This study examined therapists’ perceived competence in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and its association with youth treatment outcomes (posttraumatic stress and depression). Participants included 99 community therapists enrolled in a TF-CBT-focused Learning Collaborative (LC), along with one of their randomly selected TF-CBT training cases. Analyzed data included: 1) caregiver/youth-reported posttraumatic stress and depressive symptoms, pre- and post-treatment, and 2) therapist-perceived competence with TF-CBT components across treatment delivery. Youth- and caregiver-reports indicated large, significant pre- to post-treatment decreases in youth posttraumatic stress (ds = 1.10–1.30, ps < .001) and depressive symptoms (d = 1.01, p < .001). Higher therapist-perceived competence with TF-CBT predicted positive treatment responses for posttraumatic stress (ds = 0.38–0.39, ps = .03) and depression (d = 0.25), though only the former association was significant (ps = .03 vs. p = .15). Findings highlight the need to monitor and improve therapists’ competencies to enhance clinical outcomes for trauma-exposed youth and suggest that LCs may be an effective training/implementation model to help achieve those critical goals.

本研究考察了治疗师在以创伤为中心的认知行为疗法 (TF-CBT) 中的感知能力及其与青少年治疗结果（创伤后压力和抑郁）的关系。参与者包括参加以 TF-CBT 为重点的学习协作 (LC) 的 99 名社区治疗师，以及他们随机选择的一个 TF-CBT 培训案例。分析的数据包括：1) 护理人员/青少年报告的创伤后压力和抑郁症状、治疗前和治疗后，以及 2) 治疗师在整个治疗过程中感知到的 TF-CBT 成分的能力。青少年和看护者报告表明，青少年创伤后压力（d s = 1.10–1.30，p s < .001）和抑郁症状（d = 1.01，p < .001)。治疗师感知到的 TF-CBT 能力较高可预测对创伤后压力（d s = 0.38-0.39，p s = .03）和抑郁症（d = 0.25）的积极治疗反应，尽管只有前一种关联是显着的（p s = . 03 与p = .15）。调查结果强调需要监测和提高治疗师的能力，以提高遭受创伤的青年的临床结果，并表明 LC 可能是帮助实现这些关键目标的有效培训/实施模式。