Brandon A. Kohrt|Mark J. D. Jordans|Wietse A. Tol|Em Perera|Rohit Karki|Soniya Koirala|Nawaraj Upadhaya
Social Ecology of Child Soldiers: Child, Family, and Community Determinants of Mental Health, Psychosocial Well-being, and Reintegration in Nepal
Emory University|HealthNet TPO|HealthNet TPO
study employed social ecology framework evaluate psychosocial wellbeing crosssectional sample 142 former child soldiers nepal outcome measures included depression self rating scale dsrs child posttraumatic stress disorder symptom scale cpss locally developed measures functional impairment reintegration hierarchical linear modeling used examine contribution factors multiple levels child level traumatic exposures especially torture predicted poor outcomes education improved outcomes family level conflictrelated death relative physical abuse household loss wealth conflict predicted poor outcomes community level living high caste hindu communities predicted lack reintegration supports ultimately social ecology well suited identify intervention foci across ecological levels based community differences vulnerability protective factors