The Prevalence and Patterns of Maltreatment, Childhood Adversity, and Mental Health Disorders in an Australian Out-Of-Home Care Sample

Journal article

Harris, Lottie, Higgins, Daryl John, Willis, Megan Louise, Lawrence, David, Mathews, Ben, Thomas, Hannah J, Malacova, Eva, Pacella, Rosana, Scott, James G., Finkelhor, David, Meinck, Franziska, Erskine, Holly E and Haslam, Divna. (2024). The Prevalence and Patterns of Maltreatment, Childhood Adversity, and Mental Health Disorders in an Australian Out-Of-Home Care Sample. Child Maltreatment. pp. 1-13. https://doi.org/10.1177/10775595241246534
AuthorsHarris, Lottie, Higgins, Daryl John, Willis, Megan Louise, Lawrence, David, Mathews, Ben, Thomas, Hannah J, Malacova, Eva, Pacella, Rosana, Scott, James G., Finkelhor, David, Meinck, Franziska, Erskine, Holly E and Haslam, Divna
Abstract

This study aimed to explore key characteristics of the out-of-home care subgroup of a nationally representative Australian sample. To ensure that mental health services are appropriately targeted, it is critical that we understand the differential impacts of childhood experiences for this cohort. Using the Australian Child Maltreatment Study (N = 8503), we explored patterns of childhood maltreatment and adversity of participants who reported ever being placed in out-of-home care, such as foster care or kinship care. In addition, the prevalence of current and lifetime diagnosis of four mental health disorders were explored. Results showed that the care experienced subgroup reported more types of maltreatment and adverse experiences than the control group. They were also more likely to meet diagnostic threshold for post-traumatic stress disorder, generalised anxiety disorder and major depressive disorder than the control group. These findings can be used to guide mental health practitioners to target interventions more effectively within the out-of-home care cohort.

Keywordsposttraumatic stress disorder; depression; population; foster care
Year01 Jan 2024
JournalChild Maltreatment
Journal citationpp. 1-13
PublisherSage Publications, Inc. (US)
ISSN1552-6119
Digital Object Identifier (DOI)https://doi.org/10.1177/10775595241246534
PubMed ID38627990
Web address (URL)https://journals.sagepub.com/doi/10.1177/10775595241246534
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Research or scholarlyResearch
Page range1-13
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Output statusPublished
Publication dates
Online16 Apr 2024
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Deposited12 Jul 2024
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© The Author(s) 2024.

This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the Sage and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Place of publicationUnited States
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Higgins, Daryl and Moore, Tim. (2019). Keeping our eye on sex, power, relationships, and institutional contexts in preventing institutional child sexual abuse. In In Bryce, India, Robinson, Yolande and Petherick, Wayne (Ed.). Child abuse and neglect : Forensic issues in evidence, impact and management pp. 45-62 Academic Press. https://doi.org/10.1016/B978-0-12-815344-4.00003-9
Youth-serving organization safety risks and the situational prevention approach
Kaufman, Keith, Erooga, Marcus, Higgins, Daryl and Zatkin, Judith. (2019). Youth-serving organization safety risks and the situational prevention approach. In In Lonne, Bob, Scott, Deb, Higgins, Daryl and Herrenkohl, Todd I. (Ed.). Re-visioning public health approaches for protecting children pp. 165-180 Springer Nature. https://doi.org/10.1007/978-3-030-05858-6_11
New directions for public health approaches : Key themes and issues
Herrenkohl, Todd I., Lonne, Bob, Scott, Debbie and Higgins, Daryl. (2019). New directions for public health approaches : Key themes and issues. In In Lonne, Bob, Scott, Deb, Higgins, Daryl and Herrenkohl, Todd I. (Ed.). Re-visioning public health approaches for protecting children pp. 487-499 Springer Nature. https://doi.org/10.1007/978-3-030-05858-6_28
Families – Private and sacred : How to raise the curtain and implement family support from a public health perspective
