Andrea Hazen

Rady Children's Hospital · Child and Adolescent Services Research Center

Accreditation could potentially improve an under-resourced, overburdened child welfare system. As the first study to use national-level data to focus on the Council on Accreditation (COA) in public child welfare, this research note explores: 1) the landscape of accreditation and 2) how accreditation is related to agencies' structure (environment of...

Objective To examine differences in caregiver and youth reported mental health symptoms for youth initiating mental health treatment through phases of the Coronavirus Disease (COVID-19) pandemic, compared with symptomology reported the prior year. Study design This retrospective study analyzes group differences in mental health symptoms (Pediatric...

Each year, numerous children testify in the United States in either criminal, civil, or juvenile court cases. Typically, children who testify are alleged victims of sexual or physical abuse or neglect, witnesses to violent crime, or subjects in custodial hearings in civil court. As more maltreatment cases are prosecuted and child custody is contest...

A commonly emphasized component of trauma-informed care is the practice of building cross-system collaboration (CSC). While existing research on CSC states numerous benefits and barriers associated with increasing collaboration between systems, there is limited empirical understanding on how to define and measure collaboration between county system...

Children involved in the child welfare system have high rates of mental health and trauma-related problems, yet many children with an identified need do not receive mental health services. In California, a recent initiative resulting from a class action lawsuit established the requirement for all counties statewide to implement screening procedures...

One of the most daunting challenges of creating system-level change is maintaining progress over time and through leadership transitions. However, during multi-year implementation projects for child-serving social service systems, such as child welfare and children’s behavioral health, leadership change is the norm. These changes can create shifts...

p>A central aspect of trauma-informed care in child welfare (CW) systems is the use of a trauma-informed screening process. This includes the use of a broadly administered measurement approach to assist professionals in identifying current trauma-related symptomology or a history of potentially traumatizing events. With a high prevalence of unmet m...

Background: The perinatal period provides unique opportunities to identify and intervene with the co-occurrence of perinatal depression, intimate partner violence (IPV), and substance use problems. Psychosocial screening recommended for women seen in maternal child health settings tends to target single rather than multiple risk factors; there is...

Understanding how depression is conceptualized is key to designing effective screening and treatment procedures. Of particular concern is maternal depression in Latinas, given the high Latina birthrate. We conducted two focus groups of pregnant Latinas to elicit their perceptions of and experiences with maternal depression. Women reported familiari...

Maternal depression is highly prevalent (10-20%) during the perinatal period, with rates as high as 35% to 40% for Latinas. However, few Latinas are either identified or treated during the perinatal period. The Perinatal Mental Health (PMH) model was designed to ameliorate the barriers that prevent adequate diagnoses and intervention. The PMH is a...

With the awareness of maternal depression as a prevalent public health issue and its important link to child physical and mental health, attention has turned to how healthcare providers can respond effectively. Intimate partner violence (IPV) and the use of alcohol, tobacco, and other drugs are strongly related to depression, particularly for low-i...

Children who have exposure to child sexual abuse (CSA) are at particular risk for developing substance abuse in adolescence, but the extent to which CSA may shape patterns of adolescent substance use remains uncertain. The aim of this paper is to characterize the variations in patterns of adolescent substance use and to examine the association betw...

The purpose of this paper was to examine collaborative activities occurring between child welfare agencies and domestic violence service providers and to investigate whether there was a relationship between collaborative efforts and domestic violence policy and practice in child welfare agencies. Data were derived from the Children and Domestic Vio...

To examine the association between physical domestic violence victimization (both recent and more than a year in past measured by self-report) and self-reported disciplinary practices among female parents/caregivers in a national sample of families referred to child welfare. Cross-sectional survey of more than 3,000 female caregivers in the Nationa...

This study examines risk factors for substance involvement for youths involved with the child welfare (CW) system. In addition to common risk factors examined in general population studies; this research examines risk factors unique to youths in the CW system, including age at entry into CW and number of out-of-home placements. Participants include...

The purpose of this article is to identify profiles of maltreatment experiences in a sample of high-risk adolescents and to investigate the relationship between the derived profiles and psychological adjustment. Participants are 1,131 youth between the ages of 12 and 18 years involved with publicly funded mental health and social services. Informat...

In this study, the researchers examined the associations among intimate partner violence and psychological functioning in 282 Latina women between 18 and 45 years. Participants were interviewed about demographic characteristics, experiences with physical, sexual, and psychological intimate partner violence, psychological symptoms, stressful life ev...

This study examined experiences with intimate partner violence in 292 Latina women classified as U.S. born, immigrant, or migrant-seasonal workers. High lifetime rates of violence were found, with 33.9% reporting physical violence, 20.9% reporting sexual coercion, and 82.5% reporting psychological aggression. Rates of violence in the preceding year...

The purpose of this study was to describe policy and practice with respect to the assessment of intimate partner violence in a sample of child welfare agencies located throughout the United States and to examine the relationship of contextual characteristics and assessment practices. Telephone interviews were conducted with key informants from chil...

Screening for maternal depression with appropriate intervention has been emphasized through pediatric guidelines, but engaging providers to implement such procedures remains challenging. This study examined self-reported practice in recognizing and treating maternal depression in 98 pediatric health care providers. Over 85% agreed that recognizing...

As a result of the frequent co-occurrence of intimate partner violence (IPV) and child maltreatment, national organizations have recommended that child welfare systems (CWS) and domestic violence service (DVS) organizations be trained, co-trained, and cross-trained on IPV and child maltreatment. The objective of this study was to describe the train...

