Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) [Sexual Behavior Problems in Children, Treatment of] (TF-CBT)
Pre-Implementation Assessments
To be given to organizations or providers in order to measure organizational or individual readiness:
To be given to organizations or providers in order to measure organizational or individual readiness:
The Organizational Readiness and Capacity Assessment is a 29-item questionnaire designed to help agencies evaluate their readiness to implement evidence-based practices like TF-CBT.
Implementation Tools — for the program (e.g., implementation guides or manuals)
The TF-CBT Implementation Manual is for therapists, clinical supervisors, program administrators, and other stakeholders who are considering the use of TF-CBT for traumatized children in their communities. This manual was developed by the SAMHSA-funded National Child Traumatic Stress Network's (NCTSN) Sexual Abuse Task Force and is based on the experiences over many years in training community providers as to when, how, and with whom to use TF-CBT. It can be found at www.nctsnet.org/nctsn_assets/pdfs/TF-CBT_Implementation_Manual.pdf.
Fidelity Measures
- Each TF-CBT component must be implemented for each child unless there are clinical reasons for deleting a component (for example, there are no trauma reminders the child is avoiding, so in vivo mastery is not needed).
- The TF-CBT components must be implemented in the "PRACTICE" order unless there is a compelling reason to change the sequencing. (However, returning to a previously provided component to reinforce its use is permitted.)
- Progression from one component to the next must occur within a reasonable time period (i.e., treatment is completed within 12 to 16 sessions for usual cases, and 16 to 20 sessions for complex cases).
- The TF-CBT Brief Practice Worksheet is available to use to evaluate fidelity.