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青少年司法中创伤知情实践的成果:一项综合综述。

The Outcomes of Trauma-Informed Practice in Youth Justice: An Umbrella Review.

作者信息

Malvaso Catia G, Day Andrew, Boyd Carolyn M

机构信息

School of Psychology, The University of Adelaide, Adelaide, South Australia Australia.

School of Public Health, The University of Adelaide, Adelaide, South Australia Australia.

出版信息

J Child Adolesc Trauma. 2024 Apr 22;17(3):939-955. doi: 10.1007/s40653-024-00634-5. eCollection 2024 Sep.

Abstract

UNLABELLED

Findings of high rates of complex trauma among justice-involved young people have engendered interest in developing trauma-informed youth justice systems. Although there have been several reviews of trauma-informed practice in youth justice settings, uncertainty remains about whether this approach can produce the outcomes expected of youth justice services. In this study we summarize findings from recent systematic reviews and meta-analyses to provide an overview of evidence relevant to implementing trauma-informed youth justice. We conducted an umbrella review of systematic reviews published between 2017 and 2023 that included group-based primary studies of trauma-informed interventions for justice-involved young people. Reviews were located via searches of PsycINFO, PubMedCentral, Embase, Criminal Justice Abstracts with Full Text, and ProQuest. Data extracted from each review included the number and type of primary studies reviewed, and outcomes related to trauma symptomatology, mental health and wellbeing, and justice system involvement. Nine systematic reviews met our inclusion criteria. Improvements in trauma symptoms, mental health and wellbeing, and justice system involvement were documented in each review. The strongest evidence related to the impact of trauma-focused interventions on posttraumatic stress disorder symptoms, but less evidence was available to demonstrate outcomes of organizational level and systemic components of trauma-informed practice. Each review highlighted the need to strengthen the methodological quality of primary studies. Trauma-informed practice should be seriously considered as part of any effort to implement evidence-based youth justice. This should extend beyond treatment of trauma symptomatology to incorporate a broader approach to trauma-informed practice that is organizationally embedded.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40653-024-00634-5.

摘要

未标注

在涉及司法的年轻人中发现的复杂创伤高发生率引发了人们对建立创伤知情青少年司法系统的兴趣。尽管对青少年司法环境中创伤知情实践已有多项综述,但对于这种方法能否产生青少年司法服务预期的结果仍存在不确定性。在本研究中,我们总结了近期系统综述和荟萃分析的结果,以概述与实施创伤知情青少年司法相关的证据。我们对2017年至2023年发表的系统综述进行了伞状综述,这些综述包括针对涉及司法的年轻人的创伤知情干预的基于群体的初步研究。通过搜索PsycINFO、PubMedCentral、Embase、《刑事司法全文摘要》和ProQuest来查找综述。从每项综述中提取的数据包括所综述的初步研究的数量和类型,以及与创伤症状、心理健康和幸福感以及司法系统参与相关的结果。九项系统综述符合我们的纳入标准。每项综述都记录了创伤症状、心理健康和幸福感以及司法系统参与方面的改善。与创伤聚焦干预对创伤后应激障碍症状的影响相关的证据最为有力,但较少有证据能证明创伤知情实践在组织层面和系统组成部分的效果。每项综述都强调了加强初步研究方法质量的必要性。创伤知情实践应被认真视为实施循证青少年司法的任何努力的一部分。这应超越对创伤症状的治疗,纳入一种更广泛的、在组织中根深蒂固的创伤知情实践方法。

补充信息

在线版本包含可在10.1007/s40653-024-00634-5获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f1f/11413302/6d05d3b43a1e/40653_2024_634_Fig1_HTML.jpg

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