Childhood adversity, emergent psychopathology, and adolescent-to-parent violence: Process mining trajectories from police and health service administrative data

Allison Peck; Marie Hutchinson; Steve Provost

doi:10.3389/frcha.2023.1074861

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Childhood adversity, emergent psychopathology, and adolescent-to-parent violence: Process mining trajectories from police and health service administrative data

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Childhood adversity, emergent psychopathology, and adolescent-to-parent violence: Process mining trajectories from police and health service administrative data

Allison Peck, Marie Hutchinson and Steve Provost

Frontiers in Child and Adolescent Psychiatry, Vol.2

11/04/2023

DOI: https://doi.org/10.3389/frcha.2023.1074861

Appears in Recent Faculty of Health Publications

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Abstract

child and adolescent psychiatry

anxiety disorders

depression and mood disorders

process mining

statistics and research methods

adolescent-to-parent violence

Aim: To discover developmental risk trajectories for emerging mental health problems among a sample of adolescent family violence offenders to inform service delivery focused on early preventative interventions with children and their families. Design: A retrospective case-series design employing data linkage. Setting: An Australian regional location. Participants: Adolescents (born between 1994 and 2006) issued a legal action by the NSW Police Force for an adolescent-to-parent family violence offense (n = 775). Procedure: Discrete routinely collected episode data in police and health service electronic records for children, and police data for parents, were linked and transformed into longitudinal person-based records from birth to 19 years to identify trajectories for mental health problems. Results: Sixty-three percent (n = 489) of adolescents had contact with a mental health service before age 19. The majority of these adolescents received a diagnosis for a stress or anxiety disorder (n = 200). Trajectory analysis found childhood exposure to parental intimate partner violence and parental drug and/or alcohol use were dominant events in the pathway to receiving a mental health diagnosis. Being a victim of a sexual offense was found to increase the odds of adolescents having a diagnosis for each of the main mental health categories (with the exception of drug or alcohol disorders). Conclusions: Pathways to mental health problems were characterized by inter-related adverse childhood events and poly-victimization for many adolescents. Early identification of at-risk children must be a continued focus of child health services in order to reduce and identify early emerging mental health problems.

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Title: Childhood adversity, emergent psychopathology, and adolescent-to-parent violence: Process mining trajectories from police and health service administrative data
Creators: Allison Peck - Southern Cross University
Marie Hutchinson - Southern Cross University
Steve Provost - Southern Cross University
Publication Details: Frontiers in Child and Adolescent Psychiatry, Vol.2
Publisher: Frontiers Media SA
Grant note: AP was supported by a HDR scholarship which was funded by the Department of Regional New South Wales, Mid North Coast Local Health District, the North Coast Local Health District and Southern Cross University.
Identifiers: 991013117754302368
Copyright: © 2023 Peck, Hutchinson and Provost. This is an open-access article distributed under the terms of the Creative Commons Attribution License, (https://creativecommons.org/licenses/by/4.0/).
Academic Unit: Human Sciences; Faculty of Health
Language: English
Resource Type: Journal article

Childhood adversity, emergent psychopathology, and adolescent-to-parent violence: Process mining trajectories from police and health service administrative data

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