Implementation of Truma-Focused Cognitive Behavioral Therapy (TF-CBT) in Norway

Study Overview
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Brief Summary
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Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment method for children and adolescents who have been exposed to traumatic experiences and who are experiencing posttraumatic stress symptoms. TF-CBT has been implemented in Norwegian child and adolescent mental health clinics since 2012. The Ministry of Health is funding the implementation project, and the Norwegian Center for Violence and Traumatic Stress Studies (NKVTS) is responsible for the implementation, including training of therapists, quality monitoring, and research.

Detailed Description
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All participating child and adolescent mental health clinics received training by TF-CBT senior trainers at NKVTS in screening for trauma exposure and posttraumatic stress. A sub-sample of the therapists received training in TF-CBT. Data are collected on treatment outcomes for quality assurance.

Official Title
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Implementation of Trauma-focused Cognitive Behavioral Therapy (TF-CBT) in Norwegian Child and Adolescent Mental Health Clinics

Conditions
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PTSD

Intervention / Treatment
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* Other: Trauma-focused cognitive behavioral therapy (TF-CBT)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 6-18 years Referred to Norwegian child and adolescent mental health clinics Exclusion Criteria: Below 6 years and above 18 years

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Children screened for trauma and/or posttraumatic stress<br>Children were screened for trauma exposure and posttraumatic stress at one of the first meetings at the child and adolescent mental health clinic. For participants receiving TF-CBT, posttraumatic stress was also assessed during and after therapy. | Other: Trauma-focused cognitive behavioral therapy (TF-CBT)<br>* TF-CBT is an evidence-based treatment method for children and adolescents who have been exposed to trauma and experience posttraumatic stress symptoms. The treatment model has a family and caregiver focus, and non-offending caregivers are included in the treatment. TF-CBT is normally provided through 8-12 treatment sessions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child and Adolescent Trauma Screen (CATS) | Consists of two parts. Part 1 is a screening for exposure to potential traumatizing events; Part 2 is a screening for posstraumatic stress symptoms | 2012-2014 | 
| Child PTSD Symptom Scale (CPSS) | Consists of two parts. Part 1 is a screening for exposure to potential traumatizing events; Part 2 is a screening for posstraumatic stress symptoms | 2015-2021 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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PTSD, Trauma treatment, Implementation