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Patterns of maltreatment and diagnosis across levels of care in group homes.

Publication ,  Journal Article
Pane Seifert, HT; Farmer, EMZ; Wagner, HR; Maultsby, LT; Burns, BJ
Published in: Child Abuse Negl
April 2015

Patterns of Axis I psychiatric diagnosis and maltreatment history were explored among youth in group homes, including match of clinical need to level or restrictiveness of care. Data on demographics, diagnoses, maltreatment, and group home level of care (Level I, II, or III homes, representing lower to higher intensity of supervision and treatment) were obtained from 523 youth who participated in a quasi-experimental study of group homes. Three quarters of youth had a diagnosis and two-thirds of youth had a maltreatment history. Youth in higher level homes had more diagnoses and higher rates of all disorders except adjustment disorders. Youth in Level I homes had a history of more maltreatment types, particularly high rates of neglect. Sexual abuse, physical abuse, and emotional abuse were most common among youth in higher level homes. Regardless of diagnosis history, comparable proportions of youth had a maltreatment history, and similar patterns were found across levels of care. Together, findings indicate that group homes with varying degrees of restrictiveness serve youth with different psychiatric diagnosis and maltreatment histories. Youth triaged to higher level homes had more diagnoses, while youth placed in the least restrictive homes had a history of more maltreatment subtypes. Further, distinct patterns of diagnosis types and maltreatment subtypes were seen across homes. Implications include the importance of assessing unique clinical needs of youth to promote an appropriate match to level of care and treatment plan.

Duke Scholars

Published In

Child Abuse Negl

DOI

EISSN

1873-7757

Publication Date

April 2015

Volume

42

Start / End Page

72 / 83

Location

England

Related Subject Headings

  • Young Adult
  • United States
  • Needs Assessment
  • Mental Disorders
  • Male
  • Humans
  • Group Homes
  • Foster Home Care
  • Female
  • Developmental & Child Psychology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pane Seifert, H. T., Farmer, E. M. Z., Wagner, H. R., Maultsby, L. T., & Burns, B. J. (2015). Patterns of maltreatment and diagnosis across levels of care in group homes. Child Abuse Negl, 42, 72–83. https://doi.org/10.1016/j.chiabu.2014.12.008
Pane Seifert, Heather T., Elizabeth M. Z. Farmer, H Ryan Wagner, Linda T. Maultsby, and Barbara J. Burns. “Patterns of maltreatment and diagnosis across levels of care in group homes.Child Abuse Negl 42 (April 2015): 72–83. https://doi.org/10.1016/j.chiabu.2014.12.008.
Pane Seifert HT, Farmer EMZ, Wagner HR, Maultsby LT, Burns BJ. Patterns of maltreatment and diagnosis across levels of care in group homes. Child Abuse Negl. 2015 Apr;42:72–83.
Pane Seifert, Heather T., et al. “Patterns of maltreatment and diagnosis across levels of care in group homes.Child Abuse Negl, vol. 42, Apr. 2015, pp. 72–83. Pubmed, doi:10.1016/j.chiabu.2014.12.008.
Pane Seifert HT, Farmer EMZ, Wagner HR, Maultsby LT, Burns BJ. Patterns of maltreatment and diagnosis across levels of care in group homes. Child Abuse Negl. 2015 Apr;42:72–83.
Journal cover image

Published In

Child Abuse Negl

DOI

EISSN

1873-7757

Publication Date

April 2015

Volume

42

Start / End Page

72 / 83

Location

England

Related Subject Headings

  • Young Adult
  • United States
  • Needs Assessment
  • Mental Disorders
  • Male
  • Humans
  • Group Homes
  • Foster Home Care
  • Female
  • Developmental & Child Psychology