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Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment method for children and adolescents who have been exposed to traumatic experiences and who are experiencing posttraumatic stress symptoms. TF-CBT has been implemented in Norwegian child and adolescent mental health clinics since 2012. The Ministry of Health is funding the implementation project, and the Norwegian Center for Violence and Traumatic Stress Studies (NKVTS) is responsible for the implementation, including training of therapists, quality monitoring, and research.
All participating child and adolescent mental health clinics received training by TF-CBT senior trainers at NKVTS in screening for trauma exposure and posttraumatic stress. A sub-sample of the therapists received training in TF-CBT. Data are collected on treatment outcomes for quality assurance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Children screened for trauma and/or posttraumatic stress | Children were screened for trauma exposure and posttraumatic stress at one of the first meetings at the child and adolescent mental health clinic. For participants receiving TF-CBT, posttraumatic stress was also assessed during and after therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trauma-focused cognitive behavioral therapy (TF-CBT) | Other | TF-CBT is an evidence-based treatment method for children and adolescents who have been exposed to trauma and experience posttraumatic stress symptoms. The treatment model has a family and caregiver focus, and non-offending caregivers are included in the treatment. TF-CBT is normally provided through 8-12 treatment sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Child and Adolescent Trauma Screen (CATS) | Consists of two parts. Part 1 is a screening for exposure to potential traumatizing events; Part 2 is a screening for posstraumatic stress symptoms | 2012-2014 |
| Child PTSD Symptom Scale (CPSS) | Consists of two parts. Part 1 is a screening for exposure to potential traumatizing events; Part 2 is a screening for posstraumatic stress symptoms | 2015-2021 |
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Inclusion Criteria:
Exclusion Criteria:
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Children and adolescents aged 6-18 referred to Norwegian child and adolescent mental health clinics.
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| Name | Affiliation | Role |
|---|---|---|
| Ane-Marthe S Skar, PhD | Norwegian Center for Violence and Traumatic Stress Studies | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36175864 | Derived | Skar AS, Braathu N, Jensen TK, Ormhaug SM. Predictors of nonresponse and drop-out among children and adolescents receiving TF-CBT: investigation of client-, therapist-, and implementation factors. BMC Health Serv Res. 2022 Sep 29;22(1):1212. doi: 10.1186/s12913-022-08497-y. |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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