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Perinatal depression is a serious public health issue among African American adolescents who experience significant racial health disparities in addition to age-related mental and physical health risks. Perinatal depression prevention interventions that specifically target the needs of African American adolescents are warranted. The current study presents the development and preliminary results of an intervention designed to prevent perinatal depression among African American adolescents using the heuristic framework for cultural adaptations. Adaptations were applied to an existing evidence-based cognitive behavioral group intervention to develop the Mothers and Babies Course for African American Adolescents. Adaptations were guided by qualitative data collected from a focus group and individual interviews, and by existing research on specific risk and protective factors that drive engagement with and barriers to interventions for this population. The adapted intervention was piloted with 7 pregnant and 21 postpartum African American adolescent students at four different public high schools in an urban city in the United States. The Edinburgh Postnatal Depression Scale was used to assess pre- and post-intervention perinatal depression scores. Accessibility and feasibility were assessed using participant and observer evaluations, respectively. Results indicated reductions in pre- to post-intervention depression scores and high acceptability and feasibility of the pilot study. Additional adaptations of the intervention based on qualitative feedback from study participants are discussed. Future development and implementation of the intervention provides an opportunity to reduce a mental health disparity that disproportionately affects African American adolescents. Highlights: Perinatal depression is a serious public health issue among African American adolescents who experience significant racial health disparities in addition to age-related mental and physical health risks. Introduces adaptation methods and results of an intervention pilot-study designed to prevent perinatal depression among African American adolescents. The intervention was adapted from an existing evidence-based perinatal depression prevention intervention using the heuristic framework for cultural adaptations. [ABSTRACT FROM AUTHOR]

Racial socialization is a dynamic process for youth of color, especially for Black adolescents. What is less known is how the provision of racial socialization practices and messages may differ for varying ethnic groups of Black adolescents and what sociodemographic factors contribute to this difference. As such, this cross-sectional study investigated how African American and Black Caribbean adolescents are racially socialized by parents and support systems, including socialization frequency, sociodemographic contributors, and content. A sample of 1170 adolescents (Black Caribbean: n = 360; African American: n = 810) from the National Survey of American Life-Adolescents were assessed. Latent class analysis depicted two classes of socialization provision in both African American and Black Caribbean samples, as adolescents with greater provision received it most from family members across ethnic groups while friends were a distinguishing socializing agent across classes and ethnicities. Further, Black Caribbean adolescents socialized at a high frequency were not often socialized by other adults or friends, just parents and other family members. Some key demographic differences differentiated this provision, with region and income being the most prominent for African American and Black Caribbean families respectively. Finally, messages were fairly consistent across ethnic groups, save the advice to "keep it real" being significantly more provided to African American adolescents. Implications of these findings are relevant for interventions seeking to bolster socialization efforts across support systems and ethnic groups within the Black diaspora, with specific attention towards adolescents receiving "low" levels of socialization across their support system. Highlights: racial socialization messaging for African Americans is largely dependent on their social support networks; the patterning of racial socialization among Black Caribbean youth differed from that of African American youth driven by families; key sociodemographic characteristics differentiated patterns of racial socialization for African American and Black Caribbean youth. [ABSTRACT FROM AUTHOR]

