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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Adolesc+Health
2010 ; 46
(2
): 180-8
Nephropedia Template TP
gab.com Text
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English Wikipedia
Restoring healthy developmental trajectories for sexually exploited young runaway
girls: fostering protective factors and reducing risk behaviors
#MMPMID20113924
Saewyc EM
; Edinburgh LD
J Adolesc Health
2010[Feb]; 46
(2
): 180-8
PMID20113924
show ga
PURPOSE: To examine effects of the Runaway Intervention Program (RIP), a
strengths-based home visiting, case management, and group support program for
sexually assaulted or exploited young runaway girls; staffed by advanced-practice
nurses, RIP aims to restore healthy developmental trajectories by reestablishing
protective factors, reducing trauma responses, and lowering risk behaviors that
are common sequelae of sexual violence. METHODS: Quasi-experimental study of RIP
girls (N = 68) ages 12 to 15 (mean, 13.75 years), assessed at baseline, 6 and 12
months for changes in family and school connectedness, other adult caring,
self-esteem, emotional distress, suicidality, recent substance use, plus risky
sexual behaviors. Responses at each time were also compared to nonabused and
abused urban ninth-grade girls (mean age, 14.64, N = 12,775) from the 2004
Minnesota Student Survey (MSS). Analyses used paired t-tests, McNemars test,
Wilcoxon sign-rank, chi-square, and Pearson's correlations. RESULTS: At entry,
RIP girls were most like sexually abused MSS peers, with lower levels of
protective factors and higher levels of distress and risk behaviors than
nonabused MSS girls (p < .05 to p < .01). However, they saw significant
improvements by 6 and 12 months, such that all measures of protective factors,
positive development, distress, and risk behaviors more closely resembled
nonabused MSS girls by 12 months. Of equal note, RIP girls with the greatest
emotional distress, the lowest levels of connectedness, and lowest self-esteem at
baseline demonstrated the greatest improvement (all p < .001). CONCLUSIONS: This
appears to be a promising intervention for restoring sexually abused runaway
girls to a healthy developmental trajectory.