1. Trauma-Focused CBT Judy Cohen, M.D. & Tony Mannarino, Ph.D.
Allegheny General Hospital
Esther Deblinger, Ph.D.
New Jersey CARES Institute

2. Theoretical Underpinnings of TF-CBT
A hybrid model incorporating CBT, attachment, family, psychodynamic and empowerment principles
Goals: resolve PTSD, depressive, anxiety and other trauma-related symptoms in children and adolescents; optimize adaptive functioning; and enhance safety, family communication and future developmental trajectory

3. TF-CBT Or Not?
Target symptoms: PTSD, depression, anxiety, and behavioral symptoms secondary to trauma.
Children presenting with predominance of behavioral problems may benefit more from a different treatment.
TF-CBT has been used for all types of traumas
TF-CBT has been used for children ages 3-18, with and without parental participation, in schools, group home, foster home and in-home settings but is most commonly provided individually to child and parent in clinical settings.

4. Evidence That TF-CBT Works
Six randomized controlled trials have been conducted for sexually abused/multiply traumatized children comparing TF-CBT to other active treatments
In all six studies children receiving TF-CBT experienced significantly greater improvements in a variety of symptoms, both at immediate post-treatment and up to 2 years post-treatment.
PTSD symptoms consistently improved significantly more in the TF-CBT groups.

5. Evidence That TF-CBT Works
CATS Project: TF-CBT used following 9-11 terrorist attacks in NYC demonstrated significantly greater improvement in PTSD among children receiving TF-CBT than those receiving usual treatment.
Two open studies of TF-CBT for Childhood Traumatic Grief CTG) have offered preliminary support of effectiveness of adding grief-focused module to TF-CBT for children experiencing CTG.
Current ongoing randomized trial for children with PTSD secondary to domestic violence.

6. TF-CBT Components: PRACTICE
Psycoeducation
Parent Component includes parenting skills
Relaxation
Affect identification and regulation
Cognitive coping
Trauma narration and cognitive processing of these experiences
In vivo desensitization to trauma reminders
Conjoint child-parents sessions
Enhancing safety and future development

7. TF-CBTWeb
TF-CBTWeb is a web-based, distance education training course for learning Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT).

8. TF-CBTWeb
Web-based learning
Learn at your own pace
Learn when you want
Learn where you want
Return anytime
10 hours of CE
TF-CBTWeb is offered free of charge.

9. TF-CBTWeb
Each module has:
Concise explanations
Video demonstrations
Clinical scripts
Cultural considerations
Clinical Challenges

10. TF-CBTWeb
TF-CBTWeb is sponsored by:
TF-CBTWeb was developed and is maintained through grant No. 1-UD1-SM from the Substance Abuse and Mental Health Services Administration.