The University of Texas Health Science Center, Houston
The purpose of this study is to evaluating the feasibility of delivering a trauma-focused intervention among children with elevated traumatic stress symptoms in primary care
Inclusion Criteria: * able to read or understand English Exclusion Criteria: * Currently receiving mental health treatment elsewhere * Clinical exclusion criteria: 1. Evidence of active suicidality 2. Presence of psychotic symptoms Severe psychiatric or posttraumatic symptom impairment requiring immediate mental health treatment or hospitalization, defined as: 1. Score ≥ 40 on the child-report measure, or 2. Score ≥ 42 on the caregiver-report measure -Cognitive or comprehension difficulties that would prevent the child or caregiver from completing study assessments
The intervention is a stepped-care adaptation of Trauma-Focused Cognitive Behavioral Therapy (PSC-TF-CBT) delivered within pediatric primary care. Treatment intensity is matched to each participant's individual clinical needs, with participants receiving lower-intensity intervention components initially and progressing to more intensive trauma-focused treatment as clinically indicated. PSC-TF-CBT incorporates trauma-focused cognitive behavioral therapy strategies for youth and includes caregiver involvement.
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