title: Trauma-Focused Cognitive Behavioral Therapy for Youth: Effectiveness in a Community Setting.
abstract: OBJECTIVE
  The current investigation examined the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in treating child traumatic stress when implemented in community settings on a state-wide level.
  
  
  METHODS
  Seventy-two youths (ages 7-16 years) with a history of documented trauma (sexual or physical abuse, traumatic loss, domestic or community violence) and symptoms of Posttraumatic Stress Disorder (PTSD) received an average of 10 sessions delivered in a state-contracted mental health agency. PTSD symptoms and internalizing and externalizing behavior problems were assessed at pre-treatment and then at 3-, 6-, 9-, and 12-months after intake.
  
  
  RESULTS
  Piecewise hierarchical linear modeling revealed that symptoms of PTSD, as well as internalizing and externalizing problems, decreased significantly over the six months after intake (pretreatment, 3-month, 6-month assessments), and these gains were maintained over the next 6 months (6, 9, and 12 month assessments). Symptoms of externalizing symptoms increased somewhat during the follow-up period, but this change was not statistically significant.
  
  
  CONCLUSIONS
  These findings suggest that TF-CBT can be implemented effectively in community settings. Treatment outcomes were similar to those reported in efficacy trials of TF-CBT delivered in specialty clinic settings. Improvements in PTSD symptoms and internalizing and externalizing problems were maintained up to one year after treatment began, although the changes in externalizing symptoms were the least stable.
authors.affiliation: Delaware Division of Prevention and Behavioral Health Services.
authors.forename: Charles
authors.initials: C
authors.lastname: Webb
authors.affiliation: Department of Psychology at the University of Delaware.
authors.forename: Adele
authors.initials: A
authors.lastname: Hayes
authors.affiliation: Department of Psychiatry at the University of Connecticut Health Center.
authors.forename: Damion
authors.initials: D
authors.lastname: Grasso
authors.affiliation: Department of Psychology at the University of Delaware.
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Laurenceau
authors.affiliation: School of Osteopathic Medicine at the University of Medicine and Dentistry at New Jersey.
authors.forename: Esther
authors.initials: E
authors.lastname: Deblinger
keywords: child trauma; effectiveness; evidence-based treatment; posttraumatic stress; trauma-focused cognitive behavior therapy