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Trauma-focused cognitive behavioral therapy with Puerto Rican youth in a post-disaster context: Tailoring, implementation, and program evaluation outcomes.
Orengo-Aguayo, Rosaura; Dueweke, Aubrey R; Nicasio, Andel; de Arellano, Michael A; Rivera, Susana; Cohen, Judith A; Mannarino, Anthony P; Stewart, Regan W.
Afiliação
  • Orengo-Aguayo R; Medical University of South Carolina, United States of America. Electronic address: orengoaa@musc.edu.
  • Dueweke AR; East Tennessee State University, United States of America.
  • Nicasio A; Albizu University, United States of America.
  • de Arellano MA; Medical University of South Carolina, United States of America.
  • Rivera S; Serving Children and Adults in Need (SCAN) Inc., United States of America.
  • Cohen JA; Allegheny Health Network, United States of America.
  • Mannarino AP; Allegheny Health Network, United States of America.
  • Stewart RW; Medical University of South Carolina, United States of America.
Child Abuse Negl ; 129: 105671, 2022 07.
Article em En | MEDLINE | ID: mdl-35580399
PURPOSE: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has not yet been systematically evaluated in the Caribbean context, particularly with Hispanic youth exposed to multiple disasters. The objective of this project was twofold: 1) to train mental health providers in Puerto Rico in TF-CBT as part of a clinical implementation project within the largest managed behavioral health organization (MBHO) on the island, and 2) to conduct a program evaluation to determine the feasibility of implementation and the effectiveness of the treatment. METHOD: Fifteen psychologists were trained in TF-CBT. These psychologists then provided TF-CBT to 56 children and adolescents, ages 5-18, in community-based mental health clinics and one primary care clinic with a co-located psychologist in Puerto Rico. The mean number of traumatic events reported by youth referred for TF-CBT was 4.11. RESULTS: Thirty-six out of 56 children enrolled in the project (64.3%) successfully completed all components of TF-CBT. Results demonstrated large effect sizes for reduction in youth-reported posttraumatic stress symptoms (PTSS) (Cohen's d = 1.32), depressive symptoms (Cohen's d = 1.32), and anxiety symptoms (Cohen's d = 1.18). CONCLUSIONS: These results suggest that it was feasible to train providers in TF-CBT, that providers were able to deliver TF-CBT in community-based settings both in person and via telehealth (due to the COVID-19 pandemic), and that TF-CBT was an effective treatment option to address trauma-related concerns for youth in Puerto Rico in a post-disaster context. This project is an important first step in the dissemination and implementation of evidence-based trauma-focused treatment for Hispanic youth and disaster-affected youth in the Caribbean.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Terapia Cognitivo-Comportamental / Desastres / COVID-19 Tipo de estudo: Evaluation_studies / Sysrev_observational_studies Aspecto: Implementation_research Limite: Adolescent / Child / Child, preschool / Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: Child Abuse Negl Ano de publicação: 2022 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Terapia Cognitivo-Comportamental / Desastres / COVID-19 Tipo de estudo: Evaluation_studies / Sysrev_observational_studies Aspecto: Implementation_research Limite: Adolescent / Child / Child, preschool / Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: Child Abuse Negl Ano de publicação: 2022 Tipo de documento: Article País de publicação: Reino Unido