ArticlePsychological trauma : theory, research, practice and policy2018
Service usage typologies in a clinical sample of trauma-exposed adolescents: A latent class analysis.
Article in Psychological trauma : theory, research, practice and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Use of multiple services from childhood to early adulthood among violent juvenile offenders: a document-based descriptive study.Child and adolescent psychiatry and mental health · 2026Article
- Profiles of behavioral health service utilization among youth involved in the juvenile legal system.Health & justice · 2026Article
- Relationship between non-disclosure of sexual violence and number of incidents, polyvictimization, mental health problems and violence perpetration among children and youth in Latin American countries.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Profiles of Quality of Outpatient Care Received Among Adolescents and Young Adults with Health Mental Disorders.The Psychiatric quarterly · 2026Article
- Lifelong mental health service use among 15-22 years old offenders: a document-based, mixed-methods descriptive study.BMJ open · 2023Article
- Profiles, Correlates and Outcomes Among Patients Experiencing an Onset of Mental Disorder Based on Outpatient Care Received Following Index Emergency Department Visits.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Challenges in recruiting and retaining adolescents with abuse-related posttraumatic stress disorder: lessons learned from a randomized controlled trial.Child and adolescent psychiatry and mental health · 2020Article
- Predicting patterns of service utilization within children's mental health agencies.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThe purpose of this study is to describe typologies of service utilization among trauma-exposed, treatment-seeking adolescents and to examine associations between trauma history, trauma-related symptoms, demographics, and service utilization.
methodLatent class analysis was used to derive a service utilization typologies based on 10 service variables using a sample of 3,081 trauma-exposed adolescents ages 12 to 16 from the National Child Traumatic Stress Network Core Dataset. Services used 30 days prior to the initial assessment from 5 sectors were examined (health care, mental health, school, social services, and juvenile justice).
resultsA 5-class model was selected based on statistical fit indices and substantive evaluation of classes: (a) High intensity/multisystem, 9.5%; (b) Justice-involved, 7.2%; (c) Low intensity/multisystem, 19.9%; (d) Social service and mental health, 19.9%; and (e) Low service usage/reference, 43.5%. The classes could be differentiated based on cumulative trauma, maltreatment history, PTSD, externalizing and internalizing symptoms, and age, gender, race/ethnicity and place of residence.
conclusionsThis study provides new evidence about patterns of service utilization by trauma exposed, treatment seeking adolescents. Most of these adolescents appear to be involved with at least 2 service systems prior to seeking trauma treatment. Higher cumulative exposure to multiple types of trauma was associated with greater service utilization intensity and complexity, but trauma symptomatology was not. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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