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<p>Few studies examine protective factors for maintaining high treatment engagement in the context of elevated adverse childhood experiences (ACEs). The current study aimed to evaluate the role of child ACEs in predicting attendance, explore differences in ACE prevalence within a highly traumatized sample, and explore the interaction between ACEs and adaptive skills in predicting attendance. A retrospective review of 85 charts was conducted for children receiving therapy services at a rural Child Advocacy Center (CAC). Demographics, ACE information, child adaptive skill levels, and attendance information were reviewed from charts of children who received at least 6 months of therapy services at a CAC. Child participants averaged 4.71 ACEs. Child ACEs were significantly, negatively correlated to 6-month therapy attendance rates. There was a significant interaction between ACEs and adaptive skills in predicting attendance. At average and high levels of adaptive skills, child adaptive skills served as a significant moderator of the negative relation between child ACE score and attendance at 6 months. Moderate and high adaptive skills in children may reflect children’s resilience in the face of adversities, paradoxically lessening a family’s engagement in their child’s therapeutic services. It is critical to provide caregivers with information about the impact of ACEs across the lifespan and the positive role that engagement in treatment may play in children receiving the benefits of treatment.</p>

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The Role of Adverse Childhood Experiences and Adaptive Skills in Treatment Engagement at a Rural Appalachian Child Advocacy Center

  • 期刊论文

  • 发表日期：

    2025年10月7日

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  • Lindsay R. Druskin,
  • Hannah Elias,
  • Sharon T. Phillips,
  • Sydney M. Parker,
  • Samantha N. Franzese,
  • Taylor Shultz,
  • Laura Capage,
  • Cheryl B. McNeil

摘要

Few studies examine protective factors for maintaining high treatment engagement in the context of elevated adverse childhood experiences (ACEs). The current study aimed to evaluate the role of child ACEs in predicting attendance, explore differences in ACE prevalence within a highly traumatized sample, and explore the interaction between ACEs and adaptive skills in predicting attendance. A retrospective review of 85 charts was conducted for children receiving therapy services at a rural Child Advocacy Center (CAC). Demographics, ACE information, child adaptive skill levels, and attendance information were reviewed from charts of children who received at least 6 months of therapy services at a CAC. Child participants averaged 4.71 ACEs. Child ACEs were significantly, negatively correlated to 6-month therapy attendance rates. There was a significant interaction between ACEs and adaptive skills in predicting attendance. At average and high levels of adaptive skills, child adaptive skills served as a significant moderator of the negative relation between child ACE score and attendance at 6 months. Moderate and high adaptive skills in children may reflect children’s resilience in the face of adversities, paradoxically lessening a family’s engagement in their child’s therapeutic services. It is critical to provide caregivers with information about the impact of ACEs across the lifespan and the positive role that engagement in treatment may play in children receiving the benefits of treatment.