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Effects of Therapy at a Community Based Trauma Therapy Service Treating Child Abuse and Neglect: A Pre-Post Study
James Leslie Herbert1,2, Amanda Paton1
1Australian Centre for Child Protection, Justice & Society, University of South Australia, Adelaide, Australia.
Integrating Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) with other approaches improved outcomes for children with complex trauma. This hybrid therapy is effective for difficult-to-treat populations in community settings.
Area of Science:
- Child and Adolescent Psychology
- Trauma Studies
- Clinical Psychology
Background:
- Children and young people often experience multiple forms of maltreatment and complex family situations.
- Community-based clinics serve vulnerable populations facing challenges like domestic violence and parental substance abuse.
Purpose of the Study:
- To examine the effectiveness of a hybrid Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) model.
- To assess treatment outcomes for children and young people with complex trauma in a community setting.
Main Methods:
- A repeated-measures study analyzing 113 pre-post treatment assessments from client records (2017-2020).
- Utilized the Trauma Symptom Checklist for Children (TSCC), Trauma Symptom Checklist for Young Children (TSCYC), and Child Behavior Checklist (CBCL).
Main Results:
- Significant improvements were observed on most clinical scales of the TSCC and TSCYC.
- No differences in improvement rates were found across gender, age, care status, funding, or presence of sexual abuse on the TSCC.
Conclusions:
- Integrating diverse therapeutic approaches with TF-CBT is beneficial for treating complex trauma in children.
- This hybrid model supports effective TF-CBT delivery for challenging populations in community-based services.
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