The Influence of Nondisclosure on the Mental Health of Urban African-American Adolescents Exposed to Community Violence

African-American youth residing in urban poverty have been shown to be at increased risk for exposure to violence and internalizing symptoms, but there has been little investigation of moderating processes that might attenuate or exacerbate this association. The current study examined nondisclosure as a possible moderator of the association between community violence and internalizing symptoms with a sample of 152 low-income urban African-American early adolescents using hierarchical regression analyses. Results revealed that nondisclosure for relationship reasons (e.g., adults could not be trusted to provide needed support) moderated the association between exposure to community violence and internalizing symptoms. Unexpectedly, however, results of simple effects analyses revealed a stronger association between exposure to violence and internalizing symptoms for youth who disclosed more to adults. Although unexpected, this pattern builds upon prior research indicating that adult–child relationships are compromised within the context of urban poverty and that protective factors may lose their power under conditions of extreme stress.     

Burgeoning directions for the prevention of youth violence. Introduction

Despite focused efforts toward the prevention of youth violence within the United States, it continues to adversely affect the lives of children and families within our communities and society at large. The articles in this issue address risk and protective factors that affect violence among urban youth to inform prevention and treatment. Pathways to youth violence are complex and may begin early. Prevention efforts in school, family, and community settings that address risk and protective factors within a socially, culturally, and ecologically valid context early in human development are crucial. While challenges remain for the prevention of youth violence, research suggests opportunities to improve our efforts. Federal agency initiatives in partnership with communities are currently underway to increase the knowledge base and advance prevention of youth violence among diverse populations.     

Broadening the approach to youth violence prevention through public health

Violence is a critical cause of death and nonfatal injuries among youth, and even those who witness violence can suffer serious health and mental health consequences. This highlights the need for prevention programs and policies aimed at reducing risks, promoting prosocial behavior, strengthening families, and creating communities in which youth are safe from violence. The Centers for Disease Control and Prevention's Injury Center is developing a National Public Health Strategy to Prevent Youth Violence. The strategy will establish a full application of the public health approach, ranging from research to practice. It also spotlights what is working, as a way to mobilize community leaders in supporting evidence-based initiatives. With the empirical guidance of articles such as those in this special issue, a shared strategy to prevent youth violence will help focus efforts and resources on solutions that show the most promise, and ensure that American communities undertake more comprehensive and coordinated prevention efforts to protect our nation's youth.     

Pathways to aggression and violence among African American adolescent males: the influence of normative beliefs, neighborhood, and depressive symptomatology

Youth violence continues to present a serious public health challenge in the United States, particularly so for African American adolescent males. The present study utilized a multilevel approach to predict aggression within a community sample of low-income, urban African American adolescent males (n?=?80). Participants' self-report data on normative beliefs about aggression, exposure to community violence, and depressive symptoms were used in multiple regression equations to predict (a) self-reported interpersonal aggression and (b) self-reported aggressive response style when angered. Results of this study indicate that all three of the independent variables contributed significantly to the prediction of interpersonal aggression and aggressive response style when angered. The findings are important for increasing our understanding of pathways to various types of youth aggression and guiding the development of evidence-based approaches to violence prevention among African American adolescent males.     

Carrying a Weapon to School

ABSTRACT

Eighth and tenth grade students (n= 1,619) reported on exposure to risk and protective assets in their day-to-day lives. The relationship between carrying a weapon to school and risk and protective factors in the home and school ecological domains was explored through logistic regression conducted separately by gender. Environmental control in the home, one factor previously unexplored in the context of resiliency to interpersonal violence-related risk behavior, was incorporated into the analysis. Results support previous research that suggests school violence prevention efforts should address both risk and protective factors in multiple ecological domains. Further, results suggest violence prevention efforts should be sensitive to gender differences, and that additional research is necessary to clarify the role of environmental control as a factor influencing youth resiliency to violence.     

Transportation and Socioemotional Well-Being of Urban Students With and Without Disabilities

This study explored the extent to which transportation difficulties were associated with social, psychological, and academic experiences of urban, at-risk students who recently experienced a school transition. Participants included 165 predominantly African American and Latino/a high school youth with and without disabilities, a critical population for community psychology to address given their likelihood of multiple marginalizations. Results suggested transportation problems within school predicted more school stressors and aggressive behavior. Transportation problems to and from school predicted fewer school resources, less school belonging, and more school stressors, anxiety, and depression. Greater time to get to school predicted fewer school resources, less school belonging, and more depressive symptoms. This study demonstrates the importance of including transportation in how the school day is conceptualized, and offers several implications for how transportation services can be best addressed.     

