154 lines
5.1 KiB
YAML
154 lines
5.1 KiB
YAML
abstract: 'ObjectiveMale youth who have been involved in the juvenile legal system
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have disproportionate rates of trauma and violence exposure. Many
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justice-involved youth have untreated mental illness, with an estimated
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66\% of young men who are incarcerated meeting criteria for at least one
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mental health disorder, including posttraumatic stress disorder (PTSD),
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depression, and substance abuse. While Cognitive Behavioral Therapy
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(CBT) approaches are considered among effective evidence-based
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treatments for addressing and treating behavioral and emotional
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difficulties, male youth with a history of incarceration and youth who
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are at risk for (re)incarceration, violence, emotion dysregulation, and
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trauma face significant barriers in accessing these services.
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MethodsRoca, Inc. (Roca), an internationally recognized organization
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moving the needle on urban violence by working relentlessly with young
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people at the center of violence in Massachusetts and Maryland, employs
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a trauma-informed CBT-based skills curriculum and approach in their
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intervention model, to improve youths'' educational, employment,
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parenting, and life skills opportunities, while decreasing risk for
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recidivism, addressing trauma and increasing skills for emotion
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regulation. The aim of this analysis was to assess the effectiveness of
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Roca''s trauma-informed CBT skills curriculum on youths'' emotional and
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behavioral outcomes. We analyzed data from over 300 participating
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emerging adult men from four sites in Massachusetts and one site in
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Baltimore, Maryland who had at least three series of data collection
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across multiple skills-based sessions. ResultsWe found improvements in
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outcomes in overall mean scores related to decreased distress about
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employment and education, as are expected with standard intervention
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approaches for justice-involved youth. Participants who show improvement
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in emotion regulation across engagement (approximately half the cohort),
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were found to have significant improvements in distress related to
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relationship and family functioning and self-care, and decreased
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substance use, along with other outcomes compared to those participants
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with less improvement in emotion regulation. Furthermore, improvement in
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different aspects of emotion regulation were associated with improved
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relationships, life distress, substance use, and improved prosocial
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thinking. ConclusionsTogether, these data suggest that adding mental
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health support and skills training, such as with trauma-informed CBT
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models, to programs for justice-involved youth may lead to significant
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improvements in functioning, quality of life, and mental health
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outcomes.'
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affiliation: 'Ressler, KJ (Corresponding Author), McLean Hosp, Div Depress \& Anxiety
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Disorders, Belmont, MA 02478 USA.
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Ressler, KJ (Corresponding Author), Harvard Med Sch, Dept Psychiat, Boston, MA 02115
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USA.
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Dumornay, Nathalie M.; Finegold, Katherine E.; Ressler, Kerry J.; Moreland-Capuia,
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Alisha, McLean Hosp, Div Depress \& Anxiety Disorders, Belmont, MA 02478 USA.
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Dumornay, Nathalie M., Univ Minnesota, Inst Child Dev, Minneapolis, MN USA.
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Finegold, Katherine E., Univ Toronto, Sch \& Child Clin Psychol, Toronto, ON, Canada.
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Chablani, Anisha; Elkins, Lili; Krouch, Sotun; Baldwin, Molly, Roca Inc, Chelsea,
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MA USA.
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Youn, Soo Jeong; Marques, Luana, Massachusetts Gen Hosp, Dept Psychiat, Boston,
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MA USA.
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Youn, Soo Jeong; Marques, Luana; Ressler, Kerry J.; Moreland-Capuia, Alisha, Harvard
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Med Sch, Dept Psychiat, Boston, MA 02115 USA.'
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article-number: '951429'
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author: Dumornay, Nathalie M. and Finegold, Katherine E. and Chablani, Anisha and
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Elkins, Lili and Krouch, Sotun and Baldwin, Molly and Youn, Soo Jeong and Marques,
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Luana and Ressler, Kerry J. and Moreland-Capuia, Alisha
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author-email: kressler@mclean.harvard.edu
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author_list:
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- family: Dumornay
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given: Nathalie M.
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- family: Finegold
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given: Katherine E.
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- family: Chablani
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given: Anisha
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- family: Elkins
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given: Lili
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- family: Krouch
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given: Sotun
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- family: Baldwin
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given: Molly
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- family: Youn
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given: Soo Jeong
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- family: Marques
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given: Luana
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- family: Ressler
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given: Kerry J.
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- family: Moreland-Capuia
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given: Alisha
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da: '2023-09-28'
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doi: 10.3389/fpsyt.2022.951429
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files: []
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issn: 1664-0640
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journal: FRONTIERS IN PSYCHIATRY
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keywords: 'trauma-informed; juvenile justice; system change; PTSD; institutional
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racism; brain development; adverse childhood experiences (ACE''s);
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healing'
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keywords-plus: 'POSTTRAUMATIC-STRESS-DISORDER; COGNITIVE-BEHAVIORAL PROGRAMS;
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MENTAL-HEALTH; JUVENILE JUSTICE; YOUTH VIOLENCE; ADOLESCENTS;
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AGGRESSION; PREVENTION; EXPOSURE; THERAPY'
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language: English
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month: OCT 5
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number-of-cited-references: '72'
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papis_id: bf2d9ce910bb4fa36acadfd4c4c330c9
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ref: Dumornay2022improvedemotion
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times-cited: '0'
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title: Improved emotion regulation following a trauma-informed CBT-based intervention
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associates with reduced risk for recidivism in justice-involved emerging adults
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type: article
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unique-id: WOS:000872584500001
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usage-count-last-180-days: '4'
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usage-count-since-2013: '9'
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volume: '13'
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web-of-science-categories: Psychiatry
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year: '2022'
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