The National Child Traumatic Stress Network ( Nctsn )

James is a thirteen-year old Caucasian child who is being physically and verbally abused in his home by his two parents. James suffers from multiple disorders that have not been diagnosed by a doctor. He has been removed from his home that he shares with his two younger sisters. James presently is in his Uncle Patrick’s kinship foster care where he is living. James’s case seems that he is suffering from three of the 12 core concepts. Working with children who suffer with more stress related trauma is a more challenging case for the social workers. Sometimes these cases affect the social worker, and they experience vicarious trauma. A social worker works closely with their patients and form a significant relationship

As children go through life, they will come upon stressful situations and experiences. Many children will work through the challenges that life brings, build resilience and move forward, however, some children may experience more extreme traumatic events that can result in life difficulties due to serious trauma symptoms that are much harder to manage. Trauma-Focused-Cognitive Behavioral Therapy is an evidence based treatment model designed to help youth who have experienced a significantly traumatic life event. TF-CBT uses skills and strength based therapy to address symptoms of post-traumatic stress disorder (PTSD), depression and anxiety (Cohen et al, 2006). This research is an examination of trauma focused cognitive behavior therapy as a model of practice including the areas of history and development of the model, its relationship with other models of practice, considerations of appropriate populations, methods and components for treatment, effectiveness of the intervention and relevance for social work practice.

Once my client is stabilized from the initial concerns of severe depression and suicide attempts, TF-CBT could be introduced. Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse or Trauma. (2012) suggests that the following areas be covered psychoeducation and parenting skills, relaxation techniques, affective expressions and regulation, cognitive coping and processing, trauma narrative and processing, in vivo exposure, conjoint parent/child sessions and enhancing personal safety and future

This theory proposes that a traumatic event produces maladaptive assumptions and beliefs about the world, other people, and the self that interfere with recovery (Schultz, Barnes-Proby, Chandra, Jaycox, Maher, & Pecora, 2012). CBITS uses cognitive-behavioral techniques (for example, psychoeducation, relaxation, social problem solving, cognitive restructuring, and exposure). Cognitive-behavioral therapies work to teach people skills to combat these underlying issues, including correction of maladaptive assumptions, processing the traumatic experience instead of avoiding it, learning new ways to reduce anxiety and solve problems, building peer and parent support, and building confidence to confront stress in the future (Schultz, et al.,

Recognizing a need for mental health professionals efficient in trauma-informed care for these children, Judy Cohen, MD, Ester Deblinger, PhD, and Anthony Manarino, PhD, developed Trauma-Focused Cognitive Behavior Therapy (TF-CBT), to serve as a specialized treatment approach to responding to the needs to these youth. TF-CBT helps children that have experienced traumatic events overcome the symptoms that may be left behind. According to the National Center for Child Traumatic stress, TF-CBT provides education and understanding of common reactions and symptoms that may result from sexual abuse and other forms of trauma. This type

There are a variety of evidence based practices that are being implemented for children and families within the welfare system. Many of these contemporary evidence based practices can be found online. The website known as The California Evidence-Based Clearinghouse for Child Welfare contains a list of all the different evidence based practices related to topics such as, anger management, substance abuse treatment, interventions for neglect, and depression treatment. One successful contemporary evidence based practice that has shown great effectiveness is known as Trauma Focused Cognitive Behavioral Therapy (TF-CBT). The primary focus of this paper will consist of TF-CBT and will explore the methodology and effectiveness of this

This discussion is a review of the Cognitive Behavior Intervention for Trauma in Schools program also known as CBITS. This discussion will include an overview of the program and descriptions of components that are included within the program. The program has been introduced into two other programs that are specifically for children that have experienced trauma and how the program effected children who have been diagnosed with post-traumatic stress disorder. The implementation and effectiveness of this program and its transportability will be discussed. Cost Effectiveness and the quality of care that is received by the clients will also be evaluated. The program will also be reviewed for factors that will influence a provider’s decision to utilize the program and possible institutional obstacles and possible future opportunities will also be discussed.

A series analyses of covariance appears to have indicated that children assigned to TF-CBT, compared to those participants who were assigned to child-centered therapy, demonstrated significantly more improvement with regard to PTSD, depression, behavior problems, shame, guilt, and other abuse-related attributions. (Cohen, Deblinger, Mannarino, & Steer, 2004, p.400). Similarly, parents or guardians who were assigned to TF-CBT showed greater improvement with respect to their own self-reported levels of depression, abuse-specific distress, support of the child, and effective parenting practices allowing them to parent more effectively. (Cohen, Deblinger, Mannarino, & Steer, 2004, p. 401). TF-CBT assists both the primary caregivers along with the child to ensure everyone in the situation who experiences negative symptoms are addressed and helped therapeutically, to create an outcome where children and their families can live successfully together. This can also include communities as whole TF-CBT helps bring empowerment to its participants and allows them to face their issues head on.

