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  1. Article ; Online: The Urban Youth Trauma Center: A Trauma-Informed Continuum for Addressing Community Violence Among Youth.

    Abdul-Adil, Jaleel / Suárez, Liza M

    Community mental health journal

    2021  Volume 58, Issue 2, Page(s) 334–342

    Abstract: Contemporary community violence has escalated into a national public health crisis with urban youth, particularly ethnic minorities, suffering disproportionate negative impacts. The Urban Youth Trauma Center (UYTC) promotes a trauma-informed continuum of ...

    Abstract Contemporary community violence has escalated into a national public health crisis with urban youth, particularly ethnic minorities, suffering disproportionate negative impacts. The Urban Youth Trauma Center (UYTC) promotes a trauma-informed continuum of prevention-to-intervention services that combines community-based and clinic-based manualized protocols designed to reduce and prevent community violence for youth and families. Based on a socio-ecological model, UYTC has the main goals of addressing community violence and related traumatic stress as well as co-occurring conditions of substance abuse and disruptive behavior problems in urban youth by: (1) raising public awareness; (2) disseminating specialized trauma-informed training; and (3) mobilizing service system coalitions. UYTC employs this evidence-based yet flexible structure for disseminating, implementing, and evaluating trauma-informed training as a means of contributing to the reduction and prevention of community violence for low-income urban minority youth and families who bear the biggest burden of this current crisis.
    MeSH term(s) Adolescent ; Humans ; Poverty ; Substance-Related Disorders ; Trauma Centers ; Violence
    Language English
    Publishing date 2021-04-19
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-021-00827-4
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  2. Article: The Impact of Adverse Childhood Experiences and Community Violence Exposure on a Sample of Anxious, Treatment-Seeking Children.

    Lopez-Tamayo, Roberto / Suarez, Liza / Simpson, David / Volpe, Kelley

    Journal of child & adolescent trauma

    2022  Volume 15, Issue 4, Page(s) 1081–1093

    Abstract: Screening for adverse childhood experiences (ACEs) can help prevent and reduce adverse outcomes on child development, including increased risk for anxiety disorders. Emerging studies strongly support the inclusion of community-level adversities in ACE ... ...

    Abstract Screening for adverse childhood experiences (ACEs) can help prevent and reduce adverse outcomes on child development, including increased risk for anxiety disorders. Emerging studies strongly support the inclusion of community-level adversities in ACE screeners to consider diverse contexts and populations. Recent studies suggest that community violence exposure (CVE) may have a distinct impact on youth mental health. Although recent studies have examined the association between ACEs, CVE, and mental health in primary care settings, this association has not been examined on treatment-seeking children in urban mental health settings. The present study employs a mediation model using the PROCESS macro to examine community violence exposure mediating the effect on the association between ACEs and somatic symptoms (SS) on a sample of anxious treatment-seeking children. A total of 98 participants (M
    Language English
    Publishing date 2022-03-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2502136-9
    ISSN 1936-153X ; 1936-1521
    ISSN (online) 1936-153X
    ISSN 1936-1521
    DOI 10.1007/s40653-022-00447-4
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  3. Article ; Online: Substance Abuse and Trauma.

    Simmons, Shannon / Suárez, Liza

    Child and adolescent psychiatric clinics of North America

    2016  Volume 25, Issue 4, Page(s) 723–734

    Abstract: There is a strong, bidirectional link between substance abuse and traumatic experiences. Teens with cooccurring substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) have significant functional and psychosocial impairment. Common ... ...

    Abstract There is a strong, bidirectional link between substance abuse and traumatic experiences. Teens with cooccurring substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) have significant functional and psychosocial impairment. Common neurobiological foundations point to the reinforcing cycle of trauma symptoms, substance withdrawal, and substance use. Treatment of teens with these issues should include a systemic and integrated approach to both the SUD and the PTSD.
    MeSH term(s) Adolescent ; Humans ; Life Change Events ; Stress Disorders, Post-Traumatic/complications ; Stress Disorders, Post-Traumatic/psychology ; Stress Disorders, Post-Traumatic/therapy ; Substance-Related Disorders/complications ; Substance-Related Disorders/psychology ; Substance-Related Disorders/therapy
    Language English
    Publishing date 2016-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1313996-4
    ISSN 1558-0490 ; 1056-4993
    ISSN (online) 1558-0490
    ISSN 1056-4993
    DOI 10.1016/j.chc.2016.05.006
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  4. Article ; Online: Community violence and posttraumatic stress disorder symptoms in urban youth: The moderating influence of friend and parent support.

