@article{32020dfc67b840cdbc1cdca51da41834,
title = "Sociodemographic characteristics of youth in a trauma focused-cognitive behavioral therapy effectiveness trial in the city of Philadelphia",
abstract = "While randomized controlled trials of trauma-focused cognitive behavioral therapy (TF-CBT) have demonstrated efficacy for youth with posttraumatic stress disorder, TF-CBT effectiveness trials typically show attenuated outcomes. This decrease in effectiveness may be due to the differences in sociodemographic characteristics of youth in these trials; youth in efficacy trials are more often white and middle-income, whereas youth in effectiveness trials are more often racial/ethnic minorities, of low socioeconomic status (SES) and live in high crime neighborhoods. In this study—drawn from an effectiveness trial of TF-CBT in community mental health clinics across Philadelphia—we describe the sociodemographic characteristics of enrolled youth. We measured neighborhood SES by matching participants{\textquoteright} addresses to American Community Survey data from their Census tracts, housing stability using the National Outcomes Measurement System, and neighborhood violence using police department crime statistics. Our results suggest that the majority of youth presenting for TF-CBT in mental health clinics in the City of Philadelphia live in poor and high-crime neighborhoods, experience substantial housing instability, and are predominantly ethnic and racial minorities. Thus, youth presenting for treatment experience significant racial and socioeconomic adversity. We also explored the association between these characteristics and youth symptom severity upon presenting for treatment. These factors were not associated with youth symptom severity or overall mental health functioning in our sample (with small effect sizes and p >.05 for all). Implications for future research, such as the need for efficacy and effectiveness trials to more fully characterize their samples and the need for pragmatic trials are discussed.",
keywords = "effectiveness trials, implementation science, neighborhood context, posttraumatic stress disorder, pragmatic trials, social determinants of health, trauma-focused cognitive behavioral therapy",
author = "Last, {Briana S.} and Rudd, {Brittany N.} and Gregor, {Courtney A.} and Kratz, {Hilary E.} and Kamilah Jackson and Steven Berkowitz and Arturo Zinny and Cliggitt, {Lauren P.} and Adams, {Danielle R.} and Walsh, {Lucia M.} and Beidas, {Rinad S.}",
note = "Funding Information: This research was supported by a grant from the Substance Abuse and Mental Health Services Administration SM61087 and NIMH K23 MH 099179 (Beidas). Briana S. Last was supported by the National Science Foundation?Graduate Research Fellowship (DGE-1321851). Brittany Rudd was supported by a National Institute of Mental Health Training Fellowship (T32 MH109433). We are also grateful for the support and partnership that the Department of Behavioral Health and Intellectual disAbility Services (DBHIDS) provided for this project, in particular the hard work of Sara Fernandez-Marcote and Carrie Comeau, for the Evidence Based Practice and Innovation (EPIC) group and Ronnie Rubin, PhD. We are also very grateful to the individuals who have been a part of the Philadelphia Alliance for Child Trauma Services (PACTS), including DBHIDS and Community Behavioral Health leadership, the therapists, administrators, and families who have been involved. Funding Information: This research was supported by a grant from the Substance Abuse and Mental Health Services Administration SM61087 and NIMH K23 MH 099179 (Beidas). Briana S. Last was supported by the National Science Foundation—Graduate Research Fellowship (DGE‐1321851). Brittany Rudd was supported by a National Institute of Mental Health Training Fellowship (T32 MH109433). We are also grateful for the support and partnership that the Department of Behavioral Health and Intellectual disAbility Services (DBHIDS) provided for this project, in particular the hard work of Sara Fernandez‐Marcote and Carrie Comeau, for the Evidence Based Practice and Innovation (EPIC) group and Ronnie Rubin, PhD. We are also very grateful to the individuals who have been a part of the Philadelphia Alliance for Child Trauma Services (PACTS), including DBHIDS and Community Behavioral Health leadership, the therapists, administrators, and families who have been involved. Publisher Copyright: {\textcopyright} 2019 Wiley Periodicals, Inc.",
year = "2020",
month = may,
day = "1",
doi = "10.1002/jcop.22306",
language = "English (US)",
volume = "48",
pages = "1273--1293",
journal = "Journal of Community Psychology",
issn = "0090-4392",
publisher = "Wiley-Liss Inc.",
number = "4",
}