TY - JOUR PY - 2020// TI - Impact of perception of safety on outcomes in the context of trauma JO - Children and youth services review A1 - Huefner, Jonathan C. A1 - Ringle, Jay L. A1 - Gordon, Chanelle A1 - Tyler, Patrick M. SP - e105060 EP - e105060 VL - 114 IS - N2 - Youth safety is an essential component of trauma-informed services (U.S. Department of Health & Human Services, 2020). Youth perception of safety should be indicative of a healthy care environment and contribute to successful outcomes. It has been shown that trauma impacts an individual's perception of and response to perceived threat. This study examines the relationship between youth perception of safety, history of trauma, level of aggression, and outcomes in a residential care setting. Data came from the organization's administrative database and from the care provider certification measures collected during the period of January 2016 through December 2018. Trauma exposure and symptoms, the perceived safety and aggression were used in a mediational path model analysis in predicting goal attainment, program completion, and post-discharge placement. Higher levels of youth trauma were not directly associated with poorer outcomes, and higher percentages of goals met when program supervisor perception of safety was higher. Additionally, trauma symptoms were related to lower rates of program completion when youth perception of safety was higher.

RESULTS provide insight into how trauma, perception of safety, and aggression within a residential placement intersect to impact the youth's treatment progress.

Language: en

LA - en SN - 0190-7409 UR - http://dx.doi.org/10.1016/j.childyouth.2020.105060 ID - ref1 ER -