With 2.3 million individuals incarcerated in the United States, incarceration remains a pressing social influence on health. While risk factors for incarceration are known, research has been slow to identify protective factors. Characterizing adolescent protective and risk factors for incarceration outcomes can inform interventions to prevent incarceration. Using survey data from the National Longitudinal Study of Adolescent to Adult Health, we tested the influence of adolescent risk and protective factors for incarceration of young people. We used ordinal logistic regressions, investigating the relationship between adolescent characteristics (wave I, grades 7–12) with two outcomes: incarceration onset (no incarceration, onset of incarceration as a juvenile, and onset of incarceration as an adult) and incarceration frequency (never incarcerated, incarcerated once, incarcerated more than once) during adolescence and into adulthood (N = 12,136, wave IV, ages 24–32). Adolescent protective factors against incarceration onset and higher incarceration frequency centered on education, including a higher grade point average and a higher likelihood of having future plans to attend college. Risk factors included disruptive behavior, physical or sexual abuse in childhood, parental incarceration, and living with a stepfather figure. Stratified analyses suggested that Latinos may have unique risk profiles compared to African American and White youth. The educational system may be a locus for protective interventions promoting academic achievement and educational aspirations. Understanding both incarceration risk and protective factors may allow interventions to be tailored appropriately. Highlights: Nationally representative study examined risk factors and protective factors in adolescence associated with incarceration. Protective factors in adolescence centered on educational success and future educational plans. Latino youth appeared to have differences in incarceration risk factors as compared to youth from other racial groups that warrant further examination. Educational success may be a locus for the prevention of incarceration in adolescence and adulthood. [ABSTRACT FROM AUTHOR]

Bullying is a serious public health issue among children and adolescents in the United States. Existing national data sources provide limited current information about involvement in bullying among youth. The purpose of this study was to estimate the prevalence of parent-reported bullying victimization and perpetration among U.S. children and adolescents ages 6–17 years using nationally representative data, and to examine health-related factors associated with bullying experiences. We conducted secondary data analysis of the 2016 National Survey of Children's Health, and stratified the sample by age (6–11 years, 12–17 years). We performed bivariate analyses to examine prevalence of bullying experiences according to demographic characteristics, health conditions, health behaviors, health services, and family environment. Using multivariable logistic regressions, we assessed the association between these factors and bullying experiences. Results showed that 22.7% of U.S. children and adolescents were bullied by others and 6.4% bullied others. The rate of bullying victimization was slightly higher among 6–11 year olds than among 12–17 year olds (24.1 vs. 21.1%, p = 0.011). The rate of bullying perpetration was 7.2% among children and 5.6% among adolescents but the difference between age groups was not statistically significant (p = 0.086). Several health conditions and health services factors were associated with either bullying victimization or perpetration, including special health care needs, internalizing problems, behavior or conduct problems, speech or other language disorders, autism, and unmet need for mental health treatment or counseling. Bullying victimization was also strongly associated with bullying perpetration. [ABSTRACT FROM AUTHOR]

The primary goal of this study was to examine the relationship between adolescent-parent communication and adolescent internalizing problems. Both gender of the adolescent and gender or the parent were considered. An additional goal was to explore whether coping skills mediated this relationship. The sample included a community sample of 980 U.S. high school students. Surveys were administered during three annual assessment waves in seven public high schools during the spring of 2007 (Time 1), 2008 (Time 2), and 2009 (Time 3). Path analysis results indicated significant direct effects only for same-sex adolescent-parent dyads. For boys, adolescent-father communication predicted depressive and anxiety symptoms. Coping did not mediate these relationships. For girls, adolescent-mother communication predicted anxiety symptoms. Further, this relationship was mediated by humor coping. Adolescent-mother communication also predicted depressive symptoms via instrumental social support for girls. These results align with social learning theory and suggest that family-based interventions with same-sex adolescent-parent dyads are warranted to prevent internalizing problems in adolescents. [ABSTRACT FROM AUTHOR]

This study examined marijuana-related parenting attitudes, behaviors, and challenges in the context of nonmedical marijuana legalization in Washington State. Qualitative data were collected via 6 focus groups with a total of 54 parents of preteen and teenage children, following the opening of the first marijuana retail store in Seattle in 2014. A structured interview protocol was used to ask parents about their marijuana-related parenting behaviors and about information, skills, or strategies that parents might find helpful while raising children in a state where nonmedical marijuana use is legal for adults. Transcripts were analyzed using thematic content analysis with NVivo software. Findings indicate that most parents talked to their children about marijuana, communicating rules and information about the effects of the drug. Although most parents felt that marijuana use by underage youth was not acceptable, many recognized that it was something teens would likely experiment with. Most parents set guidelines about marijuana in their households, but several faced challenges monitoring their children's behavior (e.g., use of edibles), imposing consequences when children used marijuana, reconciling societal and personal norms, and deciding whether or not to disclose their own use. Parents expressed that they would benefit from learning strategies to deal with these challenges, including factual information and parenting skills, through programs offered in schools or community settings. Results have implications for future research that seeks to inform prevention program development and shape policies attuned to the needs of parents. [ABSTRACT FROM AUTHOR]

