Polyvictimization and Psychosocial Outcomes Among Trauma-Exposed, Clinic-Referred Youth Involved in the Juvenile Justice System

Polyvictimization is a robust predictor of emotional and behavioral problems and is linked to involvement in juvenile justice and other public sector systems. This study extends prior research by employing person-centered methods for identifying polyvictimization patterns among trauma-exposed, clinic-referred, justice-involved youth (n = 689; ages 12–18 years) and how identified classes differ on psychosocial outcomes and demographic characteristics. Most participants had experienced multiple traumatic event (TE) types. Latent class analyses identified three classes: mixed trauma/bereavement exposure group (55.1%; Mean = 3.0 TE types); maltreatment polyvictimized group (29.3%; Mean = 5.7 TE types); and maltreatment plus extreme violence polyvictimized group (15.7%; Mean = 9.3 TE types). Polyvictimized youth were more likely to be female, in out-of-home placements, and experiencing negative psychosocial outcomes (e.g., Posttraumatic Stress Disorder). Hispanic/Latino youth were overrepresented in the extreme polyvictimized subgroup. Results underscore the need for cross-system coordination of trauma-informed, comprehensive services for clinic-referred, justice-involved youth

Trauma-Informed Measurement-Based Care for Children: Implementation in Diverse Treatment Settings

Ongoing and comprehensive assessment is a critical part of the implementation of evidence-based care; yet, most providers fail to routinely incorporate measurement into their clinical practice. Few studies have focused on the complex application of routine assessment or measurement-based care (MBC) with children. This pilot examined the acceptability, appropriateness, adoptability, and feasibility of an MBC effort, the Clinical Improvement through Measurement Initiative (CIMI), across several child-serving settings (e.g., community mental health center, residential treatment facility). CIMI includes a comprehensive mental health assessment protocol and combines a mobile technology platform with implementation support. Survey and focus group information, assessing implementation constructs and outcomes, was collected from 44 clinicians and staff. Overall, participants agreed that the implementation process and technology were acceptable, appropriate, and feasible for use in child mental health and that CIMI can be used to guide case conceptualization, facilitate treatment planning, and monitor outcomes. Strategies that supported the implementation process were identified as were recommendations to enhance adoption. Significant differences were observed by Community versus Specialized settings with respect to feasibility and appropriateness, likely because of factors associated with inner setting (climate, compatibility), outer setting (patient needs), and the phase of implementation achieved by sites. Implications and recommendations for tailoring MBC implementation by characteristics related to setting are discussed. MBC across child service settings are discussed in the context of implementation frameworks. (PsycInfo Database Record (c) 2020 APA, all rights reserved)

“I Use Weed for My ADHD”: A Qualitative Analysis of Online Forum Discussions on Cannabis Use and ADHD

<div><p>Background</p><p>Attention-deficit/hyperactivity disorder (ADHD) is a risk factor for problematic cannabis use. However, clinical and anecdotal evidence suggest an increasingly popular perception that cannabis is therapeutic for ADHD, including via online resources. Given that the Internet is increasingly utilized as a source of healthcare information and may influence perceptions, we conducted a qualitative analysis of online forum discussions, also referred to as threads, on the effects of cannabis on ADHD to systematically characterize the content patients and caregivers may encounter about ADHD and cannabis.</p><p>Methods</p><p>A total of 268 separate forum threads were identified. Twenty percent (20%) were randomly selected, which yielded 55 separate forum threads (mean number of individual posts per forum thread = 17.53) scored by three raters (Cohen’s kappa = 0.74). A final sample of 401 posts in these forum threads received at least one endorsement on predetermined topics following qualitative coding procedures.</p><p>Results</p><p>Twenty-five (25%) percent of individual posts indicated that cannabis is therapeutic for ADHD, as opposed to 8% that it is harmful, 5% that it is both therapeutic and harmful, and 2% that it has no effect on ADHD. This pattern was generally consistent when the year of each post was considered. The greater endorsement of therapeutic versus harmful effects of cannabis did not generalize to mood, other (non-ADHD) psychiatric conditions, or overall domains of daily life. Additional themes emerged (e.g., cannabis being considered sanctioned by healthcare providers).</p><p>Conclusions</p><p>Despite that there are no clinical recommendations or systematic research supporting the beneficial effects of cannabis use for ADHD, online discussions indicate that cannabis is considered therapeutic for ADHD—this is the first study to identify such a trend. This type of online information could shape ADHD patient and caregiver perceptions, and influence cannabis use and clinical care.</p></div

Internet Forum Identification Summary.

