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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 PMID20113924show 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 re-establishing 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?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 non-abused and abused urban 9th 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 non-abused 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 non-abused 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). Conclusion: This appears to be a promising intervention for restoring sexually-abused runaway girls to a healthy developmental trajectory.