The purpose of this study is to examine the longitudinal course of intimate partner violence (IPV) among female caregivers of children receiving child welfare services. Data are derived from the National Survey of Child and Adolescent Well-Being, a national probability study of children investigated for child abuse and neglect in the United States....

We examined the relationship between women's experiences with intimate partner violence and their reports of child behavior problems. Data were from the National Survey of Child and Adolescent Well-Being, a national probability study of children who were the subjects of child abuse and neglect investigations. The sample consisted of 2020 female car...

This study tested the hypothesis that exposure to community violence, intimate partner violence, and child maltreatment independently contribute to the prediction of conduct problems over a 2-year period. Participants were a subsample of youth ages 12 to 17 years (N = 423) from the Patterns of Care study, which drew a stratified random sample of hi...

This paper uses data from the National Survey of Child and Adolescent Well Being to examine the identification of domestic violence (DV) by child welfare workers during investigations of maltreatment and determine how this contributes to the receipt of DV services. The study focuses on female caregivers of children remaining in the home following t...

The Children and Domestic Violence Services (CADVS) study is a project to collect detailed, contextual data at the state and local levels on the organization and relationship of child welfare services for children, and domestic violence services for women. Although previous research has found a high rate of domestic violence in families involved wi...

The present paper examined the lifetime rates of mental health service use in a representative sample of youths identified as receiving services in at least one sector of care in a publicly funded service system of a large, metropolitan area. Service use was examined in relation to age, gender, mental health diagnostic status, and service sector in...

The purpose of this study was to determine the prevalence and correlates of intimate partner violence among female caregivers of children reported to child protective services. Data were derived from the National Survey of Child and Adolescent Well-Being, a national probability study of children investigated for child abuse and neglect in the Unite...

The present study investigated parental endorsement of barriers to care in a racially/ethnically diverse, at-risk sample of youth with mental health needs by testing the following hypotheses: (1) African American, Asian/Pacific Islander American, and Latino youth would have higher levels of unmet need compared to Non-Hispanic Whites (NHWs); (2) Par...

The major objectives of this study were to examine the prevalence of mental disorders and the use of mental health services among Latino adolescents who were receiving services in at least one of five public sectors of care in San Diego County. Survey data were gathered for a random sample of adolescents aged 12 to 18 years (N=1,164) who were recei...

Racial/ethnic variations in clinical and service delivery characteristics among youth in public outpatient mental health services were examined using data from San Diego County mental health service programs for fiscal year 1996 to 1997 (N = 3,962). Differences in referral sources, primary diagnoses, and service types were investigated for three ra...

To examine the relationship of adolescent alcohol and drug use over a 5-year period to cumulative health problems in late adolescence and young adulthood. We prospectively examined self-reported health problems in a sample of adolescents, some of whom received treatment for substance use disorders and had consistently poor substance use outcomes (n...

This study describes the natural course of social phobia as recalled by a sample of nonclinical subjects and explores, using qualitative research methods, perceived risk factors and factors that may cause changes in its course. Thirty-nine respondents with a lifetime diagnosis of social phobia were interviewed using a semistructured interview sched...

The goal of this direct-interview family study was to replicate and extend an earlier finding of a familial liability for social phobia. The authors hypothesized that there would be higher rates of the generalized type of social phobia--but not the nongeneralized (or "discrete") type--among relatives of probands with generalized social phobia. They...

Full and partial posttraumatic stress disorder (PTSD) following trauma exposure were examined in a community sample in order to determine their prevalence and their relative importance and functional significance. A standardized telephone interview with a series of trauma probes and a DSM-IV PTSD checklist was administered to a random sample of 1,0...

We conducted an 11-week forced-escalation open-label study of paroxetine in the treatment of 36 patients with generalized social phobia. At the mean dosage of 47.9 +/- 6.2 mg/day, 23 of 30 completers (77%) were deemed responders on the basis of a clinician rating of either "very much improved" or "much improved" on the Clinical Global Impressions s...

The authors investigated whether histories of childhood physical or sexual abuse were reported more frequently in a clinical sample of patients with anxiety disorders than in a matched community comparison sample. A standardized interview with an extensive series of trauma probes was administered to 125 patients with DSM-IV anxiety disorders (panic...

The purpose of this study was to examine the relationship between change in anxiety sensitivity, as measured by the Anxiety Sensitivity Index (ASI), and treatment outcome in a sample of 106 subjects with a DSM-III-R diagnosis of panic disorder (with or without agoraphobia) who were participants in an evaluation study of cognitive-behavioral treatme...

Keywords:panic disorder;suffocation;symptoms;social phobia

Recent studies suggest that serotonergic functioning may be aberrant in patients with social phobia. Capacity of the serotonin (5-HT) transporter, as determined by 3H-paroxetine binding, was measured in 18 drug-free patients with generalized social phobia and compared to 15 drug-free patients with panic disorder and 23 healthy control subjects. The...

Assessed the effectiveness of a 10-wk group counseling program for girls who have experienced intrafamilial sexual abuse. Seven girls (aged 10–11 yrs) participated in the weekly 90-min counseling sessions. Issues covered included disclosure, family changes following disclosure, dating, sex education, sexuality, prevention of abuse, and self-esteem....

A videotaping feedback package was developed for improving skills of youth competitive swimmers. Experiment 1 examined the videotaping package for improving freestyle and backstroke racing turns of young competitive swimmers. Positive results were obtained in a multiple-baseline design across subjects. Experiment 2 compared the videotaping feedback...

This research examined the effectiveness of a recruitment package to increase production rates of three developmentally handicapped adults in a sheltered workshop. A baseline phase measured production rates of a paper-folding task under "typical" supervisory conditions. The recruitment package, introduced in a multiple-baseline design across subjec...