1. Trauma Issues with Specific Populations: Adolescents & Transition Age Youth OVERVIEW Michael Dennis, Ph.D. and Megan Catlin, M.S. Chestnut Health Systems, Normal, IL Presentation at Substance Abuse and Mental Health Services Administration’s Pre- Conference Training Session, Trauma-Informed Care: An Essential Element of Recovery Training. Hollywood, FL, June 18, 2011

2. 2 Acknowledgement and Contact Information Analysis performed with support from SAMHSA contrac t no. 270-07- 0191 using data from SAMHSA/CSAT GAIN Data set from 182 grantees (17534, 16386, 16400, 16414, 16904, 16915, 16928, 16939, 16961, 16984, 16992, 17046, 17070, 17071, 17334, 17433, 17434, 17446, 17475, 17476, 17484, 17486, 17490, 17517, 17523, 17534, 17535, 17547, 17589, 17604, 17605, 17638, 17646, 17648, 17673, 17702, 17719, 17724, 17728, 17742, 17744, 17751, 17755, 17761, 17763, 17765, 17769, 17775, 17779, 17786, 17788, 17812, 17817, 17821, 17825, 17830, 17831, 17847, 17864, 18406, 18587, 18671, 18723, 18735, 18849, 19313, 19323, 19942, 20084, 20085, 20086, 20100, 20117, 20200, 20300, 20400, 20759, 20781, 20798, 20806, 20827, 20828, 20847, 20848, 20849, 20852, 20865, 20870, 20910, 20921, 20941, 21551, 21580, 21585, 21597, 21624, 21632, 21682, 21688, 21705, 21714, 21774, 21788, 21815, 21874, 21883, 21890, 21892, 21948, 30100, 30200, 30300, 30400, 30500, 30600, 30700, 31000, 31100, 31200, 110000, 130000, 140000, 150000, 160000, 190000, 200000, 210000, 220000, 230000, 240000, 250000, 260000, 270000, 280000, 290000, 300000, 310000, 320000, 330000, 340000, 350000, 360000, 370000, 380000, 390000, 400000, 410000, 420000, 430000, 440000, 450000, 460000, 470000, 480000, 500000, 510000, 520000, 540000, 570000, 580000, 590000, 600000, 610000, 620000, 630000, 640000, 655372, 655373, 655374, 660000, 670000, 680000,, 690000, 700000, 820000, 830000, 840000, 850000, 860000, 870000, 880000, 910000, 920000) Opinions are those of the author and not official positions of the government Available from www.chestnut.org/li/posterswww.chestnut.org/li/posters Please direct comments to Michael Dennis, Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, 309-451-7801, mdennis@chestnut.org. mdennis@chestnut.org

3. 3 Goals 1.To examine the prevalence and demographic correlates of victimization 2.To demonstrate how clinical conditions vary by the severity of victimization 3.To describe the breakout session

4. 4 CSAT GAIN Data on Adolescents & Young Adults Sample: The 2010 CSAT data set included data on 24,091 clients who were due for at least one follow-up from 182 local evaluations, recruited between 1997-2010 and up to 4 follow-up interviews completed and available in the last quarterly data set of 2010. Levels of Care: Outpatient, Intensive Outpatient, Short-term & Moderate/Long term Residential, Corrections-Based Treatment and Post-Treatment Continuing Care Instrument:Global Appraisal of Individual Needs (GAIN) (see www.chestnut.org/li/gain) www.chestnut.org/li/gain Follow-up:85% with one or more follow-ups at 3, 6, 9 & 12 months post intake. Funding: CSAT contract 270-07-0191 and 182 individual grants (see Detailed Acknowledgement)

5. 5 2010 CSAT Data Set Subset to <25 Years of Age Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091) 18-25 Years Old 12.3%, (n=2,971) 12-15 Years Old 15.8%, (n=3,813) 15-17 Years Old 71.8%, (n=17,307)

6. 6 6 Demographic Characteristics *Any Hispanic ethnicity separate from race group CSAT data is diverse with large numbers of females minorities Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091) As age goes up, School goes down and Employment goes up

7. 7 General Victimization Scale Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091) 64% Any Victimization Categorized as: Low (0) Moderate (1-3) High (4-15)

8. 8 8 Severity of Victimization by Age Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

9. 9 9 Severity of Victimization by Gender Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

10. 10 Severity of Victimization by Race Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

11. 11 Severity of Victimization by Level of Care Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

12. 12 Multiple Clinical Problems are the NORM! Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

13. 13 Substance Disorders by Severity of Victimization Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

14. 14 Psychiatric Disorders by Severity of Victimization Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

15. 15 Past 90 day HIV Risk Behaviors by Severity of Victimization Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

16. 16 Other Behavioral Health Issues by Severity of Victimization Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

17. 17 The number of Major Clinical Problems is highly related to Victimization Significantly more likely to have 5+ problems (OR=14.6) Source: CSAT 2010 SA Dataset Subset to Adolescents and Young Adults (n=24,091)

18. 18 Goals of Afternoon Breakout 1.To compare the effectiveness of several evidenced based approaches adolescent treatment in terms of changes victimization, trauma, emotional problems, substance use, abuse & dependence, hiv risk behaviors and crime 2.To review some of the promising trauma-informed or integrated treatments for co-occurring trauma and substance abuse?