    Affrunti, Nicholas W / Suárez, Liza / Simpson, David

    Journal of community psychology

    2018  Volume 46, Issue 5, Page(s) 636–650

    Abstract: Separate lines of research have demonstrated that community violence predicts posttraumatic stress disorder (PTSD) symptoms in youth and that social support is one protective factor against the development of PTSD symptoms. The current study sought to ... ...

    Abstract Separate lines of research have demonstrated that community violence predicts posttraumatic stress disorder (PTSD) symptoms in youth and that social support is one protective factor against the development of PTSD symptoms. The current study sought to examine the associations between primary and secondary exposure to community violence and the moderating role of parent and friend support on these relations. Participants were 96 urban youths (aged 6-17 years; 58.4% racial/ethnic minority; 51% female) and a caregiver recruited from a university mental health clinic. Results indicated that both primary and secondary exposure to community violence predicted PTSD symptoms. Friend support, but not parent support, moderated the association between primary, but not secondary, exposure to community violence and PTSD symptoms. The findings suggest that friend support is a salient protective factor for urban youth who may be at risk of PTSD symptoms due to exposure to community violence.
    MeSH term(s) Adolescent ; Anxiety Disorders/prevention & control ; Anxiety Disorders/psychology ; Child ; Cross-Sectional Studies ; Ethnic Groups/psychology ; Exposure to Violence/psychology ; Female ; Friends/psychology ; Humans ; Male ; Minority Groups/psychology ; Parents/psychology ; Protective Factors ; Social Support ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/ethnology ; Stress Disorders, Post-Traumatic/psychology ; Urban Population ; Violence/ethnology ; Violence/psychology
    Language English
    Publishing date 2018-02-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1491194-2
    ISSN 1520-6629 ; 0090-4392
    ISSN (online) 1520-6629
    ISSN 0090-4392
    DOI 10.1002/jcop.21963
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  5. Article ; Online: Psychometric properties of the Community Violence-Prevention Activation Measure (CV-PAM): Evaluating provider activation toward community violence prevention.

    Dinizulu, Sonya Mathies / Suarez, Liza M / Simpson, David / Abdul-Adil, Jaleel / Jacobson, Kristen C

    Journal of community psychology

    2019  Volume 48, Issue 2, Page(s) 545–561

    Abstract: This study reports on the conceptualization of activation, and the development and psychometrics of the Community Violence-Prevention Activation Measure (CV-PAM). The CV-PAM was adapted from the Patient Activation Measure (PAM; Hibbard et al., 2004, ... ...

    Abstract This study reports on the conceptualization of activation, and the development and psychometrics of the Community Violence-Prevention Activation Measure (CV-PAM). The CV-PAM was adapted from the Patient Activation Measure (PAM; Hibbard et al., 2004, Health Serv Res, 39, 1005-1026; Hibbard et al., 2005, Health Serv Res, 40, 1918-1930) for use among a workforce servicing youth exposed to community violence. Activation toward community violence prevention is defined as a process in which community members are activated to prevent violence, believe they have important roles to play in violence prevention and supporting the well-being of community members. Activated community members have a good understanding of the factors that contribute to violence and they apply skills and strategies that are consistent with prevention efforts. Six hundred and ninety-four youth providers completed the 18-item CV-PAM to describe their level of activation toward community violence. Exploratory and confirmatory factor analyses were performed and demonstrated that a three factor versus a four factor structure of activation (modeled after PAM) held together. The three factors included (a) belief that an active role is important to address community violence; (b) having the confidence and knowledge to take action around community violence prevention; (c) taking action: frequency of participation and responsiveness to community needs. The proposed fourth factor, staying the course under stress, did not have any qualifying loadings, and thus, could not be interpreted. CV-PAM performed well in tests of reliability and validity. The CV-PAM appears to be a precise, valid, reliable, and useful measure. Implications suggest that using this tool is potentially the first step toward understanding activation among engaged providers and a stepping stone toward increased involvement in community violence prevention through implementation and dissemination efforts.
    MeSH term(s) Adolescent ; Community Networks ; Factor Analysis, Statistical ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Juvenile Delinquency/prevention & control ; Male ; Program Development ; Program Evaluation ; Psychometrics ; Reproducibility of Results ; Residence Characteristics ; Violence/prevention & control ; Young Adult
    Language English
    Publishing date 2019-11-06
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1491194-2
    ISSN 1520-6629 ; 0090-4392
    ISSN (online) 1520-6629
    ISSN 0090-4392
    DOI 10.1002/jcop.22271
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  6. Article: The Association between Caregiver Substance Abuse and Mental Health Problems and Outcomes for Trauma-Exposed Youth.

