Building Resiliency After Trauma

Research and Evaluation

The purpose of the evaluation component of the Building Resiliency initiative is to assess the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) when disseminated to community providers. In addition, the impact of two alternative training and coaching strategies will be compared to determine if one strategy results in superior treatment fidelity or youth outcomes.

Primary Hypothesis: Youth/parents receiving TF-CBT will demonstrate comparable improvement in trauma-related symptoms, emotional/behavioral problems, and parental distress to improvements reported in published clinical trials.

The study design includes assessments with parents and youth at three time points – when entering treatment, at the end of treatment, and 12 months from the beginning of treatment. Youth complete measures of personal strengths and resilience, trauma-related symptoms, and thoughts and feelings about the trauma. Parents also report on the child’s strengths and resilience, trauma-related symptoms, emotional and behavioral problems and parental distress following the trauma. In addition, measures of therapist adherence or fidelity to the treatment model are collected.


	Research and Evaluation The purpose of the evaluation component of the Building Resiliency initiative is to assess the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) when disseminated to community providers. In addition, the impact of two alternative training and coaching strategies will be compared to determine if one strategy results in superior treatment fidelity or youth outcomes. Primary Hypothesis: Youth/parents receiving TF-CBT will demonstrate comparable improvement in trauma-related symptoms, emotional/behavioral problems, and parental distress to improvements reported in published clinical trials. The study design includes assessments with parents and youth at three time points – when entering treatment, at the end of treatment, and 12 months from the beginning of treatment. Youth complete measures of personal strengths and resilience, trauma-related symptoms, and thoughts and feelings about the trauma. Parents also report on the child’s strengths and resilience, trauma-related symptoms, emotional and behavioral problems and parental distress following the trauma. In addition, measures of therapist adherence or fidelity to the treatment model are collected.
Funding for this project was made possible in part by the Substance Abuse and Mental Health Services Administration, SAMHSA grant number 5U79SM057485‐04. The views expressed in this publication do not necessarily reflect the official policies of the U.S. Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.