New York University School of Medicine, New York City, USA.
New York City Administration for Children's Services, New York City, USA.
J Interpers Violence. 2021 Sep;36(17-18):NP9463-NP9482. doi: 10.1177/0886260519857163. Epub 2019 Jun 28.
The majority of youth in the juvenile justice system have experienced multiple traumatic events in their lives, including community violence, physical abuse, neglect, and traumatic loss. These high prevalence rates, coupled with the known negative consequences of trauma in childhood and adolescence, have led to a greater emphasis on implementing trauma-informed services and practices within juvenile justice settings. However, although many stakeholders and government entities have expressed support for creating more trauma-informed juvenile justice systems, there is still limited empirical knowledge about which interventions are most effective at improving outcomes, particularly at the organizational or facility level. In an effort to fill this gap, the current study evaluated the impact of a trauma-informed milieu intervention, including skills training for youth and training for staff, on rates of violence at two secure juvenile detention facilities ( = 14,856) located in a large Northeastern city. The analyses revealed that the intervention was significantly related to a reduction of violent incidents in Facility A, with no impact on incidents in Facility B. Follow-up analyses revealed that a larger proportion of eligible youth in Facility A completed the skills group program as compared with eligible youth in Facility B (16% vs. 9%). This finding has important implications for the implementation of trauma-informed interventions for youth in juvenile detention settings, as it suggests that to impact outcomes at the facility level, a minimum threshold of youth may need to be exposed to the intervention. In addition, reductions in violence at Facility A were only realized after both staff training and youth skills components were implemented, suggesting that both components are necessary to create change at the facility level. Future research is needed to further explore the impact of organizational and implementation-level factors on trauma-informed care outcomes in juvenile justice settings.
大多数青少年司法系统中的年轻人在生活中经历过多次创伤事件,包括社区暴力、身体虐待、忽视和创伤性丧失。这些高流行率,加上儿童和青少年期创伤的已知负面影响,导致在青少年司法环境中更加重视实施以创伤为中心的服务和实践。然而,尽管许多利益相关者和政府实体表示支持创建更具创伤意识的青少年司法系统,但对于哪些干预措施最能有效改善结果,特别是在组织或设施层面,仍然知之甚少。为了填补这一空白,本研究评估了一种以创伤为中心的环境干预措施的影响,包括对青年和工作人员的技能培训,对位于东北部大城市的两个安全青少年拘留设施(= 14,856)的暴力率的影响。分析显示,该干预措施与设施 A 中暴力事件的减少显著相关,而对设施 B 中的事件没有影响。后续分析显示,与设施 B 中的合格青年相比,设施 A 中有更多符合条件的青年完成了技能组计划(16%对 9%)。这一发现对在青少年拘留环境中为青少年实施以创伤为中心的干预措施具有重要意义,因为它表明,为了对设施层面的结果产生影响,需要一定数量的青年接触到干预措施。此外,只有在实施了工作人员培训和青年技能组成部分后,设施 A 的暴力才减少,这表明要在设施层面产生变化,这两个组成部分都是必要的。需要进一步的研究来探索组织和实施层面因素对青少年司法环境中以创伤为中心的护理结果的影响。