Vulnerability/Resilience Factors Influencing the Developmental Trajectories and Adaptive Methods of Children and Adolescents in Child Welfare System.

Study Overview
=================
Brief Summary
-----------------
Assess the prevalence of medico-psychological characteristics at the time of placement (M0), their appearance / disappearance and during the two years following placement (M12 and M24) by age group in children / adolescents in Child Protective Services and placed full-time in the structures of Seine-Maritime and Eure as well as in nursery in Le Havre or Rouen

Official Title
-----------------
Facteurs de vulnérabilité/résilience influençant Les Trajectoires développementales et Les modalités Adaptatives d'Enfants et d'Adolescents confiés à l'Aide Sociale à l'Enfance. Cohorte Primo-arrivants.

Conditions
-----------------
Behavior, Child, Child Development, Child Development Disorder, Adolescent Development, Adolescent Behavior, Child Mental Disorder, Child Behavior Disorders, Adolescent - Emotional Problem

Intervention / Treatment
-----------------
* Behavioral: questionnaries, scales, cognitive tests


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Minor adressed to child protective services Minor placed full time Exclusion Criteria: Non affiliation to social security system Non accompanied minor Minor and/or parfents not understanding french Minor informed and refused participation Parents or tutor having refused participation of their child

Ages Eligible for Study
-----------------
Maximum Age: 16 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: questionnaries, scales, cognitive tests|A first interview is planned with a psycholgist in the weeks following the minor arrival in the structure (M0) M0: cognitive test, psychiatric classification and psychologic assessments M12 and M24: psychiatric classification and psychologic assessments|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Presence and nature of psychiatric disorders according to DSM 5 | assessed by MINI S-KID (International Neuropsychiatric Interview for Children and Adolescents) for 6-18 year olds and DC 0-5 (Diagnostic Classification from 0 to 5 ) for 0 to 5 year olds. | At inclusion | 
| Presence and nature of psychiatric disorders according to DSM 5 | assessed by MINI S-KID (International Neuropsychiatric Interview for Children and Adolescents) for 6-18 year olds and DC 0-5 (Diagnostic Classification from 0 to 5 ) for 0 to 5 year olds. | 1 year after inclusion | 
| Presence and nature of psychiatric disorders according to DSM 5 | assessed by MINI S-KID (International Neuropsychiatric Interview for Children and Adolescents) for 6-18 year olds and DC 0-5 (Diagnostic Classification from 0 to 5 ) for 0 to 5 year olds. | After 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of cognitive abilities | 0 to 2 years old : BAYLEY V3 or Brunet Lezine (revised) 3 to 6 years old : WPPSI-IV 7 to 16 years old : WISC-V 16 to 18 years old : WAIS-V | At inclusion | 
| Presence of an attachement psychopathological disorder | Assessed by the strange situation procedure for participants aged from 9 months old to 3 years old Assessed by Attachment story completion test from 4 to 9 years old Assessed by the Inventory of Parents and Peer Attachement from 10 to 18 years old | At inclusion | 
| Presence of a Borderline-Personality-Disorder | Using AbDIB questionnaire from 12 to 18 years old | At inclusion | 
| Presence of an emotional and behavioral; self-regulation Disorder | - 1.5 -18 ans : Child Behavior Checklist (CBCL) | At inclusion | 
| Presence of an emotional and behavioral; self-regulation Disorder | - 6-18 ans : Affective Reactivity Index Child Report and Parent Report (ARI) | At inclusion | 
| Presence of an emotional and behavioral; self-regulation Disorder | - 9-18 ans: Toronto Alexithymia Scale (TAS-20) | At inclusion | 
| Presence of an emotional and behavioral; self-regulation Disorder | - 6-18 ans : Rosenberg self-assessment scale - (RSE) | At inclusion | 
| Presence of one or multisensory hallucinations | 6 -18 ans: Multisensory Hallucinations Scale for Children (MHASC) | At inclusion | 
| Mentalization capacities | 12 to 18 using the Reflective Functioning Questionnaire (RFQ 20) | At inclusion | 
| Presence of eating disorder | 2 -18 : SCOFF questionnaire | At inclusion | 
| Substance use disorders | 11 to 18 years old using the Detection of alcohol and drugs problems in adolescent (DepAdo) | At inclusion | 
| Analyses of adverse life events | - UCLA Child/Adolescent PTSD Reaction Index (PTSD-UCLA) | At inclusion | 
| Analyses of adverse life events | - 11 - 18 years old: Childhood Trauma Questionnaire (CTQ) | At inclusion | 
| Description of care pathway | using a socio-demographic report (scolarship, medical care and environnement) | At inclusion | 
| Coping strategies | - 12 to 18 years old using the Adolescent Coping Scale (ACS) | At inclusion | 
| Coping strategies | - 7 to 13 years old : Self-Report Coping Scale (SRCS) | At inclusion | 
| Coping strategies | - 12 to 18 years old using the Adolescent Coping Scale (ACS) | After 1 year | 
| Coping strategies | - 7 to 13 years old : Self-Report Coping Scale (SRCS) | After 1 year | 
| Coping strategies | - 12 to 18 years old using the Adolescent Coping Scale (ACS) | After 2 years | 
