Trauma focused cognitive behavioral therapy with children

As its name implies is a form of cognitive behavioral therapy that addresses the specific emotional and mental health needs of children, adolescents, adult survivors, and families who are struggling to overcome the destructive effects of early trauma.

Trauma focused cognitive behavioral therapy with children

TF-CBT is an evidence-based treatment that has been evaluated and refined during the past 25 years to help children and adolescents recover after exposure to traumatic life events. TF-CBT is both a phase-based and components-based intervention.

The initial focus is on stabilization skills followed by trauma narration and processing. The final components address integration and closure. In total, there have been 20 randomized clinical trials RCTs supporting the efficacy of the model. TF-CBT also effectively addresses many other trauma impacts, including depressive and anxiety symptoms, shame, and behavioral difficulties, including sexual behavior problems.

TF-CBT has been studied around the world. In one innovative study, Murray and her colleagues Murray et al. TF-CBT was significantly superior to treatment as usual TAU in reducing trauma and stress-related symptoms when provided by these lay counselors.

Children exposed to traumatic events are at risk not only for short-term psychological difficulties but also long-term negative sequelae.

In this regard, the landmark study by Felitti and his colleagues Felitti et al. Accordingly, it is critical that children exposed to trauma and other ACEs receive appropriate evidence-based trauma treatment to help optimize their developmental trajectory.

This number includes therapists from every state and numerous countries around the world. Over the past decade, our trainers have provided in-person TF-CBT trainings that have been attended by a conservative estimate of over 50, clinicians. This goal is based on the idea that it is more likely that supervisors would remain at a given agency than frontline therapists.

Although TF-CBT is a highly efficacious child trauma treatment and has been widely disseminated around the world, how do we know that therapists are implementing the model effectively and with fidelity?

Trauma focused cognitive behavioral therapy with children

First, we start by maintaining frequent contact with TF-CBT trainers and supervisors to insure that training, consultation, and supervision are being provided based on the latest TF-CBT research and the evolution of the model.

For example, typically TF-CBT is implemented in therapy sessions but the length of treatment can be extended for youth with complex trauma. These types of modifications are communicated frequently to TF-CBT trainers and supervisors so that trainees are receiving the most up-to-date education about the model.

After clinicians are deemed eligible based on these criteria, they are able to take the TF-CBT Knowledge-Based Exam which provides candidates with clinical vignettes to which they answer questions based on their understanding of TF-CBT.

After passing the exam, clinicians are listed on our certification website https: To date, there are approximately nationally certified TF-CBT therapists whose contact information and geographic location are provided.

Parents, referral sources, and others are now able to find certified TF-CBT therapists simply by accessing the certification website. Ultimately this is the real goal of our certification program; to make it easier to find competent, well-trained TF-CBT therapists so that children and families exposed to traumatic life events can obtain high quality, evidence-based trauma treatment.

Trauma-focused cognitive behavioral therapy: Trauma-focused CBT for youth with complex trauma. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences ACE study.

American Journal of Preventive Medicine, 14, A randomized controlled trial in eight German mental health clinics. Psychotherapy and Psychosomatics, 85, A randomized effectiveness study comparing Trauma-Focused Cognitive Behavioral Therapy with therapy as usual for youth.Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) psychotherapy that combines trauma-sensitive interventions with cognitive behavioral therapy.

Children and parents are provided knowledge and skills Deblinger E Child and Parent Trauma-focused Cognitive Behavioral Therapy Treatment Manual. Drexel University College of Medicine. THERAPY Children participate in a series of therapy sessions (approximately 12 to16) that address the implementer’s responsibility to develop methods to identify and recruit children with significant trauma related difficulties who can attend 12 to 16 weekly treatment sessions.

The Trauma-Focused Cognitive Behavioral Therapy. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children and adolescents impacted by trauma and their parents or caregivers. Research shows that TF-CBT successfully resolves a broad array of emotional and behavioral difficulties associated with single, multiple and complex trauma experiences.

This From The JAMA Network describes a recently published study in JAMA Pediatrics that assessed trauma-focused cognitive behavioral therapy for orphans and vulnerable children with trauma-related symptoms in Zambia.

Trauma-focused cognitive behavioral therapy (TF-CBT) is a family-focused treatment in which parents or caregivers (hereafter referred to as “parents”) participate equally with their traumatized child or adolescent (hereafter referred to as “child”). PTSD and Trauma Focused Cognitive Behavioral Therapy Many children are exposed to traumatic events before they even become adults.

All around the world they are exposed to child abuse, rape, natural disasters, terrorism, car accidents, and school violence among many others.

Trauma-Focused CBT for Children and Adolescents: Treatment Applications - Google Books