Author ORCID Identifier

https://orcid.org/0009-0009-5667-1499

Date of Award

1-10-2025

Degree Type

Thesis

Degree Name

Master of Public Health (MPH)

Department

Public Health

First Advisor

Daniel Whitaker, Ph.D.

Second Advisor

Wendy Guastaferro, Ph.D.

Abstract

This study examines the impact of Adverse Childhood Experiences (ACEs) on mental health, recovery capital, and quality of life (QoL) among individuals enrolled in Family Treatment Courts (FTC), an 18-month treatment program. I hypothesized that people with high levels of ACEs would report poorer mental health, recovery capital and quality of life, and would show less change over time in the FTC program. One hundred four participants completed surveys at four time points (baseline, 6-, 12-, and 18-months) assessing the relevant outcomes. The mean number of ACEs reported at baseline was almost 4.98, an extraordinarily high number compared to the general public. ACE scores correlated negatively with baseline mental health and QoL but not with recovery capital. When change over time was examined, significant improvements in mental health (depression and trauma symptoms), psychological QoL, and social QoL were found, but the level of ACEs did not moderate change over time. However, recovery capital, physical QoL, and environmental QoL remained stable, regardless of ACE levels. These findings suggest that while FTCs positively impact mental health and certain QoL outcomes, their effect on broader psychosocial factors like physical QoL, environmental QoL, and recovery capital may be limited. Future research should consider larger samples across diverse FTC sites and investigate specific treatment components to better address this vulnerable population’s holistic recovery needs, promoting sustained recovery and family stability.

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