| Coping strategies | - 7 to 13 years old : Self-Report Coping Scale (SRCS) | After 2 years | 
| Presence of depressive symptoms | 12-18 years old: Columbia-Suicide Severity Rating Scale (C-SSRS) | At inclusion | 
| Analyses of global functionning | Using the global assessment functionning | At inclusion | 
| Analyses of global functionning | Using Ages & Stages Questionnaires Version 3 (ASQ3) | At inclusion | 
| Presence of attachement psychopathological disorder | Assessed by the strange situation procedure for participants aged from 9 months old to 3 years old Assessed by Attachment story completion test from 4 to 9 years old Assessed by the Inventory of Parents and Peer Attachement from 10 to 18 years old | 1 year after inclusion | 
| Presence of a Borderline-Personality-Disorder | Using AbDIB questionnaire from 12 to 18 years old | After 1 year | 
| Presence of Emotional and behavioral, self-regulation Disorder | - 1.5 -18 ans : Child Behavior Checklist (CBCL) | 1 year after inclusion | 
| Presence of Emotional and behavioral, self-regulation Disorder | - 6-18 ans : Affective Reactivity Index Child Report and Parent Report (ARI) | 1 year after inclusion | 
| Presence of Emotional and behavioral, self-regulation Disorder | - 9-18 ans: Toronto Alexithymia Scale (TAS-20) | 1 year after inclusion | 
| Presence of Emotional and behavioral, self-regulation Disorder | - 6-18 ans : Rosenberg self-assessment scale - (RSE) | 1 year after inclusion | 
| Presence of one or multisensory hallucinations | 6 -18 ans: Multisensory Hallucinations Scale for Children (MHASC) | 1 year after inclusion | 
| Mentalization capacities | 12 to 18 years old using the Reflective Functioning Questionnaire (RFQ 20) | 1 year after inclusion | 
| Presence of eating disorder | 2 -18 : SCOFF questionnaire | 1 year after inclusion | 
| Substance use disorders | 11 to 18 years old using the Detection of alcohol and drugs problems in adolescent (DepAdo) | 1 year after inclusion | 
| Analyses of adverse life events | - UCLA Child/Adolescent PTSD Reaction Index (PTSD-UCLA) | 1 year after inclusion | 
| Analyses of adverse life events | - 11 - 18 years old: Childhood Trauma Questionnaire (CTQ) | 1 year after inclusion | 
| Description of care pathway | using a socio-demographic report (scolarship, medical care and environnement) | 1 year after inclusion | 
| Presence of depressive symptoms | 12-18 years old: Columbia-Suicide Severity Rating Scale (C-SSRS) | 1 year after inclusion | 
| Analyses of global functionning | Using the global assessment functionning and the Ages & Stages Questionnaires Version 3 (ASQ3) | 1 year after inclusion | 
| Presence of a attachement psychopathological disorder | Assessed by the strange situation procedure for participants aged from 9 months old to 3 years old Assessed by Attachment story completion test from 4 to 9 years old Assessed by the Inventory of Parents and Peer Attachement from 10 to 18 years old | 2 years after inclusion | 
| Presence of a Borderline-Personality-Disorder | Using AbDIB questionnaire from 12 to 18 years old | 2 years after inclusion | 
| Presence of a Emotional and behavioral self-regulation Disorder | - 1.5 -18 ans : Child Behavior Checklist (CBCL) | 2 years after inclusion | 
| Presence of a Emotional and behavioral self-regulation Disorder | - 6-18 ans : Affective Reactivity Index Child Report and Parent Report (ARI) | 2 years after inclusion | 
| Presence of a Emotional and behavioral self-regulation Disorder | - 9-18 ans: Toronto Alexithymia Scale (TAS-20) | 2 years after inclusion | 
| Presence of a Emotional and behavioral self-regulation Disorder | - 6-18 ans : Rosenberg self-assessment scale - (RSE) | 2 years after inclusion | 
| Presence of one or multisensory hallucinations | - 6 -18 ans: Multisensory Hallucinations Scale for Children (MHASC) | 2 years after inclusion | 
| Mentalization capacities | 12 to 18 years old using the Reflective Functioning Questionnaire (RFQ 20) | 2 years after inclusion | 
| Presence of eating disorder | 2 -18 : SCOFF questionnaire | 2 years after inclusion | 
| Substance use disorders | 11 to 18 years old using the Detection of alcohol and drugs problems in adolescent (DepAdo) | 2 years after inclusion | 
| Analyses of adverse life events | - UCLA Child/Adolescent PTSD Reaction Index (PTSD-UCLA) | 2 years after inclusion | 
| Analyses of adverse life events | - 11 - 18 years old: Childhood Trauma Questionnaire (CTQ) | 2 years after inclusion | 
| Analyses of global functionning | Using the global assessment functionning | 2 years after inclusion | 
| Analyses of global functionning | Using the Ages & Stages Questionnaires Version 3 (ASQ3) | 2 years after inclusion | 
| Description of care pathway | using a socio-demographic report (scolarship, medical care and environnement) | 2 years after inclusion | 
| Presence of depressive symptoms | 12-18 years old: Columbia-Suicide Severity Rating Scale (C-SSRS) | 2 years after inclusion | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
psychology, attachement, Child Protective Services, social sciences, social services, psychiatric disorders, developmental trajectories, child protection, child, preschool, adolescent, psychiatry