Child Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment: A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS).
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| Title: | Child Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment: A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS). |
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| Authors: | Holland, Margaret L. (AUTHOR), Decker, Line B. (AUTHOR), Kamody, Rebecca C. (AUTHOR), Stob, Victoria (AUTHOR), Woolston, Joseph L. (AUTHOR) |
| Source: | Journal of Clinical Psychology. Apr2026, Vol. 82 Issue 4, p563-572. 10p. |
| Subjects: | At-risk youth, Latent class analysis (Statistics), End of treatment, Dysfunctional families, Mental health services, Adverse childhood experiences, Early medical intervention |
| Abstract: | Over the past three decades, rigorous empirical research has highlighted both cumulative and non‐additive effects of childhood trauma, which are intricately intertwined with the broader developmental and psychosocial context. Latent class analysis has proven useful in identifying at‐risk groups, thereby informing the design of targeted prevention and early‐intervention efforts. Extending prior research to highly complex, high‐risk children and families receiving intensive home‐based treatment (IHBT), this study analyzed archival data from 10,301 Connecticut families enrolled in the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS) from May 2014 to February 2020. The objective was to identify clusters of child traumatic events alongside familial and community‐level adversities that predict treatment engagement within this marginalized and hard‐to‐reach population. Using latent class analysis (LCA), four classes emerged: (1) Unspecified Adversity (69% probability of membership across the sample); (2) High Family Adversity (13%); (3) High Child Trauma & Family Adversity (11%); and (4) High Child Trauma (7%). Relative to the Unspecified Adversity group (reference class), all other groups exhibited lower odds of completing treatment. These findings hold implications for developing targeted assessment and intervention strategies to enhance treatment engagement and outcomes for underserved youth in intensive home‐based programs. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 192158194 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Child Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment: A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS). – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Holland%2C+Margaret+L%2E%22">Holland, Margaret L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Decker%2C+Line+B%2E%22">Decker, Line B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kamody%2C+Rebecca+C%2E%22">Kamody, Rebecca C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stob%2C+Victoria%22">Stob, Victoria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woolston%2C+Joseph+L%2E%22">Woolston, Joseph L.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Apr2026, Vol. 82 Issue 4, p563-572. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22At-risk+youth%22">At-risk youth</searchLink><br /><searchLink fieldCode="DE" term="%22Latent+class+analysis+%28Statistics%29%22">Latent class analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22End+of+treatment%22">End of treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Dysfunctional+families%22">Dysfunctional families</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+childhood+experiences%22">Adverse childhood experiences</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Over the past three decades, rigorous empirical research has highlighted both cumulative and non‐additive effects of childhood trauma, which are intricately intertwined with the broader developmental and psychosocial context. Latent class analysis has proven useful in identifying at‐risk groups, thereby informing the design of targeted prevention and early‐intervention efforts. Extending prior research to highly complex, high‐risk children and families receiving intensive home‐based treatment (IHBT), this study analyzed archival data from 10,301 Connecticut families enrolled in the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS) from May 2014 to February 2020. The objective was to identify clusters of child traumatic events alongside familial and community‐level adversities that predict treatment engagement within this marginalized and hard‐to‐reach population. Using latent class analysis (LCA), four classes emerged: (1) Unspecified Adversity (69% probability of membership across the sample); (2) High Family Adversity (13%); (3) High Child Trauma & Family Adversity (11%); and (4) High Child Trauma (7%). Relative to the Unspecified Adversity group (reference class), all other groups exhibited lower odds of completing treatment. These findings hold implications for developing targeted assessment and intervention strategies to enhance treatment engagement and outcomes for underserved youth in intensive home‐based programs. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/jclp.70088 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 563 Subjects: – SubjectFull: At-risk youth Type: general – SubjectFull: Latent class analysis (Statistics) Type: general – SubjectFull: End of treatment Type: general – SubjectFull: Dysfunctional families Type: general – SubjectFull: Mental health services Type: general – SubjectFull: Adverse childhood experiences Type: general – SubjectFull: Early medical intervention Type: general Titles: – TitleFull: Child Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment: A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS). Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Holland, Margaret L. – PersonEntity: Name: NameFull: Decker, Line B. – PersonEntity: Name: NameFull: Kamody, Rebecca C. – PersonEntity: Name: NameFull: Stob, Victoria – PersonEntity: Name: NameFull: Woolston, Joseph L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 00219762 Numbering: – Type: volume Value: 82 – Type: issue Value: 4 Titles: – TitleFull: Journal of Clinical Psychology Type: main |
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