Trauma Outcome Process Assessment Model (TOPA)

The information in this program outline is provided by the program representative and edited by the CEBC staff. This program has been reviewed by the CEBC in the following Topic Areas:

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About This Program

Target Population: Sexually abused children and adolescents and children and adolescents who have sexual behavior problems or manifest sexually abusive behavior including males and females ages 4 to 19 years and youth with low intellectual functioning

For children/adolescents ages: 4 – 19

For parents/caregivers of children ages: 4 – 19

Brief Description

The TOPA program is designed to help sexually abused and sexually abusive children/youths: (a) recognize how self-destructive and/or sexually abusive behaviors connect to past sexual abuse and other traumatic experiences (e.g., physical abuse, exposure to domestic violence); (b) take responsibility for maladaptive behaviors; and (c) make adaptive choices when current stressors trigger feelings or memories related to past traumas. Therapists take a directive role by creating a safe therapeutic environment, then implementing cognitive-behavioral interventions through experiential methods (art therapy, play therapy, sand tray, bibliotherapy, role play, drama, relaxation). Therapist also works with parents or caregivers to ensure that the home environment supports and maintains the child’s treatment gains.

Program Goals:

The goals of the Trauma Outcome Process Assessment Model (TOPA) are:

  • Increase child’s self-awareness of feelings, thoughts, body sensations, motivations, and behaviors, as related to a traumatic experience or triggers related to the traumatic experience
  • Increase child's adaptive responses (e.g., coping skills) and decrease maladaptive responses (e.g., self-destructive behavior, sexual behavior problems, sexually abusive behaviors) to traumatic experiences or triggers related to traumatic experiences
  • Have child take responsibility for self-destructive behaviors, sexual behavior problems, and/or sexually abusive behaviors
  • Have child demonstrate increased self-esteem and self-caring behaviors
  • Have child demonstrate increased empathy for others
  • Have child demonstrate improved social skills
  • Have child cease in engaging in self-destructive behaviors, sexual behavior problems, and/or sexually abusive behaviors
  • Have child utilize positive coping skills when confronted with stressful events reminiscent of past sexual abuse or other trauma

Contact Information

Lucinda Lee Rasmussen, PhD, LCSW
Agency/Affiliation: Center for the Integration and Resolution of Traumatic Experiences (CIRTE)
Phone: (619) 301-8231
Fax: (619) 594-5991

Date Research Evidence Last Reviewed by CEBC: September 2013

Date Program Content Last Reviewed by Program Staff: April 2016

Date Program Originally Loaded onto CEBC: October 2011