<p>Internet Forum Identification Summary.</p

Il Mito del Nemico. Identita\u300, alterita\u300 e loro rappresentazioni. The Myth of the Enemy. Alterity, identity, and their representations.

Con un\u2019ampia gamma di saggi, il volume affronta lo studio dell\u2019alterita\u300, dal Medioevo all\u2019Eta\u300 contemporanea, attraverso una prospettiva interdisciplinare, che consente di abbracciare la categoria fluida e soggettiva del "nemico", scrutandola in specifici contesti e seguendola nei suoi diversi paradigmi e trasformazioni. Cinquanta autori si confrontano con il mito mutevole del nemico, mettendo a fuoco i processi figurativi e le dinamiche ideative, all\u2019origine delle molteplici costruzioni dell\u2019alterita\u300. Organizzato tematicamente e in maniera comparata, il volume assume, di volta in volta, focus privilegiati, quali meraviglia, fascinazione, appropriazione, satira, facendo emergere un nemico arbitrario, in cui connessioni tra finzione e fobia, gerarchie e propaganda, concorrono a determinare pericolosita\u300 strategiche e modalita\u300 di assimilazione. Un mito del nemico dunque riconoscibile nelle mistificazioni di ebrei, musulmani, turchi, mori, protestanti, convertiti, non-cattolici in genere; africani, nativi americani, orientali, non-europei, e non-bianchi in genere, come pure dissidenti, e nemici in ambito politico. Vi si ritrova inoltre il nemico diventato pretesto e linfa per giustificazioni imperialistiche e coloniali. Il volume mette al centro i ruoli del diverso nell\u2019immaginario artistico e letterario, sollevando infine interrogativi circa la definizione di identita\u300 e civilta\u300. Oltre ad analisi che si concentrano sull\u2019Europa centro-occidentale, coinvolge approfondimenti su questioni inerenti i paesi mediterranei, l\u2019Est Europa, l\u2019Asia e il continente americano. Il volume, che include scritti di storia dell\u2019arte, letteratura, storia, antropologia visuale, storia del collezionismo, iconologia politica, storia delle idee e filosofia giuridica, e\u300 pensato come visione sfaccettata e di ampio respiro, su un fenomeno sfuggente e complesso, quanto di estrema attualita\u300.With its diverse essays, this volume examines the study of otherness, from the Middle Ages to the contemporary age, through an interdisciplinary perspective that embraces the subjective and fluid category of the enemy in specific contexts and in its different paradigms and transformations. Fifty authors tackle the myth of the enemy and uncover figurative processes and intellectual dynamics behind the constructions of otherness. Thematically and comparatively structured, the book considers specific themes, such as wonder, fascination, appropriation, and satire. It reveals an arbitrary enemy, in which connections between fiction and phobia, hierarchies and propaganda determine strategic defamation and modes of assimilation. The myth of the enemy is here recognizable in the mystification of Jews, Muslims, Turks, Moors, Protestants, converts, and non-Catholics in general; Africans, Native Americans, Asians, non-Europeans, and non-whites in general; dissidents, and enemies in the political sphere. We can also see how the enemy, as a convenient device, was used for imperialist and colonial justifications. In addition, the volume focuses on the roles of diversity in the artistic and literary imagination. Finally, it raises questions about the definition of identity and civilization. The volume transcends exclusively western and central European conceptions and offers insight into the Mediterranean, Eastern European, Asian, and American viewpoints. It includes essays from art history, literature, history, collecting studies, visual anthropology, political iconology, the history of ideas, and legal philosophy. It offers a multifaceted and comprehensive exploration of an elusive, complex, and highly topical phenomenon