Trauma-focused cognitive behavioral therapy with Puerto Rican youth in a post-disaster context: Tailoring, implementation, and program evaluation outcomes.
Child Abuse Negl
; 129: 105671, 2022 07.
Article
em En
| MEDLINE
| ID: mdl-35580399
ABSTRACT
PURPOSE:
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has not yet been systematically evaluated in the Caribbean context, particularly with Hispanic youth exposed to multiple disasters. The objective of this project was twofold 1) to train mental health providers in Puerto Rico in TF-CBT as part of a clinical implementation project within the largest managed behavioral health organization (MBHO) on the island, and 2) to conduct a program evaluation to determine the feasibility of implementation and the effectiveness of the treatment.METHOD:
Fifteen psychologists were trained in TF-CBT. These psychologists then provided TF-CBT to 56 children and adolescents, ages 5-18, in community-based mental health clinics and one primary care clinic with a co-located psychologist in Puerto Rico. The mean number of traumatic events reported by youth referred for TF-CBT was 4.11.RESULTS:
Thirty-six out of 56 children enrolled in the project (64.3%) successfully completed all components of TF-CBT. Results demonstrated large effect sizes for reduction in youth-reported posttraumatic stress symptoms (PTSS) (Cohen's d = 1.32), depressive symptoms (Cohen's d = 1.32), and anxiety symptoms (Cohen's d = 1.18).CONCLUSIONS:
These results suggest that it was feasible to train providers in TF-CBT, that providers were able to deliver TF-CBT in community-based settings both in person and via telehealth (due to the COVID-19 pandemic), and that TF-CBT was an effective treatment option to address trauma-related concerns for youth in Puerto Rico in a post-disaster context. This project is an important first step in the dissemination and implementation of evidence-based trauma-focused treatment for Hispanic youth and disaster-affected youth in the Caribbean.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
4_TD
Problema de saúde:
1_surtos_doencas_emergencias
/
4_pneumonia
Assunto principal:
Transtornos de Estresse Pós-Traumáticos
/
Terapia Cognitivo-Comportamental
/
Desastres
/
COVID-19
Tipo de estudo:
Evaluation_studies
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Limite:
Adolescent
/
Child
/
Child, preschool
/
Humans
País/Região como assunto:
Caribe
/
Puerto rico
Idioma:
En
Revista:
Child Abuse Negl
Ano de publicação:
2022
Tipo de documento:
Article