Complex trauma and mental health in children and adolescents placed in foster care: findings from the National Child Traumatic Stress Network.

Journal Article (Journal Article)

Many children in the child welfare system (CWS) have histories of recurrent interpersonal trauma perpetrated by caregivers early in life often referred to as complex trauma. Children in the CWS also experience a diverse range of reactions across multiple areas of functioning that are associated with such exposure. Nevertheless, few CWSs routinely screen for trauma exposure and associated symptoms beyond an initial assessment of the precipitating event. This study examines trauma histories, including complex trauma exposure (physical abuse, sexual abuse, emotional abuse, neglect, domestic violence), posttraumatic stress, and behavioral and emotional problems of 2,251 youth (age 0 to 21; M = 9.5, SD = 4.3) in foster care who were referred to a National Child Traumatic Stress Network site for treatment. High prevalence rates of complex trauma exposure were observed: 70.4% of the sample reported at least two of the traumas that constitute complex trauma; 11.7% of the sample reported all 5 types. Compared to youth with other types of trauma, those with complex trauma histories had significantly higher rates of internalizing problems, posttraumatic stress, and clinical diagnoses, and differed on some demographic variables. Implications for child welfare practice and future research are discussed.

Full Text

Duke Authors

Cited Authors

  • Greeson, JKP; Briggs, EC; Kisiel, CL; Layne, CM; Ake, GS; Ko, SJ; Gerrity, ET; Steinberg, AM; Howard, ML; Pynoos, RS; Fairbank, JA

Published Date

  • 2011

Published In

Volume / Issue

  • 90 / 6

Start / End Page

  • 91 - 108

PubMed ID

  • 22533044

International Standard Serial Number (ISSN)

  • 0009-4021


  • eng

Conference Location

  • United States