Predictors of Treatment Engagement in Ethnically Diverse, Urban Children Receiving Treatment for Trauma Exposure
Open accessAbstract
Keeping traditionally underrepresented children and their families engaged in treatment until completion is a major challenge for many community‐based mental health clinics. The current study used data collected as part of the National Child Traumatic Stress Network Core Data Set to examine whether racial/ethnic disparities exist in treatment duration and completion in children seeking treatment for trauma exposure. We then explored whether disparities persist after accounting for other variables associated with children's social contexts and the treatment setting. The sample included 562 ethnically diverse children receiving services from a child abuse prevention and treatment agency in Southern California. The results indicated that African American children had significantly shorter trauma‐informed treatment duration and higher rates of premature termination than Spanish‐speaking Latino children. These disparities persisted even with other variables associated with treatment duration and completion (e.g., child's age, level of functional impairment, and receipt of group and field services) in the model. Implications and future directions for research and practice are discussed.
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Fraynt et al. (2014) identified disparities in treatment completion specifically with African American and Latino youths and families seeking services for trauma-related intervention as compared to their White family counterparts.
“Fraynt et al. (2014) identified disparities in treatment completion specifically with African American and Latino youths and families seeking services for trauma-related intervention as compared to their White family counterparts.”
From Development of a Differential Assessment Guide to Improve Engagement with Youths & Families Living with Chronic Trauma (2023) · cites this paper as Fraynt et al., 2014
The Abstract reports disparities in treatment completion among African American and Latino children receiving trauma-informed treatment: African American children had higher rates of premature termination than Spanish-speaking Latino children. The Method Participants section says the study included only African American and Latino children, so it does not support the claimed comparison with White families. (LLM, conf=0.91)
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“While other studies have documented that a child’s race may contribute to staying in treatment (Eslinger et al., 2014;Wamser-Nanney, 2020; Fraynt et al., 2014), this was not the case in this study.”
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“Our findings add to the literature examining factors that facilitate and inhibit treatment engagement in families of color at the community-level (Atdjian & Vega, 2005; Burns et al., 2004; Costello, et al., 2014; Fraynt et al., 2014; Pumariega et al., 2013; Risser & Schewe, 2013).”
BackgroundResultRisk and Protective Factors for Treatment Dropout in a Child Maltreatment Population
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“…have not reached an agreement on what specific factors cause PT. Researchers have identified the relationship between client demographics and PT. Fraynt et al. (2014) analyzed data from National Child Traumatic Stress Network Core Data Set and explored the treatment and duration completion of…”
Vogel, A., Comteße, H., & Rosner, R. (2020) · Figshare · doi:10.6084/m9.figshare.12144618
Vogel, A., Comteße, H., & Rosner, R. (2020) · Figshare · doi:10.6084/m9.figshare.12144624
- Authors
- Fraynt, R., Ross, L., Baker, B. L., Rystad, I., Lee, J., & Briggs, E. C.
- Affiliations
- University of California, Los Angeles (US)
- Children’s Institute (US)
- Duke University (US)
- Corresponding author
- Fraynt, Rebecca
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2014-01-29
- Volume
- 27
- Issue
- 1
- Pages
- 66-73
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2171027226
- Cited by
- 36
- References
- 45
- Citations by year
- 2024: 1 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 7 · 2019: 2 · 2018: 4 · 2016: 4 · 2015: 3
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- green
- escholarship.org
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Mental Health Services (CMHS) (3U79SM054284-10S, SMO58241)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- U.S. Department of Health and Human Services (HHS)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- treatment engagement, treatment completion, early termination, racial and ethnic disparities, trauma exposure, children, African American children, Latino children, Spanish-speaking children, child abuse prevention, community mental health services, National Child Traumatic Stress Network, urban children
- MeSH terms
- Adolescent, Age Factors, Black or African American, California, Child, Community Mental Health Services, Female, Hispanic or Latino, Humans, Male, Patient Compliance, Patient Dropouts, Psychotherapy, Group, Stress Disorders, Post-Traumatic, Time Factors, Urban Population, Healthcare Disparities
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