Higgins, Daryl, Sanders, Matthew, Lonne, Bob and Richardson, Dominic. (2019). Families – Private and sacred : How to raise the curtain and implement family support from a public health perspective. In In Lonne, Bob, Scott, Deb, Higgins, Daryl and Herrenkohl, Todd I. (Ed.). Re-visioning public health approaches for protecting children pp. 127-143 Springer Nature. https://doi.org/10.1007/978-3-030-05858-6_9
The successes and limitations of contemporary approaches to child protection
Higgins, Daryl, Lonne, Bob, Herrenkohl, Todd I. and Scott, Debbie. (2019). The successes and limitations of contemporary approaches to child protection. In In Lonne, Bob, Scott, Deb, Higgins, Daryl and Herrenkohl, Todd I. (Ed.). Re-visioning public health approaches for protecting children pp. 3-17 Springer Nature. https://doi.org/10.1007/978-3-030-05858-6_1
Children show adult-like facial appearance biases when trusting others
Ewing, Louise, Sutherland, Clare A.M. and Willis, Megan L.. (2019). Children show adult-like facial appearance biases when trusting others. Developmental Psychology. 55(8), pp. 1694 - 1701. https://doi.org/10.1037/dev0000747
Safety survey data from Victorian youth-serving organisations: Survey data from workers, young people, and organisational leaders’ self-reflections after implementing the Victorian Child Safe Standards
Russell, Douglas, Higgins, Daryl J. and Stewart, Jacqui. (2019). Safety survey data from Victorian youth-serving organisations: Survey data from workers, young people, and organisational leaders’ self-reflections after implementing the Victorian Child Safe Standards Australia: Institute of Child Protection Studies, Australian Catholic University. https://doi.org/10.26199/5e27ad866a7c7
Anodal tDCS and high-frequency TRNs targeting the occipitotemporal cortex do not always enhance face perception
Willis, Megan L., Costantino, Andrea I., Nitsche, Michael A., Palermo, Romina and Rivolta, Davide. (2019). Anodal tDCS and high-frequency TRNs targeting the occipitotemporal cortex do not always enhance face perception. Frontiers in Neuroscience. 13(78), pp. 1 - 10. https://doi.org/10.3389/fnins.2019.00078
Education for family life in Australia
Smyth, Bruce M., Hunter, Cathryn, Macvean, Michelle, Walter, Maggie and Higgins, Daryl J.. (2018). Education for family life in Australia. In In Robila, Mihaela and Taylor, Alan C. (Ed.). Global perspectives on family life education pp. 93-113 Springer International Publishing. https://doi.org/10.1007/978-3-319-77589-0_7
Protecting children from abuse in organisations needs leadership and cultural change
Higgins, Daryl J.. (2017). Protecting children from abuse in organisations needs leadership and cultural change The Conversation Media Group. https://doi.org/10.24268/fhs.8341
Adverse childhood experiences, non-response and loss to follow-up: Findings from a prospective birth cohort and recommendations for addressing missing data
Doidge, James C., Edwards, Ben, Higgins, Daryl and Segal, Leonie. (2017). Adverse childhood experiences, non-response and loss to follow-up: Findings from a prospective birth cohort and recommendations for addressing missing data. Longitudinal and Life Course Studies. 8(4), pp. 382 - 400. https://doi.org/10.14301/llcs.v8i4.414
Economic predictors of child maltreatment in an Australian population-based birth cohort
Doidge, James C., Higgins, Daryl J., Delfabbro, Paul, Edwards, Ben, Vassallo, Suzanne, Toumbourou, John W. and Segal, Leonie. (2017). Economic predictors of child maltreatment in an Australian population-based birth cohort. Children and Youth Services Review. 72, pp. 14 - 25. https://doi.org/10.1016/j.childyouth.2016.10.012
Risk factors for child maltreatment in an Australian population-based birth cohort
Doidge, James C., Higgins, Daryl J., Delfabbro, Paul and Segal, Leonie. (2017). Risk factors for child maltreatment in an Australian population-based birth cohort. Child Abuse and Neglect. 64, pp. 47 - 60. https://doi.org/10.1016/j.chiabu.2016.12.002
Public health models for preventing child maltreatment: Applications from the field of injury prevention
Scott, Debbie, Lonne, Bob and Higgins, Daryl. (2016). Public health models for preventing child maltreatment: Applications from the field of injury prevention. Trauma, Violence, and Abuse. 17(4), pp. 408 - 419. https://doi.org/10.1177/1524838016658877
How can child welfare and youth-serving organisations keep children safe?
Higgins, Daryl J., Kaufman, Keith and Erooga, Marcus. (2016). How can child welfare and youth-serving organisations keep children safe? Developing Practice.
