journal: FRONTIERS IN PSYCHIATRY
keywords: 'trauma-informed; juvenile justice; system change; PTSD; institutional

  racism; brain development; adverse childhood experiences (ACE''s);

  healing'
keywords-plus: 'POSTTRAUMATIC-STRESS-DISORDER; COGNITIVE-BEHAVIORAL PROGRAMS;

  MENTAL-HEALTH; JUVENILE JUSTICE; YOUTH VIOLENCE; ADOLESCENTS;

  AGGRESSION; PREVENTION; EXPOSURE; THERAPY'
language: English
month: OCT 5
number-of-cited-references: '72'
papis_id: bf2d9ce910bb4fa36acadfd4c4c330c9
ref: Dumornay2022improvedemotion
times-cited: '0'
title: Improved emotion regulation following a trauma-informed CBT-based intervention
  associates with reduced risk for recidivism in justice-involved emerging adults
type: Article
unique-id: WOS:000872584500001
usage-count-last-180-days: '4'
usage-count-since-2013: '9'
volume: '13'
web-of-science-categories: Psychiatry
year: '2022'