    Woods-Jaeger, Briana / Briggs, Ernestine C / Vivrette, Rebecca L / Lee, Robert C / Suarez, Liza / Belcher, Harolyn M E

    Journal of child & adolescent trauma

    2019  Volume 12, Issue 4, Page(s) 447–456

    Abstract: Trauma-exposed youth with impaired caregivers (i.e., due to substance use and/or mental health problems) may be at particular risk for negative outcomes. This study utilized data from the National Child Traumatic Stress Network Core Data Set to examine ... ...

    Abstract Trauma-exposed youth with impaired caregivers (i.e., due to substance use and/or mental health problems) may be at particular risk for negative outcomes. This study utilized data from the National Child Traumatic Stress Network Core Data Set to examine the impact of caregiver impairment on youth outcomes. Trauma-exposed youth with an impaired caregiver due to either: substance use (
    Language English
    Publishing date 2019-02-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2502136-9
    ISSN 1936-153X ; 1936-1521
    ISSN (online) 1936-153X
    ISSN 1936-1521
    DOI 10.1007/s40653-019-00251-7
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  7. Article ; Online: Treatment and outcomes for anxiety disorders among children and adolescents: a review of coping strategies and parental behaviors.

    Simpson, David / Suarez, Liza / Connolly, Sucheta

    Current psychiatry reports

    2012  Volume 14, Issue 2, Page(s) 87–95

    Abstract: This article reviews the current literature on the treatment of anxiety disorders in children and adolescents and describes the factors that are essential to address in treatment. Coping deficits and parental behaviors are highlighted as factors that ... ...

    Abstract This article reviews the current literature on the treatment of anxiety disorders in children and adolescents and describes the factors that are essential to address in treatment. Coping deficits and parental behaviors are highlighted as factors that contribute to anxiety in youth. Interventions for anxious youth are described, with particular emphasis on cognitive-behavioral therapy for anxiety disorders. Finally, a review of the longitudinal course of anxiety and suggestions for future directions in treatment and research are provided.
    MeSH term(s) Adaptation, Physiological ; Adolescent ; Anxiety Disorders/therapy ; Child ; Child, Preschool ; Cognitive Behavioral Therapy/methods ; Family Therapy ; Female ; Humans ; Male ; Parent-Child Relations ; Parenting/psychology ; Treatment Outcome
    Language English
    Publishing date 2012-01-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-012-0254-2
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  8. Article ; Online: Identifying Bereavement-Related Markers of Mental and Behavioral Health Problems Among Clinic-Referred Adolescents.

    Kaplow, Julie B / Wamser-Nanney, Rachel / Layne, Christopher M / Burnside, Amanda / King, Cheryl / Liang, Li-Jung / Steinberg, Alan / Briggs, Ernestine / Suarez, Liza / Pynoos, Robert

    Psychiatric research and clinical practice

    2020  Volume 3, Issue 2, Page(s) 88–96

    Abstract: Objective: This study examined bereavement-related risk markers (number of deaths, cause of death, and relationship to deceased) of mental and behavioral health problems (suicidal thoughts or behaviors, self-injury, depression, posttraumatic stress, and ...

    Abstract Objective: This study examined bereavement-related risk markers (number of deaths, cause of death, and relationship to deceased) of mental and behavioral health problems (suicidal thoughts or behaviors, self-injury, depression, posttraumatic stress, and substance use) in a national sample of clinic-referred bereaved adolescents.
    Method: Participants included 1281 bereaved youth aged 12-21 years (M=15, SD=1.8; 62.1% female), from the National Child Traumatic Stress Network Core Data Set.
    Results: Generalized linear mixed-effects regression models controlling for demographics and other traumas revealed that youth bereaved by multiple deaths had higher posttraumatic stress scores than youth bereaved by a single death (Estimated difference ±SE=3.36 ± 1.11
    Conclusion: These bereavement-related contextual factors can serve as early markers of mental and behavioral health problems among bereaved youth.
    Language English
    Publishing date 2020-12-16
    Publishing country United States
    Document type Journal Article
    ISSN 2575-5609
    ISSN (online) 2575-5609
    DOI 10.1176/appi.prcp.20190021
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  9. Article ; Online: Assessment and treatment of anxiety disorders in children and adolescents.

