Winn Amanda, Hannan Kelsey, Sege Robert, Burstein Dina
Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA.
Int J Environ Res Public Health. 2025 May 15;22(5):782. doi: 10.3390/ijerph22050782.
Numerous research studies have documented the significant influence of key types of positive childhood experiences (PCEs) on adult health and wellbeing, even in the presence of adverse childhood experiences (ACEs). Recent studies reveal that almost 87% of justice-impacted youth reported at least one ACE. Connecting youth to PCEs after trauma has occurred has been shown to disrupt the poor health trajectory associated with ACEs. Creating juvenile justice systems that prioritize equitable access to PCEs has the potential to change the life course of system-impacted youth. The HOPE (Healthy Outcomes from Positive Experiences) framework, a research-based, community-driven approach to improving access to the key types of PCEs youth need to thrive, presents a potentially powerful strategy for juvenile justice systems to transform care for system-impacted youth. This manuscript describes this proposed approach.
众多研究表明，即使存在童年不良经历（ACEs），关键类型的童年积极经历（PCEs）对成年人的健康和幸福仍有重大影响。最近的研究显示，近87%受司法影响的青少年报告至少有一次ACEs。在创伤发生后让青少年接触PCEs已被证明可以中断与ACEs相关的不良健康轨迹。创建优先保障公平获得PCEs的少年司法系统有可能改变受该系统影响的青少年的人生轨迹。“希望”（Positive Experiences带来健康结果）框架是一种基于研究、由社区推动的方法，旨在改善青少年茁壮成长所需的关键类型PCEs的获取途径，为少年司法系统转变对受系统影响的青少年的照护提供了一种潜在的有力策略。本手稿描述了这一拟议方法。