Conceptualising the prevention of child sexual abuse
Quadara, Antonia, Nagy, Vicky, Higgins, Daryl and Siegel, Natalie. (2015). Conceptualising the prevention of child sexual abuse Australia: Australian Institute of Family Studies, Australian Government.
The contribution of emotional empathy to approachability judgments assigned to emotional faces is context specific
Willis, Megan, Lawson, Danielle, Ridley, Nicole, Koval, Peter and Rendell, Peter. (2015). The contribution of emotional empathy to approachability judgments assigned to emotional faces is context specific. Frontiers in Psychology (online). 6, pp. 1 - 10. https://doi.org/10.3389/fpsyg.2015.01209
Anodal tDCS targeting the right orbitofrontal cortex enhances facial expression recognition
Willis, Megan L., Murphy, Jillian M., Ridley, Nicole J. and Vercammen, Ans. (2015). Anodal tDCS targeting the right orbitofrontal cortex enhances facial expression recognition. Social Cognitive and Affective Neuroscience. 10(12), pp. 1677 - 1683. https://doi.org/10.1093/scan/nsv057
A public health approach to enhancing safe and supportive family environments for children
Higgins, Daryl J.. (2015). A public health approach to enhancing safe and supportive family environments for children. Family Matters. 96, pp. 39 - 52.
Situational context and perceived threat modulate approachability judgements to emotional faces
Willis, Megan, Windsor, Natalie, Lawson, Danielle and Ridley, Nicole. (2015). Situational context and perceived threat modulate approachability judgements to emotional faces. PLoS One (online). 10(6), pp. 1 - 15. https://doi.org/10.1371/journal.pone.0131472
The Stronger Families in Australia (SFIA) study: Phase 2
Edwards, Ben, Mullan, Killian, Katz, Lian and Higgins, Daryl. (2014). The Stronger Families in Australia (SFIA) study: Phase 2 Australia: Australian Institute of Family Studies, Australian Government.
Complex family issues: Collective awareness, common narratives and coordinated approaches to promoting resilience
Hayes, Alan and Higgins, Daryl. (2014). Complex family issues: Collective awareness, common narratives and coordinated approaches to promoting resilience. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 299 - 303 Australian Institute of Family Studies, Australian Government.
Weaving a common narrative: An introduction to essays on families, policy and the law in Australia
Hayes, Alan and Higgins, Daryl. (2014). Weaving a common narrative: An introduction to essays on families, policy and the law in Australia. In Families, policy and the law: Selected essays on contemporary issues for Australia pp. 1 - 4 Australian Institute of Family Studies, Australian Government.
The nature of facial expression recognition deficits following orbitofrontal cortex damage
Willis, Megan, Palermo, Romina, McGrillen, Ky and Miller, Laurie. (2014). The nature of facial expression recognition deficits following orbitofrontal cortex damage. Neuropsychology. 28(4), pp. 613 - 623. https://doi.org/10.1037/neu0000059
Past adoption practices: Implications for current interventions
Higgins, Daryl. (2014). Past adoption practices: Implications for current interventions. 36(4), pp. 8 - 11.
Contemporary issues in child protection intake, referral and family support
Bromfield, Leah, Arney, Fiona and Higgins, Daryl. (2014). Contemporary issues in child protection intake, referral and family support. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 121 - 129 Australian Institute of Family Studies, Australian Government.
Reform, (r)evolution and lingering Effects: Family policies in Australia
Higgins, Daryl J.. (2014). Reform, (r)evolution and lingering Effects: Family policies in Australia. In In M. Robila (Ed.). Handbook of family policies across the globe pp. 335 - 353 Springer. https://doi.org/10.1007/978-1-4614-6771-7_22
Past adoption practices: Key messages for service delivery responses and current policies
Kenny, Pauline and Higgins, Daryl. (2014). Past adoption practices: Key messages for service delivery responses and current policies. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 29 - 38 Australian Institute of Family Studies, Australian Government.
Multi-type maltreatment and polyvictimisation: A comparison of two research frameworks
Price-Robertson, Rhys, Higgins, Daryl J. and Vassallo, Suzanne. (2013). Multi-type maltreatment and polyvictimisation: A comparison of two research frameworks. Family Matters. 93, pp. 84 - 98.
Past adoption experiences: Impacts, insights and implications for policy and practice
Kenny, Pauline, Higgins, Daryl, Sweid, Reem and Soloff, Carol. (2013). Past adoption experiences: Impacts, insights and implications for policy and practice. Children and Families Australia. 7(1), pp. 35 - 46.
