RESUMEN
Treatment participation was examined among youth enrolled in an evaluation of cognitive behavioral therapy (CBT) for trauma following the 9/11 World Trade Center disaster. Staff at nine agencies serving a predominantly low-income ethnically diverse population were trained to deliver CBT and structured engagement strategies. Four hundred and forty-five youth ages 5-19 were eligible for CBT, and 417 (94%) received at least one treatment session. Pretreatment and treatment show rates and overall dose were examined. Treatment participation rates were higher than those typically reported in community studies of children's mental health services. Regression analyses indicated variability across sites in treatment show rates with the highest rates at where services were delivered in schools. However, sites, demographic factors and trauma symptoms accounted for a small amount of variance in treatment participation overall. The study suggests structured engagement strategies, linked to evidence-based treatments may improve treatment participation for youth.
RESUMEN
OBJECTIVE: Describe the development and preliminary evaluation of a safety awareness program for women with disabilities. DESIGN: Baseline and postintervention questionnaires administered to a sample of women who completed a safety awareness program. PARTICIPANTS: Seven women with diverse disabilities. INTERVENTION: Eight interactive sessions designed to increase protective factors. SETTING: Community site for persons with disabilities. MAIN OUTCOMES: Safety self-efficacy, safety skills, social support/isolation, and safety promoting behaviors. RESULTS: Significant increases from baseline to postintervention were found on measures of self-efficacy and safety skills. Although not statistically significant, improvements were also found in safety promoting behavior. CONCLUSION: Despite the small sample, findings suggest that participation in a safety awareness program may improve protective factors.