Many youth in treatment foster care (TFC) have been exposed to traumatic life events that are associated with negative health outcomes, yet few studies have examined how TFC programs are addressing the needs of trauma-exposed youth. This study used clinical data from 542 youth enrolled in TFC services within a statewide publicly funded mental health system from 2008 to 2018 to explore (a) how many youth receive trauma treatment, including youth diagnosed with PTSD, (b) to what extent common elements for youth trauma treatment are among the interventions employed during months when trauma was included as a treatment focus, and (c) clinician-reported trauma treatment progress. Only 34% of all youth in TFC, and 56% of youth diagnosed with PTSD, received treatment with any focus on trauma during the first six months of TFC. Therapists used a variety of therapeutic strategies during months when trauma was treated, some of which were consistent with the evidence-base for youth traumatic stress. Therapists reported 36% of youth with some trauma treatment focus made, at most, minimal improvement on trauma concerns during this time. Considerations for research and clinical practice in trauma-focused treatment foster care services are discussed.

许多接受治疗寄养 (TFC) 的青年都曾接触过与负面健康结果相关的创伤性生活事件，但很少有研究探讨 TFC 计划如何解决遭受创伤的青年的需求。本研究使用了 2008 年至 2018 年在全州公共资助的心理健康系统内参加 TFC 服务的 542 名青年的临床数据，以探讨 (a) 有多少青年接受创伤治疗，包括被诊断患有 PTSD 的青年，(b) 共同要素的程度青少年创伤治疗是在创伤被列为治疗重点的几个月中采用的干预措施之一，以及 (c) 临床医生报告的创伤治疗进展。在 TFC 的前六个月中，只有 34% 的 TFC 青年和 56% 被诊断患有 PTSD 的青年接受了以创伤为重点的治疗。在治疗创伤的几个月里，治疗师使用了多种治疗策略，其中一些与青年创伤压力的证据基础一致。治疗师报告说，在此期间，36% 专注于创伤治疗的青少年对创伤问题的改善至多微乎其微。讨论了以创伤为重点的治疗寄养服务的研究和临床实践的考虑。