Title IV-E Clearinghouse: Trauma Focused CBT (2024)

Sometimes study results are reported in more than one document, or a single document reports results from multiple studies. Studies are identified below by their Prevention Services Clearinghouse study identification numbers. To receive a rating of supported or well-supported, the favorable evidence for a program or service must have been obtained from research conducted in a usual care or practice setting.

Studies Rated High

Study 10068

Smith, P., Yule, W., Perrin, S., Tranah, T., Dalgleish, T., & Clark, D. M. (2007). Cognitive-behavioral therapy for PTSD in children and adolescents: A preliminary randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 46(8), 1051-1061. doi:10.1097/CHI.0b013e318067e288

This study was conducted in a usual care or practice setting (Handbook Section 6.2.2)
Study 10047

Jensen, T. K., Holt, T., Ormhaug, S. M., Egeland, K., Granly, L., Hoaas, L. C., . . . Wentzel-Larsen, T. (2014). A randomized effectiveness study comparing Trauma-Focused Cognitive Behavioral Therapy with therapy as usual for youth. Journal of Clinical Child & Adolescent Psychology, 43(3), 356-369. doi:10.1080/15374416.2013.822307

Jensen, T., Holt, T., Ormhaug, S., Jensen, T. K., & Ormhaug, S. M. (2017). A follow-up study from a multisite, randomized controlled trial for traumatized children receiving TF-CBT. Journal of Abnormal Child Psychology, 45(8), 1587-1597. doi:10.1007/s10802-017-0270-0

Jensen, T. K., Holt, T., Mørup Ormhaug, S., Fjermestad, K. W., & Wentzel-Larsen, T. (2018). Change in post-traumatic cognitions mediates treatment effects for traumatized youth-a randomized controlled trial. Journal Of Counseling Psychology, 65(2), 166-177. doi:10.1037/cou0000258

Ormhaug, S. M., Jensen, T. K., Wentzel-Larsen, T., & Shirk, S. R. (2014). The therapeutic alliance in treatment of traumatized youths: Relation to outcome in a randomized clinical trial. Journal of Consulting and Clinical Psychology, 82(1), 52-64. doi:10.1037/a0033884

This study was conducted in a usual care or practice setting (Handbook Section 6.2.2)
Study 10042

Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A. (2004). A multisite, randomized controlled trial for children with sexual abuse–related ptsd symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 43(4), 393-402. doi:10.1097/01.chi.0000111364.94169.f9

Deblinger, E., Mannarino, A. P., Cohen, J. A., & Steer, R. A. (2006). A follow-up study of a multisite, randomized, controlled trial for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 45(12), 1474-1484. doi:10.1097/01.chi.0000240839.56114.bb

This study was conducted in a usual care or practice setting (Handbook Section 6.2.2)

Studies Rated Moderate

Study 10051

Cohen, J. A., & Mannarino, A. P. (1998). Interventions for sexually abused children: Initial treatment findings. Child Maltreatment, 3(1), 17-26.

Cohen, J. A., Mannarino, A. P., & Knudsen, K. (2005). Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse & Neglect, 29(2), 135-145. doi:10.1016/j.chiabu.2004.12.005

This study was conducted in a usual care or practice setting (Handbook Section 6.2.2)
Study 10039

Cohen, J. A., & Mannarino, A. P. (1996). A treatment outcome study for sexually abused preschool children: Initial findings. Journal of the American Academy of Child and Adolescent Psychiatry, 35(1), 42-50.

Cohen, J. A., & Mannarino, A. P. (1997). A treatment study for sexually abused preschool children: Outcome during a one-year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 36(9), 1228-1235.

Some contrasts that received a moderate or high design and execution rating in this study were not from research conducted in a usual care or practice setting (Handbook Section 6.2.2) [see Individual Study Findings section above for additional information on contrasts that did or did not meet this criterion]
Study 10041

Scheeringa, M. S., Weems, C. F., Cohen, J. A., Amaya-Jackson, L., & Guthrie, D. (2011). Trauma-Focused Cognitive-Behavioral Therapy for posttraumatic stress disorder in three-through six year-old children: A randomized clinical trial. Journal of Child Psychology and Psychiatry, 52(8), 853-860. doi:10.1111/j.1469-7610.2010.02354.x

This study was conducted in a usual care or practice setting (Handbook Section 6.2.2)
Study 10046

