- Child Abuse and Trauma
- Child and Adolescent Psychosocial and Emotional Development
- Migration, Health and Trauma
- Health Policy Implementation Science
- Intimate Partner and Family Violence
- Homelessness and Social Issues
- Posttraumatic Stress Disorder Research
- Child Welfare and Adoption
- Child and Adolescent Health
- Sexual Assault and Victimization Studies
- Homicide, Infanticide, and Child Abuse
- Attachment and Relationship Dynamics
- Family and Disability Support Research
- Psychiatric care and mental health services
- Primary Care and Health Outcomes
- Child Abuse and Related Trauma
- Digital Mental Health Interventions
- Adolescent Sexual and Reproductive Health
- Mental Health and Patient Involvement
- Emergency and Acute Care Studies
- Family Support in Illness
- Gender, Security, and Conflict
- Suicide and Self-Harm Studies
- Healthcare Systems and Technology
- Community Health and Development
Medical University of South Carolina
2016-2025
National Center for Victims of Crime
2010-2023
Prisma Health
2023
Duke Endowment
2023
American College of Surgeons
2023
The University of Texas Health Science Center at Houston
2021-2022
Clemson University
2009
University of Florida
1995-1998
University of Florida Health
1995
Queen Elizabeth Hospital Birmingham
1973
Two case studies are presented to demonstrate that children who experience trauma-related nightmares may benefit from cognitive-behavioral therapy for this sleep problem. The treatment was adapted the empirically supported adult chronic nightmares: exposure, relaxation, and rescripting (ERRT). Pretreatment posttreatment nightmare frequency severity were measured in addition subjective nightmare-related distress, behavioral problems, quality quantity, symptoms of posttraumatic stress disorder...
The past two decades have witnessed an increase in programs targeting children and youth impacted by traumatic events, with a heightened focus on ensuring that all such relevant service systems are trauma informed. While efforts laudable, trauma-informed care (TIC) is defined number of ways, limiting evaluation these initiatives, specifically as they relate to the potential for improved outcomes or reduced costs often used advocate TIC. Widespread interest TIC, despite apparent dearth...
A national sample of adult women was screened for a history serious physical assault in childhood, major depressive episode, post-traumatic stress disorder, and substance abuse. Approximately 2.6% reported having experienced assaults with fathers stepfathers identified as been the most frequent offenders. Compared to reporting no such victimization, these more lifetime current episodes depression, stress,
Although research suggests that witnessed violence is linked to adverse mental health outcomes among adolescents, little known about its prevalence or significance in predicting psychiatric symptoms beyond the contribution of co-occurring risk factors. The purpose this study was identify national parental and community examine these life stressors as independent factors for posttraumatic stress disorder (PTSD) major depressive episode (MDE) adolescents. A secondary aim determine which...
This study examined the associations between household income, race/ethnicity, and exposure to violence in a nationally representative sample of youth. Participants included national probability adolescents (ages 12-17), who completed telephone interview that assessed lifetime occurrences witnessing violence, receipt physically abusive punishment, physical assault, sexual assault. Results indicated as income increased prevalence assault decreased for Caucasian but not African-American or...
Factors associated with suicidal ideation and attempts were examined among a national probability sample of adolescents. Sample prevalences 24.3% 3.3%, respectively, yielding weighted population prevalence estimates 23.3% 3.1%. Suicidal was positively female gender, age, family alcohol drug problems, violence exposure, lifetime depression, posttraumatic stress disorder (PTSD). Suicide sexual physical assault, substance abuse or dependence, PTSD, depression. Implications for intervention...
A controlled investigation of 134 battered children showed that nearly half had serious injuries and 21 died. Sixty-five been more than once, 20 permanent neurological sequelae, a quarter were low birth weight babies, 10 congenital defects. Twenty-three previously admitted to hospital with failure thrive the overlap physical neglect was considerable. Mortality morbidity among their siblings also high. Difficulties child attributable interaction neurotic mothers.The risk battering diminishes...
A controlled investigation of 214 parents battered babies shows that they were young and predominantly lower social class. Premature parenthood is an associated feature. Among the mothers 76% had abnormal personality 48% neurotic. Nearly half borderline or subnormal intelligence; 11% a criminal record. Of fathers 64% personality, more than being psychopaths. Twenty-nine per cent. Recidivism feature.The risk battering possibly diminishes with time. The teaching appropriate child-rearing...
Exposure to multiple traumatic events (polyvictimization) is a reliable predictor of deleterious health outcomes and risk behaviors in adolescence. The current study extends the literature on prevalence consequences adolescent trauma exposure by (a) empirically identifying characterizing profiles large, ethnically diverse, multi-site, clinical sample adolescents, (b) evaluating relations among identified with demographic characteristics correlates.Data from National Child Traumatic Stress...
Using telephone interview methods, a national probability sample of adult women was screened for history completed rape in childhood, and characteristics child incidents were assessed. All respondents evaluated major depressive episode, post-traumatic stress dis-order (PTSD), substance use problems. Implications the results prevention, intervention, future research are discussed.
Clinicians often assert that disclosure of childhood rape is beneficial to victims because it sets the occasion for protective action and can bring them into contact with professionals trained address rape-related mental health needs. Consistent this hypothesis who disclose their victimization soon after occurs are at lower risk later psychosocial difficulties relative those delay or never disclose. We explored issue a nationally representative sample 3,220 adult women; 288 (8.9%) endorsed...
Using a nationally representative sample of 4,008 adolescents, this study examines gender differences in violence exposure, major depressive episode (MDE) and posttraumatic stress disorder (PTSD), characteristics incidents. It was hypothesized that there would be the types exposure reported prevalence MDE PTSD moderate relationship between mental health outcomes. Results indicated significant rates PTSD, MDE. Additionally, moderating variable relation sexual assault but not other...
Child sexual assault is a risk factor for wide range of emotional and behavioral problems. Little known about mental health functioning in relation to victims' decisions tell someone (or not) their assault. This study used data from nationally representative sample 4,023 adolescents examine the between disclosure characteristics outcomes. Results indicated that youth who disclosed within 1 month were at reduced current major depressive episode (MDE) delinquency. No was found latency...
This study used an experimental design to examine the effect of systematic implementation behavioral interventions on rate seclusion and restraint in inpatient psychiatric hospital.With a variant multiple-baseline design, model designed reduce was implemented at large state-funded hospital southeastern United States. The schedule established such that each five units randomly assigned implement intervention components different order, unit served as its own control. Participants were...
This study investigated two theoretical risk models predicting child maltreatment potential: (a) Belsky's (1993 Belsky , J. ( 1993 ). Etiology of maltreatment: A developmental-ecological analysis . Psychological Bulletin 114 413 – 434 .[Crossref], [PubMed], [Web Science ®] [Google Scholar]) model and (b) the cumulative in a sample 610 caregivers (49% African American, 46% European American; 53% single) with between 3 6 years old. Results extend literature by using widely accepted valid...