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Predicting running away in girls who are victims of commercial sexual exploitation
Institution:1. Indiana University – Purdue University, Department of Psychology, 402 North Blackford St., LD126, Indianapolis, IN, 46143, USA;2. Department of Psychology, University of Miami, 5665 Ponce De Leon Blvd, Room 422, Coral Gables, FL, 33146, USA;3. Ascent 121, P.O. Box 1143, Carmel, IN, 46082, USA;1. Department of General Medicine, Kanagawa Children’s Medical Center, Japan;2. Department of Pediatrics, Asahi General Hospital, Japan;3. Department of Emergency Medicine, Kyoto Prefectural University of Medicine, Japan;4. Yokohama City Western Child Guidance Center, Japan;5. Yokohama City Southern Child Guidance Center, Japan;6. Department of Pediatrics, National Center of Neurology and Psychiatry, Japan;7. Department of Pediatrics, Nishisaitama Chuo National Hospital, Japan;8. Department of Pediatrics, Maebashi Red Cross Hospital, Japan;9. Department of Nursing, School of Health Sciences, Tokyo University of Technology, Japan;10. Child First Japan, Japan;11. Department of Psychosocial Medicine, National Center for Child Health and Development, Japan;12. Department of Emergency Medicine, Kitakyushu City Yahata Hospital, Japan;1. FMHI, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL 33612, United States;1. Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, Northeastern University, Boston, MA, 02115, United States;2. Institute of Criminal Law and Criminology, Leiden University, Leiden, The Netherlands;3. School of Criminology and Criminal Justice, Northeastern University, Boston, MA, 02115, United States;4. Children’s Advocacy Center for Suffolk County, Boston, MA, 02215, United States;5. SEEN Support to End Exploitation Now, Children’s Advocacy Center of Suffolk County, Boston, MA, 02215, United States;1. Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States;2. UCLA Semel Neuropsychiatric Institute, 760 Westwood Plaza, Room A8-228, Los Angeles, CA, 90025, United States;3. UCLA Semel Neuropsychiatric Institute, 760 Westwood Plaza, Room A8-232, Los Angeles, CA, 90025, United States;4. School of Social Welfare, UC Berkeley, 120 Haviland Hall #7400, Berkeley, CA, 94720, United States;5. Stanford School of Medicine, 291 Campus Drive, Stanford, CA, 94305, United States;6. Department of Population Health, Langone School of Medicine, New York University, 180 Madison Ave, 17th Floor, New York, NY 10016, United States;7. Department of Pediatrics, David Geffen School of Medicine at UCLA and Mattel Children’s Hospital, Los Angeles, CA, United States;8. UCLA Pediatrics, Box 951752, 12-467 MDCC, Los Angeles, CA, 90095 United States
Abstract:Youth that are victims of commercial sexual exploitation of children (CSEC) have a host of clinical problems and often run away from home, residential care, and treatment, which complicates and limits treatment effectiveness. No research to date has attempted to predict running away in CSEC victims. The present study aimed to 1) characterize a clinically referred sample of girls who were victims of CSEC and compare them to other high-risk girls (i.e., girls who also have a history of trauma and running away, but deny CSEC); and 2) examine the utility of using the Youth Level of Service/Case Management Inventory (YLS/CMI) to predict future running away. Data were collected from de-identified charts of 80 girls (mean age = 15.38, SD = 1.3, 37.9% White, 52.5% CSEC victims) who were referred for psychological assessment by the Department of Child Services. Girls in the CSEC group were more likely to have experienced sexual abuse (χ2 = 6.85, p = .009), an STI (χ2 = 6.45, p = .01), a post-traumatic stress disorder diagnosis (χ2 = 11.84, p = .001), and a substance use disorder diagnosis (χ2 = 11.32, p = .001) than high-risk girls. Moderated regression results indicated that YLS/CMI scores significantly predicted future running away among the CSEC group (β = 0.23, SE = .06, p = .02), but not the high-risk group (β = ?.008, SE = .11, p =.90). The YLS/CMI shows initial promise for predicting future running away in girls who are CSEC victims. Predicting running away can help identify those at risk for and prevent running away and improve treatment outcomes. We hope current findings stimulate future work in this area.
Keywords:Commercial sexual exploitation of children  Girls  CSEC  Running away  Youth level of service/case management inventory
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