ABSTRACT Over the past three decades, rigorous empirical research has highlighted both cumulative and non‐additive effects of childhood trauma, which are intricately intertwined with the broader developmental and psychosocial context. Latent class analysis has proven useful in identifying at‐risk groups, thereby informing the design of targeted prevention and early‐intervention efforts. Extending prior research to highly complex, high‐risk children and families receiving intensive home‐based treatment (IHBT), this study analyzed archival data from 10,301 Connecticut families enrolled in the Intensive In‐Home Child (2) High Family Adversity (13%); (3) High Child Trauma and (4) High Child Trauma (7%). Relative to the Unspecified Adversity group (reference class), all other groups exhibited lower odds of completing treatment. These findings hold implications for developing targeted assessment and intervention strategies to enhance treatment engagement and outcomes for underserved youth in intensive home‐based programs.
Holland et al. (Fri,) studied this question.