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Youth Outcomes of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in the Child Trauma Training Center (CTTC)

Authors:

Abstract

Objectives: Exposure to trauma among youth is common and can cause behavioral, social and functioning problems. Use of evidence-based trauma treatment can reduce post-traumatic stress (PTSD) symptoms and behavioral problems. This poster highlights the outcomes of youth who participated in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) provided by clinicians who were trained through the University of Massachusetts Medical School (UMMS) Child Trauma Training Center (CTTC). Methods: 308 youth ages 6-18 were enrolled into the CTTC evaluation with a mean age of 11.31 years (SD = 3.5); over half were female (58.1%), the majority were white (62.3%) and 37% were Hispanic. Data was collected by clinicians at three different time points: baseline, six-months and discharge through REDCap using the following measures: Child Behavior Checklist (CBCL), UCLA PTSD Index and the Social Connectedness survey. Results: The results of the UCLA PTSD Index indicated that youth experienced significantly fewer Re-experiencing (baseline [M = 9.67]; discharge [M = 6.36]), Avoidance/Numbing (baseline [M = 10.55]; discharge [M = 8.63], and Arousal symptoms (baseline [M = 11.46]; discharge [M = 9.02]), as well as less severe symptoms (baseline [M = 33.43]; discharge [M = 24.71]) overall. The CBCL revealed youth experienced fewer Internalizing (baseline [M = 64.51]; discharge [M = 62.18]), Externalizing (baseline [M = 64.51]; discharge [M = 62.18]) and total problem behaviors (baseline [M = 65.48]; discharge [M = 61.82]) overall compared to baseline. Additionally, youth reported significantly better change in Social Connectedness (M = 4.32) compared to baseline (M = 4.06). Conclusion and Discussion: Results of the youth and parent/caregiver reports of PTSD symptoms, behavioral problems and social connectedness indicates that youth and parent/caregivers noticed significantly fewer and less severe PTSD symptoms, fewer behavioral problems and improvement in social connectedness compared to baseline. These results adequately show positive child outcomes as a result of TF-CBT treatment in the context of CTTC’s framework.
University of Massachuses Medical School
eScholarship@UMMS
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Youth Outcomes of Trauma-Focused Cognitive
Behavioral &erapy (TF-CBT) in the Child
Trauma Training Center (C%C)
Crystaltina Montagna
University of Massachuses Medical School*8>9:(3:05(465:(.5(;4(994,+,+;
Jessica L. Gri$n
University of Massachuses Medical School1,990*(.80@5;4(994,+,+;
Jessica Dym Bartle'
University of Massachuses Medical School1,990*()(8:3,C;4(994,+,+;
See next page for additional authors
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Presenter Information
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Keywords
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RESEARCH POSTER PRESENTATION DESIGN © 2012
www.PosterPresentations.com
Introduc)on*
*
Acknowledgments*
Contact*
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Conclusion*and*Discussion*
References*
*
308 youth ages 6-18 were enrolled into the
CTTC evaluation with a mean age of 11.31
years (SD = 3.5); over half were female
(58.1%), the majority were white (62.3%)
and 37% were Hispanic. Data was collected
by clinicians at three different time points:
baseline, six-months and discharge through
REDCap using the following measures:
Child Behavior Checklist (CBCL;
Achenbach & Rescorla, 2001), UCLA
PTSD Index (Pynoos et al., 1998) and the
Social Connectedness survey (Lee &
Robbins, 1995).
Mean Scores of Youth with Behavioral Problems at Each
Assessment Period
CBCL
Percent of Youth Meeting the Clinical Cutoff for PTSD
Symptoms at Baseline, by Source
UCLA PTSD Index
Results of the youth and parent/caregiver
reports of PTSD symptoms, behavioral
problems and social connectedness
indicates that youth and parent/caregivers
noticed significantly fewer and less severe
PTSD symptoms, fewer behavioral
problems and improvement in social
connectedness compared to baseline. These
results adequately show positive child
outcomes as a result of TF-CBT treatment
in the context of CTTC’s framework.
Exposure to trauma among youth is
common and can cause behavioral, social
and functioning problems. Use of evidence-
based trauma treatment can reduce post-
traumatic stress (PTSD) symptoms and
behavioral problems. This poster highlights
the outcomes of youth who participated in
Trauma-Focused Cognitive Behavioral
Therapy (TF-CBT) provided by clinicians
who were trained through the University of
Massachusetts Medical School (UMMS)
Child Trauma Training Center (CTTC). '
Mean Scores of Youth Social Connectedness at Each
Assessment Period, by Source
Social Connectedness
Mean Scores of Youth with PTSD Symptoms at Each
Assessment Period, by Source
UCLA PTSD Index
0
10
20
30
40
50
60
70
80
Re-experiencing Avoidance Arousal Total Severity
71
44
72
23
61
41
58
45
Parent/caregiver report (n = 260)
Youth report (n = 287)
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Both youth and parent/caregiver reports showed significant reduction in PTSD
symptoms from baseline to discharge of TF-CBT treatment.
p < .001 for all symptoms by each source
Parent/caregiver report showed a significant reduction in Internalizing, Externalizing and
total behavioral problems from baseline to discharge of TF-CBT treatment.
Internalizing p < .01; Externalizing p<.001 and total problem behaviors p<.001
Note: Clinical cutoff = > 37
Both youth and parent/caregiver reports showed significant improvement in
Social Connectedness from baseline to discharge of TF-CBT treatment.
Parent/caregiver report: p < .05; youth report: p < .001
Results* Results*
Methods*
Jessica Griffin, PsyD
CTTC Principle Investigator
Jessica.Griffin@UMassMed.Edu
Crystaltina Montagna
CTTC Research Assistant
Crystaltina.Montagna@UMassMed.edu
ResearchGate has not been able to resolve any citations for this publication.
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