The relationship between anxiety and the social judgements of approachability and trustworthiness
Willis, Megan, Dodd, Helen F. and Palermo, Romina. (2013). The relationship between anxiety and the social judgements of approachability and trustworthiness. PLoS ONE. 8(10), pp. 1 - 5. https://doi.org/10.1371/journal.pone.0076825
Past adoption experiences: Impacts, insights and implications for policy and practice
Kenny, Pauline, Higgins, Daryl, Sweid, Reem and Soloff, Carol. (2013). Past adoption experiences: Impacts, insights and implications for policy and practice. Communities, Children and Families. 7(1), pp. 35 - 46.
Families make all the difference: Helping kids to grow and learn
Baxter, Jennifer, Higgins, Daryl J. and Hayes, Alan. (2012). Families make all the difference: Helping kids to grow and learn. Family Matters. 90, pp. 98 - 105.
Child abuse and neglect in Australia's Northern Territory: The Northern Territory Emergency Response
Higgins, Daryl and Scott, Debbie. (2012). Child abuse and neglect in Australia's Northern Territory: The Northern Territory Emergency Response. In In H. Dubowitz (Ed.). World perspectives on child abuse pp. 69 - 75 International Society for the Prevention of Child Abuse and Neglect.
Contemporary militant extremism: A linguistic approach to scale development
Stankov, Lazar, Higgins, D., Saucier, Gerard and Knezevic, Goran. (2012). Contemporary militant extremism: A linguistic approach to scale development. In In G. J. Boyle, Donald H. Saklofske and G. Matthews (Ed.). Psychological Assessment pp. 41 - 67 SAGE Publications Inc..
Protecting children: Evolving systems
Higgins, Daryl. (2011). Protecting children: Evolving systems. Family Matters.
Social judgements are influenced by both facial expression and direction of eye gaze
Willis, Megan Louise, Palermo, Romina and Burke, Darren. (2011). Social judgements are influenced by both facial expression and direction of eye gaze. Social cognition. 29(4), pp. 415 - 429. https://doi.org/10.1521/soco.2011.29.4.415
Impaired holistic coding of facial expression and facial identity in congenital prosopagnosia
Palermo, Romina, Willis, Megan Louise, Rivolta, Davide, McKone, Elinor, Wilson, C Ellie and Calder, Andrew. (2011). Impaired holistic coding of facial expression and facial identity in congenital prosopagnosia. Neuropsychologia. 49(5), pp. 1226 - 1235. https://doi.org/10.1016/j.neuropsychologia.2011.02.021
Judging Approachability on the Face of It :The Influence of Face and Body Expressions on the Perception of Approachability
Willis, Megan Louise, Palermo, Romina and Burke, Darren. (2011). Judging Approachability on the Face of It :The Influence of Face and Body Expressions on the Perception of Approachability. Emotion. 11(3), pp. 514 - 523. https://doi.org/10.1037/a0022571
Unfit mothers... Unjust practices?: Key issues from Australian research on the impact of past adoption practices
Higgins, Daryl J.. (2011). Unfit mothers... Unjust practices?: Key issues from Australian research on the impact of past adoption practices. Family Matters. 87(1), pp. 56 - 67.
Switching associations between facial identity and emotional expression : A behavioural and ERP study
Willis, Megan Louise, Palermo, Romina, Burke, Darren, Atkinson, Carmen and McArthur, Genevieve. (2010). Switching associations between facial identity and emotional expression : A behavioural and ERP study. NeuroImage. 50(1), pp. 329 - 339. https://doi.org/10.1016/j.neuroimage.2009.11.071
Contemporary militant extremism: A linguistic approach to scale development
Stankov, Lazar, Higgins, D., Saucier, G. and Kneszevic, G. (2010). Contemporary militant extremism: A linguistic approach to scale development. Psychological Assessment. 22(2), pp. 246 - 258. https://doi.org/10.1037/a0017372
Orbitofrontal cortex lesions result in abnormal social judgements to emotional faces
Willis, Megan Louise, Palermo, Romina, Burke, Darren, McGrillen, Ky and Miller, Laurie. (2010). Orbitofrontal cortex lesions result in abnormal social judgements to emotional faces. Neuropsychologia. 48(7), pp. 2182 - 2187. https://doi.org/10.1016/j.neuropsychologia.2010.04.010