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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Benchmarking Treatment Effectiveness of Community-Delivered Trauma-Focused Cognitive Behavioral Therapy
American journal of community psychology, v 64(3-4), pp 438-450
20 Aug 2019
PMID: 31429951
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
It is critical for urban youth with post-traumatic stress disorder (PTSD) living in poverty to have access to evidence-based interventions for their traumatic stress. However, there is limited research on the effectiveness of these interventions when provided in urban, community settings. The objectives of the current study are to (a) evaluate the effectiveness of trauma-focused cognitive behavioral therapy delivered from 2013 to 2016 in 15 behavioral health agencies on youth (N = 114) PTSD as well as general mental health symptoms and functioning, and (b) benchmark these clinical outcomes against other published efficacy and effectiveness trials. Effectiveness data are from the Philadelphia County Community Behavioral Health System, a system that has invested significantly in the training and ongoing support of clinicians providing high-quality trauma services to youth since 2012. From baseline to last assessment, youth PTSD symptom severity (d = 0.34), PTSD functional impairment (d = 0.38), and overall mental health problem severity (d = 0.29) improved. The effect sizes of improvements were smaller than effect sizes observed in efficacy and effectiveness studies. This study is the first benchmarking study of TF-CBT and provides preliminary findings with regard to the effectiveness, and transportability, of TF-CBT to urban community settings that serve youth in poverty.
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Details
- Title
- Benchmarking Treatment Effectiveness of Community-Delivered Trauma-Focused Cognitive Behavioral Therapy
- Creators
- Brittany N. Rudd - University of PennsylvaniaBriana S. Last - Univ Penn, Dept Psychol, 3815 Walnut St, Philadelphia, PA 19104 USACourtney Gregor - University of PennsylvaniaKamilah Jackson - Community Behavioral Health Philadelphia PA USASteven Berkowitz - University of PennsylvaniaArturo Zinny - Drexel UniversityHilary E. Kratz - University of PennsylvaniaLauren Cliggitt - Mercer University Health Sciences CenterDanielle R. Adams - University of PennsylvaniaLucia M. Walsh - University of PennsylvaniaRinad S. Beidas - University of Pennsylvania
- Publication Details
- American journal of community psychology, v 64(3-4), pp 438-450
- Publisher
- Wiley
- Number of pages
- 13
- Grant note
- K23 MH 099179 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) T32HS000084 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality Department of Behavioral Health and Intellectual disAbility Services K23MH099179 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) T32 MH109433 / National Institute of Mental Health Training Fellowship; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) SM61087 / Substance Abuse and Mental Health Administration
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000482280700001
- Scopus ID
- 2-s2.0-85070902605
- Other Identifier
- 991019169546204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Multidisciplinary
- Public, Environmental & Occupational Health
- Social Work