Trauma-focused cognitive–behavioral therapy for children and adolescents.

Hanson, Rochelle F.; Jobe‐Shields, Lisa

doi:10.1037/0000020-018

Cited by 4 publications

(5 citation statements)

References 64 publications

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“…In brief, trauma-focused CBT is a structured, components-based, time-limited (i.e., 12-20 therapy sessions) intervention that includes education about trauma and its impact, strategies to promote relaxation and positive coping skills, techniques to address inaccurate or unhelpful thoughts related to abuse, gradual exposure to enable children to share details of their experience and process their trauma-related thoughts and feelings, joint parent-child sessions to increase open communication about the abuse and its impact, and parenting skills to manage problematic child behaviors that may predate or be exacerbated by the childhood sexual abuse. (For more detailed descriptions of trauma-focused CBT, see Hanson and Jobe-Shields [42] and Pollio et al [43]). In addition, there are several resources for professionals, youths, and families that provide information about childhood sexual abuse and its impact; some also include descriptions and available empirical support for existing interventions (Table 1).…”

Section: Evidence-based Mental Health Treatmentsmentioning

confidence: 99%

Treating Victims of Child Sexual Abuse

Hanson

Wallis

2018

AJP

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is a 9-year old girl, currently in third grade. She lives with her mother ("Ms. B") and her 14-year-old brother. At a recent visit to the pediatrician for a wellchild appointment, Anna refused to remove her clothes and became extremely agitated when the physician started to examine her. She started crying and disclosed that her stepfather had been "hurting" her. On further inquiry, she said that he had been forcing her to engage in "sex stuff." Ms. B was visibly shaken and distressed by the disclosure, stating that she had no idea this had happened. She did acknowledge that she and her husband had been experiencing marital problems, which resulted in his moving out of the home temporarily about 6 months ago, but she was still seeing him, and he was still at the house frequently. Ms. B did not understand how this could have happened since she rarely left her children alone with her husband. Furthermore, she said that she and Anna have a very close relationship and that Anna would have shared this if it had occurred. Since Anna was extremely upset after her disclosure and Ms. B was having difficulty believing the allegations, the pediatrician recommended a referral to the local Child Advocacy Center (CAC) for a medical examination and forensic interview. CACs provide a safe, child-focused environment and include a multidisciplinary team of professionals, comprising medical, mental health, law enforcement, prosecution, child protective services, victim advocacy, and school personnel, who work together to coordinate services for children. In addition to providing medical evaluations and forensic interviews after abuse disclosures, CACs offer therapy and medical examinations, courtroom preparation, victim advocacy, and ongoing case management.While Ms. B was still in the office, the pediatrician contacted the CAC to schedule the evaluation and allow Ms. B to speak directly with the CAC to provide any required information. The pediatrician then explained to Ms. B that a report would have to be made immediately to the local child protective services (CPS) office, as physicians are mandated reporters in cases of suspected child abuse. Ms. B became increasingly hostile, angrily

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Section: Evidence-based Mental Health Treatmentsmentioning

confidence: 99%

Treating Victims of Child Sexual Abuse

Hanson

Wallis

2018

AJP

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“…Efforts to improve the quality of mental health services have focused on the large-scale adoption of a variety of evidence-based and evidence-informed interventions across health, behavioral health, and mental health service delivery systems. Evidence-based psychosocial interventions for depression ( Weersing et al, 2017 ), anxiety (e.g., Coping Cat, Norris & Kendall, 2020 ), and post-traumatic stress (Trauma-Focused Cognitive Behavioral Therapy, Hanson & Jobe-Shields, 2017 ) have become common and the use of interventions with clear evidence of efficacy and effectiveness continue to be required across human service systems. Notable examples include development of a clearinghouse to identify evidence-based interventions (EBIs) to prevent child maltreatment ( https://familyfirstact.org/resources/prevention-services-clearinghouse-website ), efforts to bring multiple EBIs into widespread use in the Los Angeles County mental health system ( Southam-Gerow et al, 2014 ), and multi-site implementation of an EBI for adolescents with substance use disorders ( Godley et al, 2011 ).…”

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confidence: 99%

“…Cognitive Behavioral Therapy, Hanson & Jobe-Shields, 2017) have become common and the use of interventions with clear evidence of efficacy and effectiveness continue to be required across human service systems. Notable examples include development of a clearinghouse to identify evidencebased interventions (EBIs) to prevent child maltreatment (https://familyfirstact.org/resources/prevention-servicesclearinghouse-website), efforts to bring multiple EBIs into widespread use in the Los Angeles County mental health system (Southam-Gerow et al, 2014), and multi-site implementation of an EBI for adolescents with substance use disorders (Godley et al, 2011).…”

