ABSTRACT
A systematic review was conducted to identify determinants (barriers and facilitators) of implementing evidence-based psychosocial interventions for children and youth who experience emotional or behavioral difficulties due to trauma exposure. Determinants were coded, abstracted, and synthesized using the Exploration, Preparation, Implementation, and Sustainment framework. Twenty-three articles were included, all of which examined implementation of Trauma-Focused Cognitive Behavioral Therapy or Cognitive-Behavioral Intervention for Trauma in Schools. This review identified multilevel and multiphase determinants that can be addressed by implementation strategies to improve implementation and clinical outcomes, and suggests how future studies might address gaps in the evidence base.
Subject(s)
Cognitive Behavioral Therapy/organization & administration , Psychological Trauma/therapy , Adolescent , Child , Child Behavior Disorders/etiology , Child Behavior Disorders/therapy , Child, Preschool , Humans , Psychological Trauma/complications , School Health Services/organization & administrationABSTRACT
BACKGROUND: Adolescents involved with child welfare system are disproportionately at risk for underage drinking. Little empirical evidence has informed interventions targeting child welfare caregivers to prevent alcohol consumption among adolescents involved with the system. METHODS: The present study addressed this gap by examining modifiable caregiver characteristics most predictive of future underage drinking in a cohort of adolescents (Nâ¯=â¯1205) in a nationally representative child welfare dataset. We used dominance analyses to examine direct contributions of each caregiver predictor to the overall variance of future alcohol use. This is the first study to apply the reputable Turrisi and Jaccard (2001) framework of familial processes affecting underage drinking to the child welfare population. RESULTS: Findings highlight the role of caregiver-adolescent relational quality and communications for predicting underage alcohol use, and downplay the role of caregiver monitoring. CONCLUSIONS: Child welfare service systems may help prevent underage drinking by systematically training and motivating caregivers to foster trusting, helping relationships and regular communications with the adolescents in their care.