Goldbeck, L., Muche, R., Sachser, C., Tutus, D., & Rosner, R. (2016). Effectiveness of Trauma-Focused Cognitive Behavioral Therapy for children and adolescents: A randomized controlled trial in eight German mental health clinics. Psychotherapy and Psychosomatics, 85(3), 159-170. doi:10.1159/000442824

Pfeiffer, E., Sachser, C., de Haan, A., Tutus, D., & Goldbeck, L. (2017). Dysfunctional posttraumatic cognitions as a mediator of symptom reduction in Trauma-Focused Cognitive Behavioral Therapy with children and adolescents: Results of a randomized controlled trial. Behaviour Research and Therapy, 97, 178–182. https://doi.org/10.1016/j.brat.2017.08.001

Sachser, C., Keller, F., & Goldbeck, L. (2017). Complex PTSD as proposed for ICD-11: Validation of a new disorder in children and adolescents and their response to Trauma-Focused Cognitive Behavioral Therapy. Journal of Child Psychology and Psychiatry, 58(2), 160–168. https://doi.org/10.1111/jcpp.12640

Tutus, D., Goldbeck, L., Pfeiffer, E., Sachser, C., & Plener, P. L. (2018). Parental dysfunctional posttraumatic cognitions in trauma-focused cognitive behavioral therapy for children and adolescents. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/tra0000419

Tutus, D., Keller, F., Sachser, C., Pfeiffer, E., & Goldbeck, L. (2017). Change in parental depressive symptoms in Trauma-Focused Cognitive-Behavioral Therapy: Results from a randomized controlled trial. Journal of Child and Adolescent Psychopharmacology, 27(2), 200–205. https://doi.org/10.1089/cap.2016.0136

Tutus, D., Pfeiffer, E., Rosner, R., Sachser, C., & Goldbeck, L. (2017). Sustainability of treatment effects of Trauma-Focused Cognitive-Behavioral Therapy for children and adolescents: Findings from 6- and 12-month follow-ups. Psychotherapy and Psychosomatics, 86(6), 379–381. https://doi.org/10.1159/000481198

This study was conducted in a usual care or practice setting (Handbook Section 6.2.2)

Studies Rated Low

Study 10048

King, N. J., Tonge, B. J., Mullen, P., Myerson, N., Heyne, D., Rollings, S., . . . Ollendic, T. H. (2000). Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 39(11), 1347-1355.

This study received a low rating because the standards for addressing missing data were not met.
Study 10043

Cohen, J. A., Mannarino, A. P., & Iyengar, S. (2011). Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: A randomized control trial. Archive of Pediatric Adolescent Medicine, 165(1), 16-21.

This study received a low rating because the standards for addressing missing data were not met.
Study 10228

Farnia, V., Naami, A., Zargar, Y., Davoodi, I., Salemi, S., Tatari, F., . . . Alikhani, M. (2018). Comparison of Trauma-Focused Cognitive Behavioral Therapy and theory of mind: Improvement of posttraumatic growth and emotion regulation strategies. Journal Of Education And Health Promotion, 7, 58. doi:10.4103/jehp.jehp_140_17

This study received a low rating because it did not meet design confound standards.
Study 10044

Deblinger, E., Lippmann, J., & Steer, R. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1(4), 310-321. doi:10.1177/1077559596001004003

Deblinger, E., Steer, R. A., & Lippmann, J. (1999). Two-year follow-up study of cognitive behavioral therapy for sexually abused children suffering post-traumatic stress symptoms. Child Abuse & Neglect, 23(12), 1371-1378.

This study received a low rating because it did not meet design confound standards.
Study 10040

Murray, L. K., Skavenski, S., Kane, J. C., Mayeya, J., Dorsey, S., Cohen, J. A., . . . Bolton, P. A. (2015). Effectiveness of Trauma-Focused Cognitive Behavioral Therapy among trauma-affected children in Lusaka, Zambia: A randomized clinical trial. JAMA Pediatrics, 169(8), 761-769. doi:10.1001/jamapediatrics.2015.0580

Kane, J. C., Murray, L. K., Cohen, J., Dorsey, S., Skavenski van Wyk, S., Galloway Henderson, J., . . . Bolton, P. (2016). Moderators of treatment response to Trauma-Focused Cognitive Behavioral Therapy among youth in Zambia. Journal Of Child Psychology And Psychiatry, And Allied Disciplines, 57(10), 1194-1202. doi:10.1111/jcpp.12623

This study received a low rating because it did not meet the statistical model standards.

Studies Not Eligible for Review

Study 10045

Deblinger, E., Mannarino, A. P., Cohen, J. A., Runyon, M. K., & Steer, R. A. (2011). Trauma-Focused Cognitive Behavioral Therapy for children: Impact of the trauma narrative and treatment length. Depression and Anxiety, 28(1), 67-75. doi:10.1002/da.20744

Mannarino, A. P., Cohen, J. A., Deblinger, E., & Runyon, M. K. (2012). Trauma-Focused Cognitive-Behavioral Therapy for children: Sustained impact of treatment 6 and 12 months later. Child Maltreatment, 17(3), 231-241.

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10049

McMullen, J., O'Callaghan, P., Shannon, C., Black, A., & Eakin, J. (2013). Group Trauma-Focused Cognitive-Behavioural Therapy with former child soldiers and other war-affected boys in the dr congo: A randomised controlled trial. Journal of Child Psychology and Psychiatry, 54(11), 1231-1241. doi:10.1111/jcpp.12094

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10052

O'Callaghan, P., McMullen, J., Shannon, C., Rafferty, H., & Black, A. (2013). A randomized controlled trial of Trauma-Focused Cognitive Behavioral Therapy for sexually exploited, war-affected Congolese girls. Journal of the American Academy of Child and Adolescent Psychiatry, 52(4), 359-369. doi:10.1016/j.jaac.2013.01.013

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10060

Jaycox, L. H., Cohen, J. A., Mannarino, A. P., Walker, D. W., Langley, A. K., Gegenheimer, K. L., . . . Schonlau, M. (2010). Children's mental health care following Hurricane Katrina: A field trial of trauma-focused psychotherapies. Journal of Traumatic Stress, 23(2), 223-231. doi:10.1002/jts.20518

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10061

Deblinger, E., Stauffer, L. B., & Steer, R. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment, 6(4), 332-343.

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10062

Diehle, J., Opmeer, B. C., Boer, F., Mannarino, A. P., & Lindauer, R. J. (2015). Trauma-Focused Cognitive Behavioral Therapy or Eye Movement Desensitization and Reprocessing: What works in children with posttraumatic stress symptoms? A randomized controlled trial. European Child & Adolescent Psychiatry, 24(2), 227-236. doi:10.1007/s00787-014-0572-5

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10063

Kataoka, S. H., Stein, B. D., Jaycox, L. H., Wong, M., Escudero, P., Tu, W., . . . Fink, A. (2003). A school-based mental health program for traumatized latino immigrant children. Journal of the American Academy of Child & Adolescent Psychiatry, 42(3), 311-318. doi:10.1097/01.CHI.0000037038.04952.8E

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10064

Nixon, R. D., Sterk, J., & Pearce, A. (2012). A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. Journal of Abnormal Child Psychology, 40(3), 327-337. doi:10.1007/s10802-011-9566-7

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10066

Runyon, M. K., Deblinger, E., & Steer, R. A. (2010). Group cognitive behavioral treatment for parents and children at-risk for physical abuse: An initial study. Child & Family Behavior Therapy, 32(3), 196-218. doi:10.1080/07317107.2010.500515

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10067

Schottelkorb, A. A., Doumas, D. M., & Garcia, R. (2012). Treatment for childhood refugee trauma: A randomized, controlled trial. International Journal of Play Therapy, 21(2), 57-73. doi:10.1037/a0027430

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10222

Böttche, M., Kuwert, P., Pietrzak, R. H., & Knaevelsrud, C. (2016). Predictors of outcome of an internet-based cognitive-behavioural therapy for post-traumatic stress disorder in older adults. Psychology And Psychotherapy, 89(1), 82-96. doi:10.1111/papt.12069

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10223

Cohen, J. A., Mannarino, A. P., & Knudsen, K. (2004). Treating childhood traumatic grief: A pilot study. Journal of the American Academy of Child & Adolescent Psychiatry, 43(10), 1225-1233. doi:http://dx.doi.org/10.1097/01.chi.0000135620.15522.38

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10224

Dalgleish, T., Goodall, B., Chadwick, I., Werner-Seidler, A., McKinnon, A., Morant, N., . . . Meiser-Stedman, R. (2015). Trauma-Focused Cognitive Behaviour Therapy versus treatment as usual for post traumatic stress disorder (PTSD) in young children aged 3 to 8 years: Study protocol for a randomised controlled trial. Trials, 16(1), 116-116. doi:10.1186/s13063-015-0632-2

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10225

Deisenhofer, A.-K., Delgadillo, J., Rubel, J. A., Böhnke, J. R., Zimmermann, D., Schwartz, B., & Lutz, W. (2018). Individual treatment selection for patients with posttraumatic stress disorder. Depression and Anxiety, 35(6), 541-550. doi:10.1002/da.22755

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10226

Dorsey, S., Pullmann, M. D., Deblinger, E., Berliner, L., Kerns, S. E., Thompson, K., . . . Garland, A. F. (2013). Improving practice in community-based settings: A randomized trial of supervision - study protocol. Implementation Science, 8(1), 89-89. doi:10.1186/1748-5908-8-89

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10227

Farnia, V., Salemi, S., Tatari, F., Abdoli, N., Jouybari, T. A., Alikhani, M., . . . Zakiei, A. (2018). Trauma-Focused Cognitive Behavioral Therapy: A clinical trial to increase self-efficacy in abused the primary school children. Journal Of Education And Health Promotion, 7, 33. doi:10.4103/jehp.jehp_80_17 [Note: First author's surname is misspelled in the journal article as Farina; correct spelling is Farnia]

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10229

Foa, E. B., Zoellner, L. A., & Feeny, N. C. (2006). An evaluation of three brief programs for facilitating recovery after assault. Journal of Traumatic Stress, 19(1), 29-43. doi:http://dx.doi.org/10.1002/jts.20096

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10230

Ghafoori, B., Wolf, M. G., Nylund-Gibson, K., & Felix, E. D. (2018). A naturalistic study exploring mental health outcomes following trauma-focused treatment among diverse survivors of crime and violence. Journal Of Affective Disorders, 245, 617-625. doi:10.1016/j.jad.2018.11.060

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10231

Hoagwood, K. E., Vogel, J. M., Levitt, J. M., D'Amico, P. J., Paisner, W. I., & Kaplan, S. J. (2007). Implementing an evidence-based trauma treatment in a state system after September 11: The CATS project. Journal of the American Academy of Child & Adolescent Psychiatry, 46(6), 773-779. doi:http://dx.doi.org/10.1097/chi.0b013e3180413def

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10232

Kenardy, J., Cobham, V., Nixon, R. D. V., McDermott, B., & March, S. (2010). Protocol for a randomised controlled trial of risk screening and early intervention comparing child- and family-focused cognitive-behavioural therapy for ptsd in children following accidental injury. BMC Psychiatry, 10, 92. doi:10.1186/1471-244X-10-92

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10233

Knutsen, M., & Jensen, T. K. (2019). Changes in the trauma narratives of youth receiving Trauma-Focused Cognitive Behavioral Therapy in relation to posttraumatic stress symptoms. Psychotherapy Research, 29(1), 99-111. doi:10.1080/10503307.2017.1303208

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10234

Nollett, C., Lewis, C., Kitchiner, N., Roberts, N., Addison, K., Brookes-Howell, L., . . . Bisson, J. (2018). Pragmatic randomised controlled trial of a trauma-focused guided self-help programme versus individual Trauma-Focused Cognitive Behavioural Therapy for post-traumatic stress disorder (RAPID): Trial protocol. BMC Psychiatry, 18(1), 77. doi:10.1186/s12888-018-1665-3

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10235

O'Driscoll, C., Mason, O., Brady, F., Smith, B., & Steel, C. (2016). Process analysis of Trauma-Focused Cognitive Behavioural Therapy for individuals with schizophrenia. Psychology And Psychotherapy, 89(2), 117-132. doi:10.1111/papt.12072

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Title IV-E Clearinghouse: Trauma Focused CBT (2024)

FAQs

Is trauma-informed care effective? ›

Adopting trauma-informed practices can potentially improve patient engagement, treatment adherence, and health outcomes, as well as provider and staff wellness.

What are the four components of trauma-informed approach? ›

The trauma-informed approach is guided four assumptions, known as the “Four R's”: Realization about trauma and how it can affect people and groups, recognizing the signs of trauma, having a system which can respond to trauma, and resisting re-traumatization.

What is an example of a trauma-informed practice? ›

Examples of Trauma-Informed Care

Or actively avoiding retraumatizing interactions or care experiences by being aware of patient triggers, taking note of body language, and promoting holistic, person-centered, culturally aware, and strengths-based care.

What does being trauma-informed mean? ›

Trauma-Informed Care (TIC) is an approach in the human service field that assumes that an individual is more likely than not to have a history of trauma. Trauma-Informed Care recognizes the presence of trauma symptoms and acknowledges the role trauma may play in an individual's life- including service staff.

What are the 4 C's of trauma-informed care? ›

These 4 Cs are: Calm, Contain, Care, and Cope 2 Trauma and Trauma-Informed Care Page 10 34 (Table 2.3). These 4Cs emphasize key concepts in trauma-informed care and can serve as touchstones to guide immediate and sustained behavior change.

What are the limitations of trauma-informed practice? ›

Limitations of Trauma-Informed Practice

Practitioners should be clear that TIP is not a replacement for specialist mental health services or intended to enable practitioners to 'treat' trauma or anyone with serious or diagnosed mental health conditions.

What are the 6 trauma responses? ›

Everyone responds to trauma in a different way, and different kinds of trauma can have different responses in the same people. The six main types of trauma responses are fight, flight, freeze, fawn, fine, and faint. All reactions to trauma are valid, but trauma should always be addressed in therapy.

What are the 5 S's of trauma-informed care? ›

Understanding What Trauma-Informed Means

According to the University of Buffalo Center for Social Research, trauma-informed care is comprised of five key components that include: safety, choice, collaboration, trustworthiness, and empowerment.

What are the 4 P's of trauma? ›

The 4 Ps looks at four domains which may be impacted through experiences of trauma – physical, psychological, performance and people. The worksheet is a tool which can assist workers to explore these different areas of functioning and how previous traumatic experiences might be impacting on these areas.

How do you write a trauma-informed way? ›

Use person-first, non-stigmatizing language that does not equate a person with their health status. For example, say “a person with diabetes” rather than “a diabetic,” and say “a person with a substance use disorder” rather than “a drug user.” • Use inclusive language that makes all of your clients feel seen.

What are trauma-informed responsive practices? ›

Trauma-informed practices can equip behavioral health service providers with the knowledge and skills to meet the specific needs of clients, recognize that individuals may be affected by trauma whether acknowledged or not, and understand that trauma likely affects many individuals seeking help.

What is a trauma-informed question? ›

When (specific event happened), what were your feelings and thoughts?” “Are you able to tell more about what happened when…?” The original questions are asking for clarification of what happened, which could be perceived as faulting the victim for taking or not taking a certain action.

Can you call yourself trauma-informed? ›

And again, trauma-informed or other similar designations are not regulated or overseen in any way–not even for social service, health and mental health agencies. Anyone can say they are trauma-informed.

What are trauma-informed words? ›

Here are some key principles of trauma-informed language:

Instead, focus on empathy and support. For example, instead of asking “What's wrong with you?” you could say “How can I help you?” This approach validates the individual's feelings and experiences while emphasizing your willingness to support them.

Does trauma-informed care improve patient outcomes? ›

Nationwide, calls for trauma-informed practices are coming from a variety of sectors, including behavioral and mental health, and extending to pharmacy, long-term care, municipalities, schools, law enforcement, nutrition counseling and even yoga. The benefits, according to research, promote improved outcomes.

Is trauma-informed care effective in the residential setting? ›

Implementation of trauma-informed staff training is promising to reduce restrictive measures (restraints, seclusions, and time-outs) used to address problem behaviors in youth in residential care. Previous mixed results may be explained in part by the heterogeneity in the use of restrictive measures among youth.

What are the benefits of being trauma-informed? ›

The following are just a few of the expected outcomes after your organization adopts a trauma-informed approach:
  • Improved workplace health and safety.
  • Increased workforce stability.
  • Increased employee retention.
  • Improved employee satisfaction scores.
  • Improved patient outcomes.
  • Improved timeliness from employees.

What is the impact of trauma informed practice? ›

Trauma-Informed Practice is a strengths-based approach, which seeks to understand and respond to the impact of trauma on people's lives. The approach emphasises physical, psychological, and emotional safety for everyone and aims to empower individuals to re-establish control of their lives.

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