Child Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment
A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (Iicaps)
Bibliographic Data
| ID | 22410911 |
|---|---|
| Authors | Margaret L Holland (0000-0002-6205-1538, Child Study Center Yale School of Medicine New Haven Connecticut USA), M G Holland (Yale University), Line Brotnow (0000-0003-4678-7606, Child Study Center Yale School of Medicine New Haven Connecticut USA, corresponding author), Rebecca C Kamody (0000-0002-3307-8117, Child Study Center Yale School of Medicine New Haven Connecticut USA), Victoria Stob (0000-0002-8709-3785, Child Study Center Yale School of Medicine New Haven Connecticut USA), Joseph L Woolston (Child Study Center Yale School of Medicine New Haven Connecticut USA) |
| Year | 2026 |
| Volume | 82 |
| Issue | 4 |
| Pages | 563-572 |
| Publication date | 2026-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Clinical Psychology (JOURNAL) |
| Journal identifiers | ISSN: 0021-9762 • E-ISSN: 1097-4679 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/jclp.70088 |
| PMID | 41543330 |
| OpenAlex | W7124432987 |
| Language | EN |
| References cited | 40 |
Over the past three decades, rigorous empirical research has highlighted both cumulative and non‐additive effects of childhood trauma, which are intricately intertwined with the broader developmental and psychosocial context. Latent class analysis has proven useful in identifying at‐risk groups, thereby informing the design of targeted prevention and early‐intervention efforts. Extending prior research to highly complex, high‐risk children and families receiving intensive home‐based treatment (IHBT), this study analyzed archival data from 10,301 Connecticut families enrolled in the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS) from May 2014 to February 2020. The objective was to identify clusters of child traumatic events alongside familial and community‐level adversities that predict treatment engagement within this marginalized and hard‐to‐reach population. Using latent class analysis (LCA), four classes emerged: (1) Unspecified Adversity (69% probability of membership across the sample); (2) High Family Adversity (13%); (3) High Child Trauma & Family Adversity (11%); and (4) High Child Trauma (7%). Relative to the Unspecified Adversity group (reference class), all other groups exhibited lower odds of completing treatment. These findings hold implications for developing targeted assessment and intervention strategies to enhance treatment engagement and outcomes for underserved youth in intensive home‐based programs.
Child and adolescent psychiatry · Intervention (counseling) · Latent class model · Mental health · Odds · Odds ratio · Poison control · Psychosocial · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption
Beyond Cumulative Risk
Dimensions of early experience and neural development
Adverse childhood experiences
A meta-analytic review on treatment dropout in child and adolescent outpatient mental health care
Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults
A Scoping Review on Adverse Childhood Experiences Studies Using Latent Class Analysis
Distinguishing Between Latent Classes and Continuous Factors
Agreement of parent and child reports of trauma exposure and symptoms in the early aftermath of a traumatic event
Who are the Parents? Risk and Resiliency Among Parents of Youth Receiving Intensive Home-Based Psychiatric Treatment
Victims of Child Abuse Dropping Out of Trauma-Focused Treatment
Mentalization based treatment of youth on the psychotic spectrum
Intensive home-based programs for youth with serious emotional disturbances
Therapeutic Work with Parents’ Childhood Experiences in the Context of Intensive Home-Based Treatment for High-Risk Youth
The role of Medicaid home and community-based service policies in organizing and financing care for children with severe emotional disturbance
When parents and clinicians disagree
Associations Between Trauma Type, Timing, and Accumulation on Current Coping Behaviors in Adolescents
| Citation velocity | historical |
|---|---|
| Highly cited | No |