An Elementary School Violence Prevention Program

Abstract

This article details the implementation and empirical evaluation of an elementary school violence program. The problem of school violence and the significance and focus of the study are discussed. The general research question in this study was to examine the potential for a computer-mediated anger management program to enhance or improve the conflict resolution skills of youth with aggressive behavior problems in an elementary school setting. This study employed an 8-week computer-mediated anger management program, called SMART Talk (Students Managing Anger Resolution Together), for teaching conflict resolutions skills. This program was derived from a meta-analysis (Scheckner et al., 2002) due to its large effect size, statistical significance, and computer-mediated execution in order to verify past results with a more specifically defined population of at-risk (i.e., aggressive) students. Overall, the results suggest that participants in the intervention group significantly reported more intentions to use nonviolent strategies in a future conflict than students in the control group. Further research is recommended in order to assess the replicability of this study to other populations. Recommendations include longer intervention duration, larger sample size, multiple school settings, and multi-systemic implementation (i.e., teacher and parent workshops) as well as longitudinal studies.     

A Principle-Based Psychology of School Violence Prevention

Abstract

This paper proposes that school violence is primarily a function of the typically poor mental health of at-risk students. It asserts therefore, that the most leveraged solution to this vexing problem is for school personnel to teach these students how to re-kindle and experience their birthright of optimal psychological functioning. It suggests that this goal can best be achieved by helping both teachers and students understand a unique principle-based psychology that purports to account for all youthful perception, feelings and behavior. The three principles of this psychology (i.e., Mind, Consciousness, and Thought) are defined, classroom conditions conducive to teaching youth these principles delineated, contemporary research supporting the major assumptions of this paradigm summarized, and the results of school violence prevention programs based on this psychology presented.     

The Victimization of LGBTQ Students at School: A Meta-Analysis

ABSTRACT

Although research suggests that LGBTQ youth are at risk for victimization at school, it remains unclear just how much more likely they are to be victimized relative to heterosexual or cisgender youth, or the conditions under which their risks for victimization are highest. Accordingly, we conducted a meta-analysis on the relationship between LGBTQ identification and school victimization. Multilevel analysis of 276 effect size estimates, from 55 studies, revealed a moderate overall mean effect size (r = .155). Moderator analyses indicated the relationship was stronger for transgender youth, homophobic victimization, and students in the Western United States; and weaker for questioning youth. We conclude with recommendations for policy and future research, and suggest that theories of victimization be broadened to better explain the risks that LGBTQ students face.     

School Violence Prevention

Abstract

School violence has many faces and many casualties. In varying degrees it touches students, parents, educators and communities of every school world wide. At the local level, communities are seen as playing a significant role in violence prevention. Generally, community-based violence prevention approaches involve the assessment of local problems, identification of target issues, selection of a range of interventions, and the encouragement of collaboration among civic groups, the juvenile justice system, local leaders, and young people themselves. These programs are generally judged as successful if they are able to address risk factors effectively for individual youths, strengthen those factors that provide protection and enhance resiliency, provide sufficient support and effective supervision, and increase pro-social attitudes by providing youth with a sense of having an increased stake in their local communities. Although too few educators are aware of its impact, the women's community has been involved in this work for decades. In this paper I discuss the results of interviews with members of the women's community in Atlantic Canada who have developed proactive violence prevention initiatives. I will concentrate on their efforts to bring those programs into the schools and their experiences of the successes and challenges they encounter.     

Aggressive,Delinquent, and Violent Outcomes of School Bullying: Do Family and Individual Factors Have a Protective Function?

Bullying perpetration at school is a long-term predictor of aggression, delinquency, and violence. Most research concentrates on risk factors for such developments, whereas protective factors have been rarely addressed. Therefore, the present study investigates potentially protective effects of family and child characteristics in a prospective longitudinal design. The sample contained 519 youngsters (253 boys and 266 girls) from the Erlangen-Nuremberg Development and Prevention Study. Bullying perpetration was measured at age 9.0 years, mothers’ and children's reports on family and individual characteristics were collected at age 10.6, and outcomes in self-reported aggressive/violent offending and mother-reported aggressive and delinquent behavior were collected at age 13.7. Hierarchical regression analyses revealed main effects and interactions. The latter suggest buffering protective effects of consistent discipline in parenting and children's intelligence, positive attitude to school, prosocial behavior skills, low hyperactivity/inattention, and an anxious/depressive mood. The findings varied across the two outcome measures and with regard to gender. Implications for further research and prevention practice are discussed.     

Urban African American youth exposed to community violence: a school-based anxiety preventive intervention efficacy study

This study evaluated the efficacy of a school-based anxiety prevention program among urban children exposed to community violence. Students who attended Title 1 public elementary schools were screened. Ninety-eight 3rd-5th-grade students (ages 8-12; 48% female; 92% African American) were randomized into preventive intervention versus wait list comparison groups. Students attended 13 biweekly one-hour group sessions of a modified version of FRIENDS, a cognitive-behavioral anxiety intervention program. Results indicated that both intervention and control groups manifested significant reductions in anxiety symptomatology and total exposure to community violence, along with improved standardized reading achievement scores. Additional gains observed only in the intervention group were increased standardized mathematics achievement scores, decreased life stressors, and reduced victimization by community violence. The intervention was equally efficacious for both genders and for children exposed to higher, compared to lower, levels of community violence. Implications for comprehensive, culturally and contextually relevant prevention programs and research are discussed.     

