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Impact of Maltreatment on Children Served in Community Mental Health Programs

ORC Macro

Michele L. Ybarra

Angela K. Sheehan

ORC Macro

E. Wayne Holden

RTI International

Barbara J. Burns

Services Effectiveness Research Program in the Department of Psychiatry and Behavioral Sciences at the Duke University School of Medicine

Despite a decline in the incidence of child abuse over the last decade, victimization rates remain troubling.This study used a subset of data from the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program to investigate and compare the demographic, psychosocial, and service use characteristics and outcomes of children with varying abuse histories referred into community-based mental health services. The lifetime estimate of abuse histories—physical, sexual, or both—among these children is 36.5%.A high level of clinical need across abuse subtypes and a gradient of increasing child and family risk factors differentiated children with and without an abuse history. Children with a reported history of both physical and sexual abuse consistently presented a more troublesome picture of personal and family challenges. Implications for the assessment of clinical needs and the identification of evidence-based interventions to meet the unique needs of these children are discussed.

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