Benchmarking Treatment Effectiveness of Community Delivered Trauma-Focused Cognitive Behavioral Therapy
| Autor: | Courtney A. Gregor, Steven J. Berkowitz, Arturo Zinny, Rinad S. Beidas, Danielle R. Adams, Hilary E. Kratz, Brittany N. Rudd, Kamilah Jackson, Lucia M. Walsh, Lauren Cliggitt |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Health (social science) Trauma focused cognitive behavioral therapy Adolescent medicine.medical_treatment Psychological intervention Article Stress Disorders Post-Traumatic 03 medical and health sciences medicine Humans 0501 psychology and cognitive sciences Community Health Services Child Applied Psychology Philadelphia 030505 public health Poverty Cognitive Behavioral Therapy 05 social sciences Public Health Environmental and Occupational Health Traumatic stress Benchmarking Mental health Urban community Cognitive behavioral therapy Treatment Outcome Female 0305 other medical science Psychology 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Am J Community Psychol |
| Popis: | Urban youth have high rates of traumatic exposures; 16% of youth eventually develop Post-Traumatic Stress Disorder (PTSD). Though it is critical for urban youth living in poverty to have access to evidence-based interventions for traumatic stress in their community settings, there is limited research on the effectiveness of these interventions when provided in these settings. The objectives of the current study are to 1) evaluate the effectiveness of Trauma-Focused Cognitive Behavioral Therapy delivered from 2013–16 in 15 behavioral health agencies on youth (N = 114) PTSD (measured by the Child PTSD Symptom Scale (CPSS)) and general mental health symptoms (measured by the Ohio Mental Health Consumer Outcomes System (Ohio Scales)) and 2) benchmark these clinical outcomes against other published efficacy and effectiveness trials. Effectiveness data are from the Philadelphia County Community Behavioral Health system; a system that has invested significantly in the training and ongoing support of clinicians providing high quality trauma services to youth since 2012. From baseline to last assessment, youth outcomes improved on the following measures: CPSS symptom severity (d = .34), CPSS functional impairment (d = .38), and the Ohio Scales overall mental health problem severity (d = .29). The effect sizes for symptom improvement were smaller than the effect sizes observed in efficacy and effectiveness studies. This study is the first benchmarking study of TF-CBT, and provides preliminary findings with regards to the effectiveness, and transportability, of TF-CBT in urban community settings that serve youth in poverty. |
| Databáze: | OpenAIRE |
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