Randomized evaluation of a school-based, trauma-informed group intervention for young women in Chicago

Author:

Bhatt Monica P.1ORCID,Guryan Jonathan2,Pollack Harold A.34,Castrejon Juan C.1,Clark Molly1,Delgado-Sanchez Lucia1,Lin Phoebe1ORCID,Lubell Max1ORCID,Pinto Poehls Cristobal1,Shaver Ben1,Sumners Makenzi1ORCID

Affiliation:

1. Crime Lab and Education Lab, University of Chicago, Chicago, IL, USA.

2. School of Education and Social Policy, Northwestern University, Evanston, IL, USA.

3. Crown Family School of Social Work, Policy and Practice, University of Chicago, Chicago, IL, USA.

4. University of Chicago Health Lab, University of Chicago, Chicago, IL, USA.

Abstract

This study explores whether a school-based group counseling program for adolescent girls, implemented at scale, can mitigate trauma-related mental health harms. In a randomized trial involving 3749 Chicago public high school girls, we find that participating in the program for 4 months induces a 22% reduction in posttraumatic stress disorder symptoms and find significant decreases in anxiety and depression. Results surpass widely accepted cost-effectiveness thresholds, with estimated cost-utility well below $150,000 per quality adjusted life year. We find suggestive evidence that effects persist and may even increase over time. Our results provide the first efficacy trial of such a program specifically designed for girls, conducted in America’s third largest city. These findings suggest the promise of school-based programs to mitigate trauma-related harms.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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