title: Child Maltreatment, Trauma, and Physical Health Outcomes: The Role of Abuse Type and Placement Moves on Health Conditions and Service Use for Youth in Foster Care.
abstract: OBJECTIVE
  The purpose of the study was to investigate the relations between abuse types, non-maltreatment-related trauma, and health service utilization in a sample of youth in foster care with and without chronic medical conditions.
  
  
  METHODS
  A total of 213 youth, aged 8-21 years, provided self-report of general trauma and abuse exposure. Medicaid claims for each child were collected from official state databases.
  
  
  RESULTS
  Exposure to sexual abuse, neglect, or general trauma but not exposure to physical abuse or psychological abuse increased the rates of medical visits, while only general trauma increased medical hospitalizations.
  
  
  CONCLUSIONS
  Trauma types are not equally predictive of health care utilization for youth with chronic health conditions.
authors.affiliation: Clinical Child Psychology Program, University of Kansas yjackson@ku.edu.
authors.forename: Yo
authors.initials: Y
authors.lastname: Jackson
authors.affiliation: Clinical Child Psychology Program, University of Kansas.
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Cushing
authors.affiliation: Clinical Child Psychology Program, University of Kansas.
authors.forename: Joy
authors.initials: J
authors.lastname: Gabrielli
authors.affiliation: Clinical Child Psychology Program, University of Kansas.
authors.forename: Kandace
authors.initials: K
authors.lastname: Fleming
authors.affiliation: Clinical Child Psychology Program, University of Kansas.
authors.forename: Bridget M
authors.initials: BM
authors.lastname: O'Connor
authors.affiliation: Clinical Child Psychology Program, University of Kansas.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Huffhines
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health / Q000706:statistics & numerical data*; D002648:Child; D002649:Child Abuse; D000067576:Child Health / Q000706:statistics & numerical data*; D002908:Chronic Disease; D005260:Female; D005581:Foster Home Care; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008484:Medicaid; D015146:Midwestern United States; D000067073:Psychological Trauma; D057566:Self Report; D014481:United States; D055815:Young Adult
keywords: at-risk youth; child maltreatment; chronic illness; health care services; trauma