Implementing Trauma-Focused CBT With Fidelity and Flexibility: A Family Case Study

Kerig, Patricia K.; Sink, Holli E.; Cuellar, Raven E.; Vanderzee, Karin L.; Elfstrom, Jennifer L.

doi:10.1080/15374416.2010.501291

Cited by 12 publications

(15 citation statements)

References 24 publications

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“…In turn, reexperiencing might be best addressed through interventions such as cognitive processing, which help youth to work through the underlying emotions and thoughts that are keeping the youth "stuck" in the trauma, including ruminative worrying, self-blame, or revenge fantasies. Modularized approaches to child trauma treatment such as Trauma-Focused CBT (Cohen et al, 2006) have the advantage of including each of these components in the treatment manual and encouraging the clinician to flexibly adapt implementation to the specific needs of the client (Kerig, Sink, Cuellar, Vanderzee, & Elfstrom, 2010).…”

Section: Discussionmentioning

confidence: 99%

Deconstructing PTSD: Traumatic Experiences, Posttraumatic Symptom Clusters, and Mental Health Problems among Delinquent Youth

Kerig

Vanderzee

Becker

et al. 2012

Journ Child Adol Trauma

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This study investigated interrelations among trauma exposure, posttraumatic stress disorder (PTSD) symptom clusters, and mental health problems among adjudicated adolescents. Girls scored higher than boys on measures of exposure to interpersonal trauma, PTSD symptom clusters, and mental health problems. Results of path analyses were consistent with the hypothesis that PTSD symptom clusters differentially mediate the relations between trauma exposure and mental health problems, with unique patterns of results for boys and girls. For all youth, avoidance mediated the association between trauma and internalizing symptoms whereas reexperiencing and arousal acted as mediators of externalizing. However, for boys only, noninterpersonal traumas also were related to PTSD symptoms, which in turn acted as mediators of internalizing. For girls only, reexperiencing and arousal acted as mediators of internalizing and associated symptoms of PTSD acted as a mediator of externalizing.

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Section: Discussionmentioning

confidence: 99%

Deconstructing PTSD: Traumatic Experiences, Posttraumatic Symptom Clusters, and Mental Health Problems among Delinquent Youth

Kerig

Vanderzee

Becker

et al. 2012

Journ Child Adol Trauma

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“…Cognitive behavioural therapy (CBT) and trauma-focused cognitive behavioural therapy (TF-CBT) are evidencebased practices that have components well suited to a strengths-based framework. Kerig, Sink, Cuellar, Vanderzee, and Elfstrom (2010) note that the TF-CBT principles include a focus on the provider using a strengths-based approach to further clients' self-efficacy. Randomised controlled trials of TF-CBT have found treatment gains for children at the conclusion of the intervention and at follow-up (Cohen et al, 2010), including for children who have experienced child sexual abuse (Deblinger, Mannarino, Cohen, Runyon, & Steer, 2011;Deblinger, Mannarino, Cohen, & Steer, 2006).…”

Section: Strengths-based Interventionsmentioning

confidence: 99%

“…CBT and TF-CBT interventions include a strengthsbased approach (Kerig et al, 2010) that was consistent with The Home's framework. Additionally, many agency staff had previously been using a variety of other strengths-based tools, such as therapeutic crisis intervention (TCI), skills-based training, SFT, and relaxation techniques in their work with children and youth.…”

Section: Overview Of the Strengths-based Practice Frameworkmentioning

confidence: 99%

Moving from Pathology to Possibility: Integrating Strengths-based Interventions in Child Welfare Provision

Sabalauskas¹,

Ortolani²,

McCall³

2014

Child Care in Practice

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Child welfare providers are increasingly required to demonstrate that strengths-based, evidence-informed practices are central to their intervention methodology. This case study describes how a large child welfare agency instituted cognitive behavioural therapy (CBT) as the core component of a strength-based practice model with the goal of developing a unifying methodology for treatment and intervention across diverse programmes that range from community-based counselling to wraparound to acute residential care. One factor that aided implementation was that many agency staff had previously been using a variety of strengths-based tools, such as therapeutic crisis intervention, skills-based training, solution-focused therapy, and relaxation techniques in their work with children and youth. Challenges included creating a common training curriculum about CBT, trauma-focused CBT, and solution-focused therapy for hundreds of diverse staff; implementing ongoing support in the form of supervision and training; managing staff members' other theoretical orientations and some resistance to change; and developing documentation to integrate CBT into clinical assessments, progress notes, and service plans. This paper also describes the evaluation plan to assess fidelity to the practice model, including trauma-focused CBT practice checklists, a revised utilisation review process to assess documentation of strengthsbased interventions in case records, and the use of functional assessments to measure client outcomes.

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“…When the disruptions and stress imposed by acculturation are managed effectively, such as when Latinx parents maintain active involvement in their child's activities, fewer acculturation-based behavioral problems occur [97,98]. These are skills that can be taught, albeit only within programs that are grounded in their developmental and cultural experiences [99].…”

Section: Addressing Substance Use and Unhealthy Diet Behaviors In Latinx Adolescents From An Ecodevelopmental Frameworkmentioning

confidence: 99%

Methods and rationale to assess the efficacy of a parenting intervention targeting diet improvement and substance use prevention among Latinx adolescents

Vega‐López

Marsiglia

Ayers

et al. 2020

Contemporary Clinical Trials

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Latinx adolescents are at higher risk for chronic diseases relative to adolescents of other ethnic groups, in part because of their lack of adherence to diet recommendations and their higher rates of substance use. Given the proximal influence of family factors during the developmental stage of adolescence, parenting interventions may be an effective way to promote healthy nutrition and substance use prevention simultaneously. This article describes the design and theoretical rationale of a study assessing the effects of Families Preparing the New Generation Plus (FPNG Plus), a 10week culturally-tailored nutrition and substance use prevention parenting program, on diet and substance use outcomes among Latinx middle school students (6 th -8 th grade). The 3-arm cluster randomized controlled trial compares FPNG Plus (substance use prevention and healthy nutrition), FPNG (substance use prevention only), and a comparison condition (focusing on academic success) in 1,494 parent-child dyads from 18 schools, randomized at the school level. Adolescents and parents will complete surveys pre-and post-intervention, and 16-weeks after program participation, regarding diet behaviors, substance use, and parenting practices. A random subsample of 126 dyads (42 from each program), will participate in additional data collection to assess the home food environment, detailed dietary intake (via two 24-h recalls), and provide

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Implementing Trauma-Focused CBT With Fidelity and Flexibility: A Family Case Study

Cited by 12 publications

References 24 publications

Deconstructing PTSD: Traumatic Experiences, Posttraumatic Symptom Clusters, and Mental Health Problems among Delinquent Youth

Deconstructing PTSD: Traumatic Experiences, Posttraumatic Symptom Clusters, and Mental Health Problems among Delinquent Youth

Moving from Pathology to Possibility: Integrating Strengths-based Interventions in Child Welfare Provision

Methods and rationale to assess the efficacy of a parenting intervention targeting diet improvement and substance use prevention among Latinx adolescents

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