A mailed survey of 225 National Association of Alcohol and Drug Addiction Counselors members was conducted to examine trauma training, trauma practices, and secondary traumatic stress among substance abuse counselors. Results indicate that most substance abuse counselors are not being prepared for practice with traumatized populations in their formal academic training, although many obtained some trauma training through continuing education activities. There is a great deal of variation in terms of counselors' practices in the assessment and treatment of traumatic stress. Last, substance abuse counselors are highly likely to be secondarily exposed to traumatic events through their work with traumatized populations, and many experience at least some symptoms of secondary traumatic stress. The experience of secondary traumatic stress is believed to contribute to turnover and may reduce the quality and effectiveness of services. These findings highlight the need to attend to the issue of secondary traumatic stress among substance abuse counselors.

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This purpose of this study was to explore the moderating influence of gender on the relationship between child maltreatment and internalizing symptoms (e.g., affective and somatic problems) and externalizing behavior (e.g., rule breaking behavior and aggression) among children aged 7-12 years old. Using a longitudinal comparison group design and a sample of 300 youth of which 56% (n = 168) had substantiated cases of child maltreatment, results of a structural equation modeling revealed that internalizing symptoms exerted a mediating influence that was conditioned by gender. Only girls' internalizing symptoms were found to mediate the link between child maltreatment and externalizing behavior while a direct relationship between maltreatment and externalizing behavior was found among boys. These findings provide evidence for gender differences in the pathways between being child maltreatment and maladaptive thoughts, feelings, and behaviors. Thus, adapting evidence-based strategies that target gender specific internalizing behaviors and externalizing behaviors among maltreated youth may significantly reduce the risk of short and long-term maladaptive behavior.

Given the frequency and violent character of the traumas encountered by juvenile offenders, staff members who regularly interact with juveniles in custody are at risk of developing secondary traumatic stress. Juvenile justice teachers and staff (N = 118) were administered a cross-sectional survey, including the Secondary Traumatic Stress Scale. Respondents said the students were moderately traumatized (47%), severely traumatized (27%), and very severely traumatized (7%). Regarding STS, the most frequently reported symptom was intrusive thoughts related to work with the students, mentioned by 61% of respondents. Additionally, 81% met at least one, 55% met two, and 39% met all three core diagnostic criteria for posttraumatic stress disorder. Recommendations for juvenile justice staff members and for the organization are provided to address practice and policy implications.

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