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Evidence-Based Child Trauma Assessment: Barriers, Sustainable Dissemination, and Treatment Implications

Year: 2019

Slide deck from a presentation at the 32nd Annual Research and Policy Conference on Child, Adolescent and Young Adult Behavioral Health

Evidence-Based Child Trauma Assessment: Barriers, Sustainable Dissemination, and Treatment Implications
Symposium Chair and Discussant: Jeffrey Vanderploeg, PhD, Child Health and Development Institute of CT, Farmington, CT

Given child trauma’s significant prevalence and consequences, identifying, disseminating, implementing, and sustaining evidence-based child trauma assessment practices are needed to assess post-traumatic sequelae and salient comorbidities, tailor treatment for clients, promote treatment retention, and reliably evaluate the efficacy and effectiveness of those treatments (APA, 2008; Cohen et al., 2017; Saunders et al., 2004). This symposium addresses several gaps in this literature and informs future child behavioral health scholarship and practice. The first paper presents data from 315 community clinicians who participated in six statewide Learning Collaboratives (LCs) to disseminate and implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Pre-LC, post-LC, and followup data showed significant, sustained improvements in clinician-reported assessment barriers and practices. The second paper presents latent class analysis findings from baseline data of 3,465 children who received TF-CBT. Groups differed on child- and caregiver-reported trauma exposure and symptoms. Findings also indicated differences in the extent to which class membership was linked to treatment retention.