The Cycle of Violence and Disconnection Among Rural Middle School Students

Abstract

A hypothesized relationship between early violent behavior and subsequent connectedness in middle school was examined. Using self-report survey data and a hybrid structural model, the impact of violent behavior on connectedness to teachers and to school among 136 predominantly Caucasian, rural middle school students was examined. After accounting for parenting practices, which explained most of the variance in violence and connectedness, the data revealed a direct effect of violent behavior on connectedness. The data suggest that middle school students who have engaged in violent behavior are likely to experience disconnection from their teachers, and that this disconnection may provide a target for educators' efforts to prevent violence in schools.     

African American and Latino Youth and Post-Traumatic Stress Syndrome

Abstract

Post-Traumatic Stress Syndrome (PTSD) is found more frequently in inner-city African American and Latino youth than in European American youth. Previous research on PTSD and its relationship with inner-city violence, minority youth, school violence and institutionalized oppression is examined. School counselor's roles and possible interventions are discussed and an interdisciplinary collaborative model for helping students with PTSD is introduced.     

Students’ Perceptions of Safety at School After Sandy Hook

High profile school shootings have served as pivotal events for developing policies to promote student safety. Although previous studies indicate that exposure to violence is associated with feeling unsafe at school and poorer academic and psychosocial outcomes, research on the relationship between widely publicized acts of school violence and students’ perceptions of safety is scant. This study examines this relationship utilizing data from 66,511 high school students from a single state by comparing survey responses from students who completed surveys before and after the shooting at Sandy Hook Elementary School. Although several models indicated a statistically significant relationship between Sandy Hook and perceptions of safety, the sizes of the effects were not meaningful. Implications for policy and research are discussed.     

Evaluation of a Theater-Based Youth Violence Prevention Program for Elementary School Children

Abstract

The present study evaluated the impact of Urban Improv (UI), a theater-based youth violence prevention (YVP) program developed for inner-city youth, on three behavioral and psychological outcome domains: aggressive behaviors, prosocial behaviors, and scholastic attention and engagement. This study compared outcomes for 77 elementary school students in classrooms designated to receive UI with those of 63 students from matched control classrooms. Findings revealed that students who received UI were superior to matched controls on all outcome domains. Findings support UI as a promising practice for YVP with urban elementary school students and suggest that greater attention should be focused on application of theater-based programs in YVP.     

Antipsychotic Use and Foster Care Placement Stability Among Youth With Attention-Deficit Hyperactivity/ Disruptive Behavior Disorders

The objective of this study was to investigate the association between antipsychotic initiation and placement transitions among youth in foster care with attention-deficit/hyperactivity disorder and other disruptive behavior disorders (ADHD/DBD). Data were obtained from child welfare administrative records and Medicaid claims in one Mid-Atlantic state from January 1, 2010, through March 31, 2014. Cox proportional hazard model was conducted to estimate the risk of time to first placement transition during the 180-day follow-up among new antipsychotic users and propensity score matched nonusers. Results showed youth initiating antipsychotics had no significant reduction in foster placement transitions within the 180-day follow up (Hazard Ratio = 1.1; 95% CI = 0.7–1.6). Although antipsychotics are widely used for aggressive behaviors, a better understanding of clinical management of youth in foster care is needed to promote stable foster placement.     

Secondary traumatic stress and vicarious traumatization in child welfare professionals in Serbia

Child welfare professionals in diverse positions are exposed to a variety of traumatic events including family violence and child abuse and neglect. This secondary exposure puts child welfare workers at the risk of experiencing Secondary Traumatic Stress (STS) and Vicarious Traumatization (VT). For the first time in Serbia, this study quantitatively investigates whether STS and VT are present in child welfare professionals employed in the social welfare centers, foster care and adoption agencies, residential care programs, and shelters for children and youth. It attempts to identify whether the type of service, time exposure to clients, and supervision function as risk or protective factors for negative outcomes. A convenience sample comprised of 135 child welfare professionals completed a series of self-reported measures. Findings indicate that VT and STS are present in this population. Differences in the presence of STS and VT were found according to the types of services offered and length of exposure. Contrary to expectations, supervision was not a protective factor with regards to STS and VT in this population.     

Stressful Life Experiences and Peer Externalizing Behaviors Mediate the Relation Between Reduced Family Support and Externalizing Symptoms in Low-Income Urban Youth

Family support, urban stressors, and peer behavior were examined in relation to externalizing symptoms in 605 predominantly low-income urban sixth through eighth grade adolescents. Mother and father support were each associated with lower levels of externalizing symptoms in both males and females. For males, father absence was associated with increased peer externalizing behavior and heightened rates of youth externalizing symptoms. Stress (in the form of major life events, daily hassles, and exposure to violence) and peer externalizing behavior were examined as mediators of the relation between parent support and youth externalizing symptoms. Increased stress exposure mediated the relation between weak mother and father support and youth externalizing symptoms. Additionally, for females, peer externalizing behavior mediated the relation between weak mother support and youth externalizing symptoms.