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This mixed-methods study examines the objective and subjective behavioral and emotional changes experienced
by adolescent girls participating in gender-sensitive and trauma-informed care in a court-order out-of-home care
setting. It does so based on surveys on behavioral, cognitive, and emotional aspects of their experience and
relationships and semi-structured in-depth interviews. The qualitative findings point to positive changes experienced in the girls’ behavioral and academic functioning, their mental condition, and the relationships among
them, between them and the facility staff, and between them and their parents. Conversely, the quantitative
findings point to a relationship between the duration of stay at the facility and increased problem behaviors,
reduced family support, and reduced happiness. The discussion addresses the gap between the qualitative and
quantitative findings, as well as the theoretical and practical implications of the findings. Based on the literature
and the current findings, we conclude that gender-sensitive and trauma-informed care provides girls with a safe
space to reflect on their life circumstances and experiences. This can contribute to a sense of personal progress in
a protected space, but on the other hand, to additional emotional and behavioral difficulties due to the preoccupation with traumatic contents both past and present.