In parent socialization research, it has been suggested that the specific practices parents apply to regulate different domains or areas of adolescents' lives be examined to add greater specificity to domain-general studies of parenting styles or patterns and to better understand the link between parenting practices and adolescent adjustment. We examined from adolescents' perspectives the parenting practices their mothers and fathers used when regulating different issues in different areas of adolescents' lives. We examined 18 issues (e.g., grades, platonic friendship; smoking, fighting with siblings, choice of future career), classified into the moral, conventional, personal, and prudential domains, and multifaceted issues (issues that share features of more than one domain). We also examined whether domain variations in parenting practices are related to adolescents' social and academic competence; self-esteem; internalizing, externalizing, attention, and total problems. Adolescents between 13 to 18 years of age (N = 182; M = 16.01 years of age; SD = 1.25) were interviewed (50 to 75 min) about the parenting practices their mothers and fathers employ for different issues. Adolescents also completed questionnaires on demographics and on their social and academic competence; self-esteem; internalizing, externalizing, attention, and total problems. Adolescent adjustment associated with some parenting practices (e.g., punishment) were domain-specific (e.g., positive in moral domain but negative in prudential domain). However, certain parenting practices (e.g., verbal hostility, coercion) were related to negative adjustment and others to positive adjustment (e.g., monitoring) irrespective of domains. The present study advances theoretical propositions regarding domain-specificity and domain generality of parenting practices. [ABSTRACT FROM AUTHOR]

The current study examines the perception of adequate personal or leisure time, and its association with family and caregiver functioning, among a sample of low-income African American families. The investigation is grounded in Conservation of Resources (COR) theory which predicts that caregivers who perceive more adequate personal time will also report higher levels of optimism and lower levels of depressive symptoms, and will have adolescents who report more household routines and less psychologically controlling parenting. A total of 115 caregiver-adolescent (age 14-18) dyads were recruited from a low-income, predominantly African American neighborhood in a major metropolitan center in the United States as part of a larger survey on African American family life. Results indicate that caregivers report perceiving inadequate amounts of time to sleep, get enough exercise, and relax. Caregivers also report comparatively less adequate personal time than time with children. Analyses reveal that caregivers who perceive having more adequate leisure or personal time, report fewer depressive symptoms and higher levels of optimism, after controlling for perceptions of adequate financial resources. Alternatively, there was no association between perceptions of free or leisure time and parenting behaviors, including maintenance of household routines and the use of psychological control. The results underscore the need to examine non-material resources, and their association with wellbeing. [ABSTRACT FROM AUTHOR]

Wraparound is a frequently implemented approach for providing individualized, community-based care for children and adolescents with serious mental health conditions and, typically, involvement in multiple child-and family-serving systems. Both Wraparound's principles and its theory of change stress the importance of youths' active participation throughout. However, research focusing on the experiences of youth in Wraparound indicates that they are often not particularly engaged in the process or participating actively with their teams, and the findings point to a lack of alliance between the young people and their teams. This article describes a randomized study testing the Achieve My Plan (AMP) enhancement for Wraparound, which is intended to increase young people's satisfaction, active engagement and self-determined participation in Wraparound, as well as their alliance with the team. Study findings showed that, relative to youth who received 'as usual' Wraparound, young people who received Wraparound with the AMP enhancement participated more-and in a more active and self-determined manner-with their teams. They also rated their alliance with their Wraparound teams significantly higher. Furthermore, adult team members in the intervention condition rated team meetings as being more productive, and they were more likely to say that the AMP meetings were 'much better than usual' team meetings. Findings support the idea that it is possible-using a low-cost, low-'dose' intervention-to enhance young people's self-determination and their engagement in Wraparound without detracting from team functioning or the satisfaction of other team members. [ABSTRACT FROM AUTHOR]