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confidence: 99%

Provider self-efficacy in delivering evidence-based psychosocial interventions: A scoping review

Shapiro

MacDonell²,

Moran

2021

Implementation Research and Practice

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Background: Among the many variables that affect implementation of evidence-based interventions in real-world settings, self-efficacy is one of the most important factors at the provider level of the social ecology. Yet, research on the construct of provider self-efficacy remains limited. Objectives: This scoping review was conducted to enhance understanding of the construct of provider self-efficacy and to examine how the construct is defined and measured in the context of implementation of evidence-based mental health interventions. Design: Online databases were used to identify 190 papers published from 1999 to June of 2018 that included search terms for providers, evidence-based, and self-efficacy. To be eligible for the scoping review, papers needed to focus on the self-efficacy of mental health providers to deliver evidence-based psychosocial interventions. A total of 15 publications were included in the review. Results: The construct of provider self-efficacy is not clearly defined but is typically described as confidence to deliver a specific intervention or practice. A range of measures are used to assess provider self-efficacy across both provider and intervention types. Conclusions: Standardized definition and measurement of provider self-efficacy is needed to advance practice and implementation research. Plain language abstract: Provider self-efficacy is known to influence implementation of evidence-based mental health interventions. However, the ways in which provider self-efficacy is defined and measured in implementation research literature is not well understood; furthermore, it is not clear what types of providers and interventions are represented in this literature. This scoping review adds to current research by revealing that there is no agreed upon definition or measure of provider self-efficacy in the context of implementation of evidence-based interventions, and that the research includes multiple types of providers (e.g., social workers, counselors, psychologists) and interventions. Self-efficacy appears to change as a function of training and support. To further research in this area, a common definition and agreed upon measures of this construct are needed.

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“…An abundance of evidence supports the efficacy of TF-CBT over treatments such as nondirective play therapy and supportive therapies for children who are the victims of sex abuse . In addition, although the majority of studies have focused on child sex abuse, evidence also suggests that it is effective for children who have been exposed to a wide range of other forms of trauma as well as children who have been multiply traumatized (Cohen, 2005;Hanson & Jobe-Shields, 2017). Cohen and Mannarino (1996) conducted the first treatment outcome study for sexually abused children using TF-CBT and compared TF-CBT with a nondirective supportive therapy (NST) for sexually abused preschool children and their parents.…”

Section: Empirical Support For Trauma-focused Cognitive-behavioral Th...mentioning

confidence: 99%

“…To accomplish this, the therapist attempts to establish a sense of self-efficacy in the client's affect, behavior, and cognitions . We should note, however, that TF-CBT is contraindicated for children or caregivers who are experiencing psychosis, suicidality, or dangerous behaviors (Hanson & Jobe-Shields, 2017).…”

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confidence: 98%

Trauma-focused cognitive behavior therapy.

Little

Akin-Little²

2019

Behavioral Interventions in Schools: Evidence-Based Positive Strategies (2nd Ed.).

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Trauma is not an uncommon experience among children and adolescents. Abuse, domestic and community violence, natural disasters, and grief are all examples of childhood traumatic experiences. Felitti and colleagues (1998) conducted a retrospective study of more than 17,000 adults and found that more than one half of their sample reported at least one adverse event in childhood. In a more recent study of 1,698 adult participants in the United Kingdom (Frissa et al., 2016), 72.1% reported at least one life event that met the criteria for trauma according to the Diagnostic and Statistical Manual of Mental Disorders (fifth ed. [DSM-5]; American Psychiatric Association, 2013). According to the Bureau of Justice Statistics (Truman & Morgan, 2016), 31.2 adolescents per 1,000 (ages 12-17) were victims of violent crimes (rape or sexual assault, robbery, aggravated assault, and simple assault), and 7.8 per 1,000 were victims of serious violent crimes (aggravated assault, rape, robbery, homicide), in 2015. In addition, more than 1 million people

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Trauma-focused cognitive–behavioral therapy for children and adolescents.

Cited by 4 publications

References 64 publications

Treating Victims of Child Sexual Abuse

Treating Victims of Child Sexual Abuse

Provider self-efficacy in delivering evidence-based psychosocial interventions: A scoping review

Trauma-focused cognitive behavior therapy.

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