CBT – How to Implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

CBT – How to Implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) – Online CE Course

CBT – How to Implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Course Objectives and Outline:

Course Objectives:

1. Identify at least two trauma symptoms in youth.
2. Identify at least two advantages of Trauma-Focused Cognitive Behavioral Therapy.
3. Describe at least two Trauma-Focused Cognitive Behavioral Therapy principles.
4. Identify at least two strategies for using Trauma-Focused Cognitive Behavioral Therapy.
5. Define at least two methods for Trauma-Focused Cognitive Behavioral Therapy delivery.
6. Explain at least one Trauma-Focused Cognitive Behavioral Therapy treatment goal.
7. Describe at least one Trauma-Focused Cognitive Behavioral Therapy intervention.

Course Outline:

1. Why Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?
   1. Why Should Agencies and Clinicians Consider Implementing TF-CBT?
2. An Overview of TF-CBT
   1. What Is TF-CBT?
   2. What Are the Components of TF-CBT?
   3. What Symptoms Does TF-CBT Reduce?
   4. When Is TF-CBT Not the First-Line Treatment of Choice?
3. Implementing TF-CBT
   1. Agency Stakeholders: Identification and Buy-in Within and Outside Agencies and Programs
   2. Steps in Implementing TF-CBT: Organizational readiness, pre-implementation training, implementation, and sustaining the practice
   3. Information for Program Administrators
   4. Information for Clinical Supervisors
   5. Information for Therapists
   6. Information for Families and Children
   7. Information for Community Referral Source
   8. Information for Third-Party Payors
   9. Other Issues Related to Implementing TF-CBT
      1. Staffing Levels, Skills, and Training
      2. TF-CBT and Reimbursement
      3. TF-CBT and Managed Care
4. Delivering TF-CBT
   1. Fostering Attitudes of Acceptance
   2. How TF-CBT Fosters Cultural Competence
   3. Fostering the Ability to Talk About Traumatic Events
   4. Therapeutic Materials and Activities
   5. Client Selection Criteria
   6. Screening and Assessment
   7. Time Requirements and Adjusting the Length of TF-CBT Treatment
   8. Skill Acquisition By Therapists
   9. How to Implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
5. Maintaining TF-CBT
   1. Sustaining Fidelity and Avoiding “Drift”
   2. Balancing Fidelity and Flexibility
   3. Addressing Fidelity Issues with Novice vs. Experienced Therapists
   4. Meeting Fidelity Standards
6. Additional Clinical Considerations
   1. Service Needs in Addition to Treatment
   2. Addressing Comorbidity
   3. TF-CBT and Multiple Trauma Events
   4. Managing Parents/Caregivers with Complex Needs
7. Conclusions
8. Appendices
   1. Summary of Trauma-Focused-CBT Research
   2. Organizational Readiness and Capacity Assessment
   3. UCLA PTSD Index for DSM-IV (Child, Adolescent, and Parent Versions) and Scoring Worksheet
   4. Trauma-Focused-CBT Brief Practice Checklist

Instructors: Nicole Hiltibran, MA, LMFT; Julie Campbell, Phd

Author: National Child Traumatic Stress Network

Established by Congress in 2000, the National Child Traumatic Stress Network (NCTSN) brings a singular and comprehensive focus to childhood trauma. NCTSN’s collaboration of frontline providers, researchers, and families is committed to raising the standard of care while increasing access to services. Combining knowledge of child development, expertise in the full range of child traumatic experiences, and dedication to evidence-based practices, the NCTSN changes the course of children’s lives by changing the course of their care.

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