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AbstractTrauma informed care has become an evidenced based approach for inpatient and residential services for people in the general population who are likely to have been impacted by trauma. Given the increased vulnerability to psychological trauma for adults with an intellectual disability, it should follow that residential services for adults with an intellectual disability would also benefit from a trauma informed care approach. Two focus groups and individual interviews with seven adults with an intellectual disability and six workshops with seven service providers were conducted to co‐produce a trauma informed care framework for residential services that was evidence‐based and guided by established models (MRC, Developing and evaluating complex interventions, London: MRC & NIHR, 2019; Wight et al., Journal of Epidemiology and Community Health, 70, 520–525, 2016). The framework was developed into four chapters: 'Setting the context'; 'Organisational change'; 'Workforce development'; and 'Trauma focussed services'. A logic model outlining the mechanisms of change was refined over the course of the co‐production workshops. This is the first study to develop and co‐produce a trauma informed care framework for residential and supported living accommodation for adults with an intellectual disability. The framework has implications for local policy and practice in its current cultural context. Future development is required to operationalise and test the framework and to explore its adaptability to international contexts.

AbstractBackgroundPeople with an intellectual disability are more vulnerable to psychological trauma compared with the general population. The aim of this scoping review was to identify the current status of the literature on trauma that is specific to the experiences of adults with an intellectual disability, living in community settings.MethodsA scoping review was conducted using the Arksey and O'Malley (International Journal of Social Research Methodology, 2005, 8, 19) framework. Forty‐one international papers were reviewed spanning 2000–2020, and their quality assessed using the MMAT.Findings(1) Aggressive behaviours can be symptoms of trauma, (2) there are appropriate assessment tools for the impact of trauma, (3) evidence‐based interventions for trauma may be effective, and (4) factors associated with disability can be experienced as traumatic.ConclusionThere is a growing body of literature highlighting assessment needs and potential interventions for people with an intellectual disability who have experienced psychological trauma. Further research is needed to develop trauma‐informed pathways.

This article investigates the relationship between how individuals actually experience influence in organizational issues and which actors in the organizational structure are preferred to have the most influence over different issues. In this way the article also highlights links between different forms of direct and indirect influence. Four different Danish companies applying teamwork, varying in size and type, participated in the study. The total sample size included 526 employees involved in teamwork who returned the questionnaire (response rate of 72 percent). The results indicated that employees would like the actors who already have responsibilities for a given area to control that area. The results of the regression analyses show significant associations between the degree to which influence was experienced and desires for which organizational actors should have most influence. Furthermore, employees who experience the highest degree of influence within a domain want similarly placed colleagues to have high levels of influence. The results emphasize the significance of considering the level of employee influence in understanding employee attitudes to the distribution of organizational influence and leadership.

Background Childhood adversity can include traumatic experiences and exposure to other risk factors; consistently predicting poorer psychosocial outcomes in adulthood. Relatively little research has investigated the impact of cumulative risk exposure in childhood. Using data collected in a specialist clinical setting, we investigated the associations between risk exposure, psychopathology and psychosocial functioning. Method Participants were children attending the Attachment and Trauma service at Great Ormond Street Hospital in London ( N = 132, M = 10.25, SD = 3.35). Data was collected via routine clinical practice during multi-disciplinary assessments. Data was collected on developmental and trauma history, psychopathology, and functioning (CGAS), using standardised measures, clinical interviews, and observations. Results All children had experienced at least one risk factor, with 78% reporting multiple exposures, including witnessing interpersonal violence (52%), neglect (48%), and physical abuse (42%). Other risk exposures included exposure to alcohol (17%) and substances (24%) in-utero, as well as social risk factors such as multiple foster placements in some cases. In this sample, 65% of children met criteria for at least one psychiatric diagnosis (Anxiety = 31%, PTSD = 28%, Depression = 8%). High levels of functional impairment were found, with 52% of children falling into the highest categories of 'obvious' or 'severe' problems. Multiple risk exposure significantly predicted PTSD (OR 9.64 (1.1, 83.7)), but did not predict anxiety, depression, or functional impairment. Conclusion This study highlights the rates of cumulative risk exposure in this clinical sample. The findings demonstrate the importance of detailed and accurate clinical assessments in ascertaining trauma histories in children with known histories of adversity and maltreatment. There are implications for assessment and treatment, such as the importance of clear guidelines on treating PTSD in children with complex trauma histories.

AbstractExcessive worry can negatively influence one's developmental trajectories. In the past 70 years, there have been studies aimed towards documenting and analysing concerns or 'worries' of teen and preteen individuals. There have been many quantitative and qualitative approaches established, suggesting different themes of contextual adolescent worry. With the hopes of future clinical utility, it is important to parse through these studies and gather what is currently known about what teens and preteens worry about and what is the state of methods used to gather that knowledge. Studies were searched for using Web of Science, PubMed, PsycINFO, Scopus and ScienceDirect databases and selected on systematic criteria. Data regarding the country in which the study took place, participants, methods of collection, worry themes and conclusions and limitations were extracted. Data were synthesised in a narrative fashion. It was concluded that currently available methods of measuring themes of adolescent worry face certain problems. Themes of worry differ substantially between the studies, with the exception of school performance seeing stable high endorsement across cultures and ages. Issues with ordering worry themes and implications for future understanding of adolescent and preadolescent worry are discussed.

BackgroundAccurate assessment of childhood adversity is fundamental in understanding risk and resilient factors that can inform appropriate intervention and prevention strategies. Different statistical and methodological approaches (e.g., prospective, selfreported data) have been used to assess pathways and outcomes associated with childhood adversity, however, each is limited in a number of ways.
ObjectivesLinking administrative data to population-based studies provides a powerful tool to overcome some of the challenges in trauma research and permits the estimation of temporally ordered models of risk. The current study seeks to assess the effect of childhood adversity on a diagnosis of traumatic disorder (TD).
MethodsData were collected from a Danish national study in 2008/2009. A sample of 4,718 young adults were randomly selected from the birth cohort of children born in 1984. Structured interviews were conducted on 2,980 participants. This data was then linked with parental data (including 4 years prior to birth of child) and a ICD 10 diagnosis of a TD using information from the Danish registries.
FindingsHierarchical regression analysis was used to examine parental risk factors, self-reported child maltreatment, experiencing violence in young adulthood and risk of a TD diagnosis at age 28. Findings indicated the dominant factor associated with TD was self-reported PTSD symptoms at age 24 (OR =3.82); followed by a parental mental health diagnosis (OR = 2.80). Being of female gender (OR = 2.42) and experiencing violence in young adulthood (OR = 1.94) also increased risk of a TD diagnosis.
ConclusionThis study highlights the benefits of incorporating administrative data with self-report data to provide a more nuanced understanding of childhood adversity across different developmental stages. These findings have important conceptual and methodological implications and may be useful in informing future trauma studies.