Complex Trauma Exposure and Placement Stability among Systems-Impacted Black and Latinx Youth: The Mediating Role of Multisystemic Strengths

Author:

Summersett Williams Faith12ORCID,Goldenthal Hayley3,Eihentale Liga4,Lakshman Maya5ORCID,Kisiel Cassandra6,Jordan Neil6

Affiliation:

1. Ann and Robert H Lurie Children’s Hospital of Chicago, Adolescent & Young Adult Medicine, Chicago, IL, USA

2. Northwestern University Feinberg School of Medicine, Pediatrics, Chicago, IL, USA

3. Department of Psychiatry & Behavioral Neuroscience, The University of Chicago Medicine, Chicago, IL, USA

4. Pritzker Department of Psychiatry and Behavioral Health, Center for Childhood Resilience, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA

5. Northwestern University Feinberg School of Medicine, Neurology, Chicago, IL, USA

6. Department of Psychiatry & Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Abstract

The purpose of this study is to investigate the mediating role of multisystemic strengths in the association between complex trauma (CT) exposure and placement stability among racialized youth using the Child and Adolescent Needs and Strength (CANS) assessment. Participants were 4022 Black and Latinx youth in the child welfare system in a midwestern state. Negative binomial regressions revealed a significant indirect effect of CT exposure on placement stability through interpersonal strengths ( p < .01), coping skills ( p < .001), optimism ( p < .01), and talents/interests ( p < .05). At the familial level, there was a significant indirect effect of CT exposure on placement stability through family strengths and relationship permanence ( p < .001). At the community level, educational system supports, and community resources indirectly impacted the relationship between CT exposure and placement stability ( p < .01). These findings suggest that early interventions aimed at identifying and developing multisystemic strengths in Black and Latinx youth in the child welfare system can help maximize placement stability.

Publisher

SAGE Publications

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