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ISPCAN working group on data collection 2016 presentation 1:MAP study


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Canadian Institute of Health Research IGH Team Grant in Boys' and Men's Health (TE3 138302) Research Study Findings: The Maltreatment and Adolescent Pathways (MAP) Study Presented at ISPCAN 2016, Calgary

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ISPCAN working group on data collection 2016 presentation 1:MAP study

  1. 1. ISPCAN Working Group On Child Maltreatment Data Collection 2016 Meeting • Highlighting areas to benefit from population/linked data and sub- population considerations • CIHR Team grant in boys’ and men’s health on sexual violence (SV) victimization, health and resilience (see C. Wekerle, Researchgate for Team updates) • Questions: • (1) What do we know about the disclosing process for males? (Dr. Delphine Collin-Vezina, McGill University) • (2) What are the health risks for male child welfare-involved youth self-reporting CSA? (i.e., low disclosure rate to caseworker; 5%) (Maltreatment and Adolescent Pathways (MAP) Study: Dr. Amanda Hudson, Dalhousie University) • (3) How does the child welfare system respond to males w/ CSA experiences? (Dr. Tonino Esposito, University of Montreal)
  2. 2. Trauma Experiences are high-impact events that are emotionally difficult to deal with and cause stress TRAUMATIC EXPERIENCES TRAUMATIC REACTIONS RESILIENCE COMMUNITY DIVERSITY VITALITY UNICEF 2016 plan 12% of budget in youth protection NG.pdf
  3. 3. Maltreatment and Adolescent Pathways (MAP) Study: Youth Reported Child Sexual Abuse Experiences • From initial assessment (N=561) – Grouping into CSA experiences using youth self-report (CTQ/CEVQ) and Caseworker Report Females (n=145; 49%) Males (n=70; 27%) Using CTQ Fondling 54% 45% Molested 47% 38% I was sexually abused 55% 41% Agreement 37% 5% s/ CPS Caseworker
  4. 4. Emotion-mediated pathways from childhood sexual abuse to problem drinking in adolescent girls and boys Hudson, A., Wekerle, C., Goldstein, A., Ellenbogen, S., Waechter, R., Thompson, K., Stewart, S. H. Presented by: C. Wekerle Amanda Hudson, PhD Dalhousie University @DrANHudson
  5. 5. Background Links between CSA and alcohol use well-established  Mechanisms? • A large proportion of CSA victims experience emotion symptoms: depression, anxiety, and anger • Research suggests: Briere & Runtz, 1988; Faulkner et al., 2014; Hannan et al., 2015; Trautmann et al., 2015 Emotion Symptoms Maltreatment/ Violence Alcohol Problems
  6. 6. Current Study Objective: to understand links between CSA and alcohol problems in a sample of youth involved in child welfare services • Emotion symptoms as mediators of CSA-alcohol problems relation • Gender as potential moderator • Dep; Anx - Females • Anger - Males Briere & Elliott, 2003; Goldstein et al., 2010
  7. 7. Method - Participants • Subset of participants from the Maltreatment and Adolescent Pathways (MAP) project (Wekerle et al., 2009) • Participants randomly selected through child welfare services (Children’s Aid Societies; CAS) • All participants completed measures of CSA, negative emotion symptoms, and problem drinking • N = 301; 56% female • Mage =15.9 years (SD = 1.1)
  8. 8. Results Males
  9. 9. Results Females
  10. 10. Discussion • Emotion symptoms pertinent for predicting problem drinking in females • Anxiety + Anger had explanatory roles • The emotion symptom of anger important in explaining CSA  alcohol problems in males • Emotion symptoms were full mediators in females, but only partial mediators in males  More complex in males?
  11. 11. Acknowledgements MAP Collaborators, advisory board, and research staff Ontario Association of Children's Aid Societies Child Welfare League of Canada First Nations Child and Family Caring Society Youth Participants
  12. 12. Acknowledgements