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Implementation of Trauma-specific Interventions in a Child and Adolescent Mental Health Service
Journal of Child and Family Studies ( IF 2.784 ) Pub Date : 2022-10-30 , DOI: 10.1007/s10826-022-02467-y
Nicola Palfrey, Rosie Ryan, Rebecca E. Reay

Exposure to childhood adversity is a prevalent and pressing issue due to its established links with poor physical and mental health outcomes across the lifespan. High rates of adversity have been found within young people attending mental health services, and the provision of trauma-informed care and trauma-specific therapies are therefore essential within these services. Trauma-focused cognitive behaviour therapy (TF-CBT) is an evidence-based intervention with established efficacy amongst traumatised children and youth. The primary objective of this study was to evaluate the effectiveness of trauma-specific therapy (TF-CBT) when implemented in a Child and Adolescent Mental Health Service (CAMHS). Given that most youth receive care in community settings, it is important to determine whether treatments tested under controlled conditions can apply in the real world of clinical practice. Specifically, this study aimed to quantify the number and type of adversities reported by clients receiving the intervention; investigate whether the intervention is associated with improvements in participants’ posttraumatic stress disorder (PTSD) symptoms, general mental health symptoms and functioning; and report contact with CAMHS at 3 months and 2 years post-treatment. Results showed that CAMHS clients were more likely to have experienced multiple traumatic events than single events, with 100% of clients experiencing suicidal thoughts. Treatment was associated with significant improvements in PTSD symptom severity and improvements in general mental health symptoms. Many clients received ongoing mental health support at the 3-month and 2-year follow-ups, reflecting the complex nature of their issues and the need for support to maintain gains achieved during treatment.



中文翻译:

在儿童和青少年心理健康服务中实施针对创伤的干预措施

暴露于童年逆境是一个普遍且紧迫的问题,因为它与整个生命周期的身心健康状况不佳有关。在接受心理健康服务的年轻人中发现了很高的逆境率,因此在这些服务中提供创伤知情护理和针对创伤的治疗是必不可少的。以创伤为中心的认知行为疗法 (TF-CBT) 是一种基于证据的干预措施,在受创伤的儿童和青少年中具有确定的疗效。本研究的主要目的是评估创伤特异性治疗 (TF-CBT) 在儿童和青少年心理健康服务 (CAMHS) 中实施时的有效性。鉴于大多数青年在社区环境中接受护理,重要的是确定在受控条件下测试的治疗是否可以应用于现实的临床实践。具体而言,本研究旨在量化接受干预的客户报告的逆境的数量和类型;调查干预是否与参与者的创伤后应激障碍 (PTSD) 症状、一般心理健康症状和功能的改善有关;并在治疗后 3 个月和 2 年报告与 CAMHS 的接触情况。结果显示,与单一事件相比,CAMHS 客户更有可能经历过多次创伤事件,100% 的客户有过自杀念头。治疗与 PTSD 症状严重程度的显着改善和一般心理健康症状的改善有关。

更新日期:2022-10-30
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