Effectiveness of MASTR EMDR Therapy for Traumatized Adolescents

Farkas, Leechen; Cyr, Mireille; Lebeau, Thomas M.; Lemay, Jacques

doi:10.1080/19361521003761325

Cited by 29 publications

(47 citation statements)

References 53 publications

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“…As with residential studies, therapists' in secure facilities perceived a range of gains for youth who experienced FTM (Farkas et al 2010). Similar to youth reports in Barron and Tracey's (2017) cluster case study in a secure facility, youth were perceived by therapists in the current study to made gains in motivation, stabilization, problemsolving, anticipating risks, and imagining more hopeful futures .…”

Section: Discussionsupporting

confidence: 68%

“…FTM as a whole package has been evaluated and found to be a supportive experience that leads to positive outcomes for youth. Within the residential setting, symptoms of posttraumatic stress and incidents of violence have halved and discharge rates from residential to community care doubled (Farkas et al 2010;Greenwald et al 2012). Mental health and behavioral gains for abused youth have maintained at 3 months and 6 month follow-up (Farkas et al 2010;Greenwald 2003).…”

mentioning

confidence: 99%

“…Within the residential setting, symptoms of posttraumatic stress and incidents of violence have halved and discharge rates from residential to community care doubled (Farkas et al 2010;Greenwald et al 2012). Mental health and behavioral gains for abused youth have maintained at 3 months and 6 month follow-up (Farkas et al 2010;Greenwald 2003). High treatment retention rates have been achieved and treatment times have shortened (Becker et al 2011;Greenwald et al 2012).…”

mentioning

confidence: 99%

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The Fairy Tale Model: Secure Facility Therapist Perceptions

Barron

Mitchell

2018

Journ Child Adol Trauma

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The current exploratory qualitative study sought to investigate novice therapist experience of implementing a phased trauma recovery approach, the Fairy Tale Model (FTM), in secure accommodation in Scotland. Participants were ten therapists trained and supervised in FTM over a 6 month period. Therapists delivered FTM to 37 youth. Individual interviews with therapists were based on the objectives of FTM, and explored the benefits, challenges and facilitating factors for both youth and therapists. Perceived benefits for therapists included increases in trauma-informed knowledge, skills, and confidence. Youth were perceived by therapists, to be less emotionally dysregulated and more motivated, hopeful, and communicative. Challenges for therapists involved the complexity of youth difficulties, competing work demands, difficulties unlearning established approaches, and short duration placements. Prioritizing therapy, intensive sessions, and frequent communication with care staff were seen as facilitating factors. Recommendations are made for FTM delivery and more robust mixed methods evaluative research including therapist, youth and other stakeholder perspectives.

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Section: Discussionsupporting

confidence: 68%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Fairy Tale Model: Secure Facility Therapist Perceptions

Barron

Mitchell

2018

Journ Child Adol Trauma

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“…Of the three studies 106-109 using CBT to specifically target physical abuse, all three measured some form of behavioural outcomes, two studies [107][108][109] Of the two studies 120,121 that used EMDR, both looked at psychological distress, and one study 120 also measured behaviour outcomes.…”

Section: Cognitive-behavioural Therapy Interventionsmentioning

confidence: 99%

“…Nine randomised trials of CBT or enhanced CBT interventions were identified [110][111][112][114][115][116][117]120,121 that were designed to address the consequence of maltreatment, irrespective of maltreatment type. The studies were themselves heterogeneous, and fall into four broad categories:…”

Section: Economic Evidencementioning

confidence: 99%

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Predictors of Clinician‐Reported Self‐Efficacy in Treating Trauma‐Exposed Youth

Becker‐Haimes

Wislocki

DiDonato

et al. 2021

Journal of Traumatic Stress

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Clinicians' self-efficacy with regard to delivering evidence-based interventions (EBIs) to youth is an important target for both improving EBI use in the community and mitigating the risk of clinician burnout and turnover. Examining predictors of clinician self-efficacy to treat trauma-exposed youth is, therefore, an important step for informing the design of implementation strategies to enhance the mental health workforce's capacity to deliver EBIs in this population. We examined predictors of clinician self-efficacy in working with trauma-exposed youth in a sample of practicing mental health clinicians (N = 258, M age = 34.4 years, 85.0% female). Clinicians were recruited and surveyed as part of a larger study examining how clients' exposure to potentially traumatic events influences clinician decision-making. Results of regression models indicated that training in any trauma treatment model, being trained via a variety of formats (e.g., in-person training, online, supervision), and training in a variety of treatment models were all associated with higher perceived self-efficacy regarding effectively treating trauma-exposed youth. Of the treatment models and training formats examined, receiving in-person training, R 2 = .10, and training in trauma-focused cognitive behavioral therapy, R 2 = .10, were the strongest predictors of higher self-efficacy ratings. Clinician discipline, R 2 = .04, and clinical practice factors, R 2 = .20, were also related to self-efficacy. Collectively, the R 2 indicated a large effect, with the predictors explaining 25.4% of the variance in self-efficacy ratings. Implications for designing implementation strategies targeting clinician self-efficacy and future research are discussed.Youth exposed to trauma comprise 46% of the pediatric population (Sacks & Murphy, 2018), and these youth are at risk for a range of psychiatric difficulties that require treatment (

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Effectiveness of MASTR EMDR Therapy for Traumatized Adolescents

Cited by 29 publications

References 53 publications

The Fairy Tale Model: Secure Facility Therapist Perceptions

The Fairy Tale Model: Secure Facility Therapist Perceptions

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Predictors of Clinician‐Reported Self‐Efficacy in Treating Trauma‐Exposed Youth

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