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The aim of this randomized controlled trial was to evaluate the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) compared with waiting list in reducing PTSD and comorbid symptoms in children and adolescents in Germany.
The purpose of this cluster randomized controlled trial is to compare the stepped-care approach BETTER CARE with usual care enhanced with screening and indication (usual care+). BETTER CARE consists of step 1) screening and indication and either step 2) preventive trauma-focused group intervention ‘Mein Weg’ delivered by trained child welfare staff or step 3) TF-CBT delivered by trained community therapists and supported by trained translators if necessary.