    Connolly, Sucheta D / Suarez, Liza / Sylvester, Carrie

    Current psychiatry reports

    2011  Volume 13, Issue 2, Page(s) 99–110

    Abstract: This article reviews the current screening and assessment tools for anxiety disorders in children and adolescents, as well as evidence-based treatment interventions for these disorders. The following anxiety disorders are discussed: separation anxiety ... ...

    Abstract This article reviews the current screening and assessment tools for anxiety disorders in children and adolescents, as well as evidence-based treatment interventions for these disorders. The following anxiety disorders are discussed: separation anxiety disorder, generalized anxiety disorder, specific phobia, panic disorder, social anxiety disorder (social phobia), and selective mutism. There are several well-studied screening and assessment tools to identify childhood anxiety disorders early and differentiate the various anxiety disorders. Evaluations of baseline somatic symptoms, severity, and impairment ratings of the anxiety disorders, and collecting ratings from several sources is clinically helpful in assessment and treatment follow-up. Cognitive-behavioral therapy (CBT) has been extensively studied and has shown good efficacy in treatment of childhood anxiety disorders. A combination of CBT and medication may be required for moderate to severely impairing anxiety disorders and may improve functioning better than either intervention alone. Selective serotonin reuptake inhibitors are currently the only medications that have consistently shown efficacy in treatment of anxiety disorders in children and adolescents. Despite proven efficacy, the availability of CBT in the community is limited. Current research is focusing on early identification of anxiety disorders in community settings, increasing the availability of evidence-based interventions, and modification of interventions for specific populations.
    MeSH term(s) Adolescent ; Anti-Anxiety Agents/therapeutic use ; Anxiety Disorders/diagnosis ; Anxiety Disorders/psychology ; Anxiety Disorders/therapy ; Child ; Cognitive Behavioral Therapy ; Humans ; Severity of Illness Index
    Chemical Substances Anti-Anxiety Agents
    Language English
    Publishing date 2011-01-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-010-0173-z
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  10. Article ; Online: Gender differences in the effects of community violence on mental health outcomes in a sample of low-income youth receiving psychiatric care.

    Javdani, Shabnam / Abdul-Adil, Jaleel / Suarez, Liza / Nichols, Sara R / Farmer, A David

    American journal of community psychology

    2014  Volume 53, Issue 3-4, Page(s) 235–248

    Abstract: Previous research suggests that community violence impacts mental health outcomes, but much of this research has not (a) distinguished between different types of community violence, (b) examined gender differences, and (c) focused on youth living in ... ...

    Abstract Previous research suggests that community violence impacts mental health outcomes, but much of this research has not (a) distinguished between different types of community violence, (b) examined gender differences, and (c) focused on youth living in urban poverty. The current study addresses these questions. Participants were 306 youth (23 % girls) and one parent/guardian receiving outpatient psychiatric services for disruptive behavior disorders in a large urban city. Youth and parents reported on youth's experience of different types of community violence (being a direct victim, hearing reports, and witnessing violence), and whether violence was directed toward a stranger or familiar. Outcomes included youth externalizing, internalizing, and posttraumatic stress symptoms assessed via parent and youth reports. Being a direct victim of violence accords risk for all mental health outcomes similarly for both boys and girls. However, gender differences emerged with respect to indirect violence, such that girls who hear reports of violence against people they know are at increased risk for all assessed mental health outcomes, and girls who witness violence against familiars are at increased risk for externalizing mental health symptoms in particular. There are gender differences in violence-related mental health etiology, with implications for intervention assessment and design.
    MeSH term(s) Adolescent ; Ambulatory Care ; Chicago/epidemiology ; Child ; Conduct Disorder ; Female ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/therapy ; Outcome Assessment (Health Care) ; Poverty ; Residence Characteristics ; Sex Factors ; Urban Population ; Violence/psychology
    Language English
    Publishing date 2014-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 222658-3
    ISSN 1573-2770 ; 0091-0562
    ISSN (online) 1573-2770
    ISSN 0091-0562
    DOI 10.1007/s10464-014-9638-2
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