Featuring a wealth of clinical examples, this book facilitates implementation of trauma-focused cognitive-behavioral therapy (TF-CBT) in a range of contexts. It demonstrates how assessment strategies and treatment components can be tailored to optimally serve clients' needs while maintaining overall fidelity to the TF-CBT model. Coverage includes ways to overcome barriers to implementation in residential settings, foster placements, and low-resource countries. Contributors also describe how to use play to creatively engage kids of different ages, and present TF-CBT applications for adolescents with complex trauma, children with developmental challenges, military families struggling with the stresses of deployment, and Latino and Native American children.
“Cohen, Mannarino, and Deblinger have done it again! The TF-CBT developers compile the wisdom of expert clinicians and trainers in this valuable book. They share innovative strategies for applying TF-CBT to serve children across varying settings, developmental issues, and special populations.”
—Lisa Amaya-Jackson, MD, MPH, Department of Psychiatry, Duke University School of Medicine; Associate Director, UCLA-Duke National Center for Child Traumatic Stress
“Provides extensive, clinically grounded illustrations of how TF-CBT can be flexibly used to address trauma impact for children in varied and complex circumstances. Therapists will find critical information for enhancing therapy effectiveness in diverse populations, from foster children to military families. Chapters provide specific adjustments and adaptations for each of the standard components of TF-CBT, supported with relevant case examples. The volume demonstrates how this empirically supported intervention can be broadly applied to the full range of children and families affected by trauma. It also has utility for graduate students learning evidence-based practice. The book shows that it is possible to remain faithful to a model while making population-specific adaptations.”
—Lucy Berliner, MSW, Director, Harborview Center for Sexual Assault and Traumatic Stress, Seattle
“This outstanding contribution helps professionals and students gain knowledge about many different applications of trauma-focused cognitive-behavioral therapy (TF-CBT). The book conveys the flexibility of this important approach and describes how to adapt it for a variety of settings and populations—for example, military families, children with developmental disabilities, and culturally diverse children. Particularly helpful are the discussions of strategies for tailoring TF-CBT to specific children's needs, such as by incorporating play or drawing on cultural traditions. This book should be required reading for all who work with traumatized children and their families, regardless of theoretical orientation, because it elucidates the impact of traumatic experiences—and meaningful ways to intervene—so well.”
—Joy D. Osofsky, PhD, Barbara Lemann Professor of Pediatrics and Psychiatry, Louisiana State University Health Sciences Center
“Edited and written by expert clinicians, this book presents state-of-the-art treatments for traumatized children, adolescents, and their families. Cohen, Mannarino, and Deblinger are key contributors to recent advances in trauma-informed mental health services who have decades of experience in the field. A vital addition to the libraries of practicing clinicians, the book will also be of great benefit to students and trainees. I recommend it most highly.”
—Terence M. Keane, PhD, VA National Center for Posttraumatic Stress Disorder and Boston University School of Medicine
Introduction, Esther Deblinger, Judith A. Cohen, and Anthony P. Mannarino
I. TF-CBT Setting Applications
1. Schools, Susana Rivera
2. Children in Foster Care, Shannon Dorsey and Esther Deblinger
3. Residential Treatment, Judith A. Cohen, Anthony P. Mannarino, and Daniela Navarro
II. TF-CBT Developmental Applications
4. Play Applications and Skills Components, Athena A. Drewes and Angela M. Cavett
5. Play Applications and Trauma-Specific Components, Angela M. Cavett and Athena A. Drewes
6. Children with Developmental Disabilities, Christina A. Grosso
7. Adolescents with Complex Trauma, Matthew Kliethermes and Rachel Wamser
III. TF-CBT Applications for Special Populations
8. Children in Military Families, Judith A. Cohen and Stephen J. Cozza
9. International Settings, Laura K. Murray and Stephanie A. Skavenski
10. Children of Latino Descent: Culturally Modified TF-CBT, Michael A. de Arellano, Carla Kmett Danielson, and Julia Felton
11. American Indian and Alaska Native Children: Honoring Children–Mending the Circle, Dolores Subia BigFoot and Susan R. Schmidt
About the Editors:
Judith A. Cohen, MD, a board-certified child and adolescent psychiatrist, is Medical Director of the Center for Traumatic Stress in Children and Adolescents at Allegheny General Hospital in Pittsburgh, and Professor of Psychiatry at Drexel University College of Medicine. Since 1983, Dr. Cohen has conducted research on the assessment and treatment of traumatized children. With Anthony P. Mannarino and Esther Deblinger, she has developed and tested TF-CBT for children with traumatic stress and/or maladaptive grief symptoms and their nonoffending parents. She has served on the boards of directors of the American Professional Society on the Abuse of Children (APSAC) and the International Society for Traumatic Stress Studies (ISTSS), and is a recipient of the Sarah Haley Memorial Award for Clinical Excellence from ISTSS, the Outstanding Professional Award from APSAC, and the Rieger Award for Scientific Achievement from the American Academy of Child and Adolescent Psychiatry (AACAP). She is coauthor of the treatment guidelines for treating posttraumatic stress disorder (PTSD) published by ISTSS and principal author of the practice parameters for treating PTSD in children and adolescents published by AACAP. Dr. Cohen consults on the treatment of childhood traumatic grief to Sesame Workshop and the Tragedy Assistance Program for Survivors. With Anthony P. Mannarino and Esther Deblinger, Dr. Cohen is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.
Anthony P. Mannarino, PhD, is Director of the Center for Traumatic Stress in Children and Adolescents and Vice Chair of the Department of Psychiatry at Allegheny General Hospital in Pittsburgh, and Professor of Psychiatry at Drexel University College of Medicine. A leader in the field of child traumatic stress since the 1980s, Dr. Mannarino has conducted extensive research on the clinical course of traumatic stress symptoms in children and the development of effective treatment approaches for traumatized children and their families. He is the recipient of honors including the Child MaltreatmentArticle of the Year Award from the American Professional Society on the Abuse of Children (APSAC) and the Legacy Award from the Greater Pittsburgh Psychological Association. A past president of APSAC and of the Section on Child Maltreatment of the Society for Child and Family Policy and Practice (Division 37) of the American Psychological Association, he maintains an active clinical practice. With Judith A. Cohen and Esther Deblinger, Dr. Mannarino is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.
Esther Deblinger, PhD, is Professor of Psychiatry at Rowan University School of Osteopathic Medicine in New Jersey, where she is also Cofounder and Codirector of the CARES (Child Abuse Research Education and Service) Institute. Dr. Deblinger has conducted extensive research on the mental health impact of child abuse and the treatment of posttraumatic stress disorder and other abuse-related difficulties. She has written numerous scientific articles and book chapters, as well as books for professionals and educational books for children. Dr. Deblinger is a frequent invited speaker at local, national, and international conferences and has served on the board of the American Professional Society on the Abuse of Children (APSAC). She is a recipient of honors including the Outstanding Research Career Achievement Award from APSAC and the Rosenberry Award from the Children's Hospital of Denver. In addition to her administrative, research, and teaching responsibilities, sheremains active as a clinician and supervisor. With Judith A. Cohen and Anthony P. Mannarino, she is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.