title: Step one within stepped care trauma-focused cognitive behavioral therapy for young children: a pilot study.
abstract: This pilot study explored the preliminary efficacy, parent acceptability and economic cost of delivering Step One within Stepped Care Trauma-Focused Cognitive Behavioral Therapy (SC-TF-CBT). Nine young children ages 3-6 years and their parents participated in SC-TF-CBT. Eighty-three percent (5/6) of the children who completed Step One treatment and 55.6 % (5/9) of the intent-to-treat sample responded to Step One. One case relapsed at post-assessment. Treatment gains were maintained at 3-month follow-up. Generally, parents found Step One to be acceptable and were satisfied with treatment. At 3-month follow-up, the cost per unit improvement for posttraumatic stress symptoms and severity ranged from $27.65 to $131.33 for the responders and from $36.12 to $208.11 for the intent-to-treat sample. Further research on stepped care for young children is warranted to examine if this approach is more efficient, accessible and cost-effective than traditional therapy.
authors.affiliation: School of Social Work, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 1400, Tampa, FL, 33612-3870, USA, asalloum@usf.edu.
authors.forename: Alison
authors.initials: A
authors.lastname: Salloum
authors.forename: John
authors.initials: J
authors.lastname: Robst
authors.forename: Michael S
authors.initials: MS
authors.lastname: Scheeringa
authors.forename: Judith A
authors.initials: JA
authors.lastname: Cohen
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Tanya K
authors.initials: TK
authors.lastname: Murphy
authors.forename: David F
authors.initials: DF
authors.lastname: Tolin
authors.forename: Eric A
authors.initials: EA
authors.lastname: Storch
mesh_terms: D002648:Child; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000191:economics / Q000379:methods*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome