1. Trauma-Focused CBT Judy Cohen, M.D. & Tony Mannarino, Ph.D. Allegheny General Hospital Esther Deblinger, Ph.D. New Jersey CARES Institute

2. Theoretical Underpinnings of TF-CBT • A hybrid model incorporating CBT, attachment, family, psychodynamic and empowerment principles • Goals: resolve PTSD, depressive, anxiety and other trauma-related symptoms in children and adolescents; optimize adaptive functioning; and enhance safety, family communication and future developmental trajectory

3. TF-CBT Or Not? • Target symptoms: PTSD, depression, anxiety, and behavioral symptoms secondary to trauma. • Children presenting with predominance of behavioral problems may benefit more from a different treatment. • TF-CBT has been used for all types of traumas • TF-CBT has been used for children ages 3-18, with and without parental participation, in schools, group home, foster home and in-home settings but is most commonly provided individually to child and parent in clinical settings.

4. Evidence That TF-CBT Works • Six randomized controlled trials have been conducted for sexually abused/multiply traumatized children comparing TF-CBT to other active treatments • In all six studies children receiving TF-CBT experienced significantly greater improvements in a variety of symptoms, both at immediate post-treatment and up to 2 years post-treatment. • PTSD symptoms consistently improved significantly more in the TF-CBT groups.

5. Evidence That TF-CBT Works • CATS Project: TF-CBT used following 9-11 terrorist attacks in NYC demonstrated significantly greater improvement in PTSD among children receiving TF-CBT than those receiving usual treatment. • Two open studies of TF-CBT for Childhood Traumatic Grief CTG) have offered preliminary support of effectiveness of adding grief-focused module to TF-CBT for children experiencing CTG. • Current ongoing randomized trial for children with PTSD secondary to domestic violence.

6. TF-CBT Components: PRACTICE • Psycoeducation • Parent Component includes parenting skills • Relaxation • Affect identification and regulation • Cognitive coping • Trauma narration and cognitive processing of these experiences • In vivo desensitization to trauma reminders • Conjoint child-parents sessions • Enhancing safety and future development

7. TF-CBTWeb www.musc.edu/tfcbt TF-CBTWeb is a web-based, distance education training course for learning Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT).

8. TF-CBTWeb www.musc.edu/tfcbt • Web-based learning • Learn at your own pace • Learn when you want • Learn where you want • Return anytime • 10 hours of CE TF-CBTWebis offered free of charge.

9. TF-CBTWeb www.musc.edu/tfcbt • Each module has: • Concise explanations • Video demonstrations • Clinical scripts • Cultural considerations • Clinical Challenges

10. TF-CBTWeb www.musc.edu/tfcbt TF-CBTWebis sponsored by: TF-CBTWebwas developed and is maintained through grant No. 1-UD1-SM56070-01 from the Substance Abuse and Mental Health Services Administration.