A national picture of residential treatment centers (RTCs) for children is lacking and this situation may be complicated by differences between facilities in how RTCs are defined. This study uses data from a national survey of mental health facilities to supplement current knowledge about variation in the definition of RTCs nationwide. Descriptive analyses using 2012 National Mental Health Services Survey (N-MHSS) data were conducted on a standard definition of an RTC from the research literature and three different variations of it. Cohen's h was calculated to assess whether differences in proportions were meaningful. While nearly two-thirds of RTCs that serve children define themselves following a standard definition in the research literature, nearly a quarter served adults, 9% did not require that residents have a diagnosis of serious emotional disturbance (SED), and a small proportion offered inpatient care in addition to residential care. Of the 9% of RTCs that did not require an SED diagnosis, the majority of these facilities were located in the West. This finding suggests that some of these RTCs may be wilderness programs, and it may also be an indicator of lack of RTC availability. Lack of consensus in the research literature and in the field regarding the definition of an RTC makes it difficult to compare different RTC study findings with each other. Development of a consensus definition of RTCs is a necessary first step to collecting comprehensive data and assessing the current state of this important component of the mental health delivery system. [ABSTRACT FROM AUTHOR]

Posttraumatic growth,the positive psychological changes experienced following stressful events, may serve as a protective factor in adolescents against decreased self-esteem resulting from a stressful experience. Because posttraumatic growth is a value-laden concept, there could be individual and cross-cultural differences in the importance of different contents of posttraumatic growth experiences. This study examined whether personally important posttraumatic growth and family-valued posttraumatic growth affects self- esteem in the same way across American and Japanese adolescents. High school students (age range 15-18 years) from the US ( n = 118) and Japan ( n = 138) who experienced a stressful event within the past three years completed the Rosenberg Self-Esteem Scale and Posttraumatic Growth Inventory, and reported which items on the Posttraumatic Growth Inventory are personally important and which items they believe their family would want them to experience. Results indicated that personally important posttraumatic growth is significantly related to self-esteem only in American adolescents. However, experiencing posttraumatic growth in ways that adolescents feel their family would want them to experience was a significantly associated with self-esteem across both American and Japanese adolescents. These results indicate that adolescents' self- esteem is likely to be attained despite stressful events when their posttraumatic growth experiences align with their perceptions of their families' values. This study demonstrates how adolescents' perceptions of their families values play an active role in their adjustment post stressful experiences in not just collectivistic cultures like Japan, but in individualistic cultures such as the U.S. clinicians should pay attention to the individual differences in the value of posttraumatic growth when developing intervention programs. [ABSTRACT FROM AUTHOR]

We explore a model that examines how personal and environmental variables explain violent behavior by adolescents. Repeated interviews with youths from 1984-1992 from 10 cities across the United States provided the data. These interviews first occurred with 2, 787 youths when they were adolescents (1984-85 and 1986-87) and the interviews were repeated on a subsample of 602 youths when they were young adults (1989-90 and 1991-92). Longitudinal multivariate analyses showed that almost a third of the variance in adolescent violent behaviors was predicted by a combination of personal variables (gender, substance misuse) and environmental variables (history of child abuse, stressful events, traumatic events, and city rates of unemployment). Further, almost a third of the variance in change in violent behaviors from year to year was predicted by prior violent behavior and a combination of personal variables (gender, suicidality, and substance misuse) and environmental variables (stressful events). [ABSTRACT FROM AUTHOR]