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Parent-led, therapist-assisted, first-line treatment for young children after trauma: a case study
Alison Salloum1, Eric A Storch
1School of Social Work, University of South Florida, Tampa, USA.
Insights
Parent-led, therapist-assisted trauma-focused cognitive behavioral therapy (PTA-TF-CBT) shows promise for treating childhood PTSD. This approach improved child and parent distress while conserving therapist resources.
Area of Science:
- Child Psychology
- Clinical Psychology
- Trauma Studies
Background:
- Childhood posttraumatic stress disorder (PTSD) is prevalent, yet treatment access remains a significant challenge.
- Novel service delivery models are essential to overcome existing barriers in pediatric mental health care.
- Stepped care models offer a framework for efficient and accessible therapeutic interventions.
Observation:
- This case study details the treatment of a 4-year-old boy experiencing posttraumatic stress symptoms.
- The intervention utilized parent-led, therapist-assisted trauma-focused cognitive behavioral therapy (PTA-TF-CBT).
- Empirically supported materials were employed throughout the treatment process.
Findings:
- The parent found PTA-TF-CBT to be an acceptable and satisfactory treatment modality.
- Therapist time commitment was limited, indicating potential for resource conservation.
- Clinically significant reductions in both child and parent distress were observed post-treatment and at follow-up.
Implications:
- PTA-TF-CBT demonstrates feasibility and efficacy within a stepped care model for pediatric PTSD.
- This approach may enhance treatment accessibility and reduce the burden on specialized mental health services.
- Further research is warranted to validate these findings in larger, diverse populations.
Abstract:
Due to the prevalence of childhood posttraumatic stress disorder and barriers to treatment, novel service delivery approaches such as parent-led, therapist-assisted, trauma-focused cognitive behavioral therapy (PTA-TF-CBT) within a stepped care model are needed. This case study presents the treatment of a 4-year-old boy with posttraumatic stress symptoms whose parent led the treatment with therapist assistance and empirically supported materials. Findings from this case study indicated that: (a) PTA-TF-CBT was an acceptable and satisfactory treatment to the parent, (b) therapist time delivering the treatment was limited thereby conserving resources, and (c) clinically significant improvements in child and parent distress were reported posttreatment and at 5 weeks follow-up. Additional research on the feasibility and efficacy of PTA-TF-CBT within a stepped care model is warranted.
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