The impact of trauma on children and youth has potentially serious and long-lasting negative consequences, including increased involvement in the juvenile and criminal justice systems. The objective of this study was to meta-analyze research on the effectiveness of trauma-informed treatment programs for justice-involved youth and youth at risk of justice system involvement who have experienced some form of trauma. Our systematic search identified 29 publications that met our eligibility criteria and represent 30 treatment–comparison contrasts. Six of these evaluated the effectiveness of trauma-informed programs for justice-involved youth, and the remaining 24 evaluated programs for at-risk children and youth. The findings suggest that cognitive-behavioral therapy (CBT), including trauma-focused CBT, is effective. In addition, there was weak evidence suggesting that programs that used a cognitive restructuring component or had the participant create a trauma narrative were slightly more effective than programs without these features. Additional high-quality randomized controlled trials are needed.

创伤对儿童和青少年的影响可能会造成严重和长期的负面影响，包括增加对少年和刑事司法系统的参与。这项研究的目的是对涉及正义的青年和经历过某种形式的创伤而有司法系统参与风险的青年进行针对创伤知情的治疗方案的有效性的荟萃分析研究。我们的系统搜索确定了29篇符合我们的入选标准的出版物，这些出版物代表了30种治疗比较的对比。其中有六个评估了受创伤知情的方案对涉及司法的青年的有效性，其余24个评估了针对处于危险中的儿童和青年的方案。这些发现表明，认知行为疗法（CBT），包括针对创伤的CBT，是有效的。此外，有证据不足，表明使用认知​​重构成分或让参与者创建创伤叙述的程序比没有这些功能的程序更有效。还需要其他高质量的随机对照试验。