TF-CBT is an evidence-based practice that is used for trauma caused by violence, abuse, sexual abuse or other traumatic events. Usually, this evidence-based practice is used for children ages 3-17. The Modular approach to therapy for children (MATCH) is focused on overcoming the current challenges and provide with various treatment to address the current problem (Lucassen et al., 2015). The MATCH is an evidence-based practice that is used for anxiety, trauma and behavior problems with children from ages 6-15 years old. There have been more studies using qualitative research that TF-CBT is effective evidence-based practice and has positive outcomes for clients. TF-CBT is a short-term therapy that will help the client overcome their trauma and have a positive outcome once therapy is over. As for MATCH, there has not been a lot of qualitative research because it is used rarely in other countries. There have been more quantitative research reports that have been conducted based on the client and the statistics. Therefore, based on the research that was conducted with the two evidence-based practice the writer prefer to used TF-CBT because it provides with human behavior and the data that is used is with the current participants that were using TF-CBT and their experience.

St. Paul Children’s Foundation and Counseling primary focuses in on addressing medical, dental, mental health, and social determinants of the low-income children and families in the community. The goal in for the foundations staff, counselor and social work is to identify barriers that are affecting the clients served at the organization form reaching their fullest potential. In the counseling center, the LCSW’s main goal is to support clients in recognizing psychosocial stressors that are impacting their individual and family life. There are many children served in the counseling center who are currently experiencing trauma or have experienced trauma in the past and need help addressing these issues, and receiving tools to help them function better in their daily lives. In the case of Milagros, she came to the counseling center at the request of her mother, Maria, due to issues with parent-child relationship conflict, behavior concerns, and anxiety issues. The therapist and clients worked together on areas that they needed to address in future counseling session and the intervention plan was developed. The LCSW generally utilizes Cognitive Behavioral Therapy (CBT), 1-2-3 Magic, Parent-Child Interaction Therapy (PCIT), and Family Behavior Therapy (FBT) to help clients in therapeutic counseling sessions. In this intervention paper, PCIT is the chosen intervention used in therapy sessions with Milagros and Maria.

“With effective treatment, children can recover from sexual abuse and other traumas. In TF-CBT, one key to recovery is encouraging children to open up and talk freely about their trauma (Getz, 2012).” First trauma-Focused cognitive-Behavioral Therapy is an evidence based treatment is a model designed to assist children and their families in overcoming the negative effects of traumatic experience. There are many types of trauma events such as child abuse, domestic violence, rape violent and community violence and etc. I will be discussing three main section which are: Facing trauma, Evidence based treatment and what differentiates TF-CBT.

The premise of the article is that cognitive behavioral therapy is an effective and safe intervention process for both acute and chronic post- traumatic stress disorder following a wide range of traumatic experiences in children, and adolescents. The article entitled “Cognitive behavioral therapy for the treatment of post-traumatic stress disorder: a review” (Kar, 2011), is accurately reflected by its content along with information that is being presented throughout the article. Post-traumatic stress disorder (PTSD) is a psychiatric sequel to a stressful event or situation of an exceptionally catastrophic or even threatening event. Cognitive behavioral therapy (CBT) has been used in the management of PTSD for many years; it originally was used

“The most basic definition of Post-traumatic stress disorder (PTSD) is a psychiatric sequel to a stressful event or situation of an exceptionally threatening or catastrophic in nature.” (Kassam-Adams, & Winston, 2004, p.409). In the event that a client suffers from PTSD an evidenced based therapeutic concept should be used, this concept is generally called Trauma-Focused Cognitive behavioral therapy (TF-CBT). TF-CBT has been used in the management of PTSD in both children and adolescents for many years as it has been proven over and over again to be the most effective in treating clients with PTSD with an emphasis on children. (Cohen, Mannarino, & Deblinger, 2012, p.3). Post-traumatic stress disorder (PTSD) can and usually is an extremely

The strength of TF-CBT is that has strong evidence of efficiency and is flexible to adapt to for different types of families. TF-CBT may also be used in different types of settings such as clinical, school, residential settings, and home. Another strength of the TF-CBT is that the treatment works effectively when child and parent present and also works effectively when there is no parent or caregiver present. A weakness of the TF-CBT is having a short term treatment model for the work that is being done. I think professionals such as therapist that uses the TF-CBT may find it difficult to implement this treatment with 12-16 sessions. There may be a family or a child that needs a little more attention and need more than 12-16 sessions. The sessions are short term so therapist may have a difficult time following the implementation within the minimum session and may be forced to continue to the next component of the treatment without satisfying the previous

The TF-CBT protocol has validity that is been proven sound theoretical basis, generally accepted practice, culturally relevant, no theoretical or empirical evidence known risk, has controlled outcome studies and out comes support continued efficiency and use (Kauffman, 2004, pp. 6-7). A manual on how to conduct the assessment, a proven degree of common service fidelity in treatment, ability to be a reasonable training for clinicians and supervisors (Kauffman, 2004, p. 7). The empirically supported assessment of TF-CBT components includes: Psychoeducation, stress management, narrative construct, cognitive process, parental treatment, parental instruction, family treatment (Kauffman, 2004, p.