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Trauma-Focused CBT for Children and Adolescents: Treatment Applications PDF

321 Pages·2012·2.695 MB·English
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Trauma-Focused cBT For children and adolescenTs Also from Judith A. Cohen, Anthony P. Mannarino, and Esther Deblinger For more information, visit drs. cohen and mannarino’s website: http://pittsburghchildtrauma.net effective Treatments for PTsd, second edition: Practice Guidelines from the international society for Traumatic stress studies Edited by Edna B. Foa, Terence M. Keane, Matthew J. Friedman, and Judith A. Cohen Treating Trauma and Traumatic Grief in children and adolescents Judith A. Cohen, Anthony P. Mannarino, and Esther Deblinger Trauma-Focused cBT For children and adolescenTs Treatment Applications edited by Judith A. Cohen Anthony P. Mannarino Esther Deblinger The Guilford Press new York london © 2012 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 1 The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the authors, nor the editors and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information. Readers are encouraged to confirm the information contained in this book with other sources. Library of Congress Cataloging-in-Publication Data Trauma-focused CBT for children and adolescents : treatment applications / edited by Judith A. Cohen, Anthony P. Mannarino, Esther Deblinger. p. cm. Includes bibliographical references and index. ISBN 978-1-4625-0482-4 (hardback) 1. Cognitive therapy for children. 2. Cognitive therapy for teenagers. 3. Post-traumatic stress disorder in children—Treatment. 4. Post-traumatic stress disorder in adolescence—Treatment. I. Cohen, Judith A. II. Mannarino, Anthony P. III. Deblinger, Esther. RJ505.C63T73 2012 618.92′891425—dc23 2011052458 about the editors Judith A. Cohen, MD, a board-certified child and adolescent psychia- trist, is Medical Director of the Center for Traumatic Stress in Children and Adolescents at Allegheny General Hospital, Pittsburgh, Pennsylvania. With Anthony P. Mannarino, she has received funding since 1986 from the National Institute of Mental Health, the Substance Abuse and Mental Health Services Administration, and the U.S. Department of Justice to assess and treat traumatized children. Dr. Cohen is a recipient of the Outstanding Professional Award from the American Professional Society on the Abuse of Children (APSAC) and the Norbert and Charlotte Rieger Psychodynamic Psychotherapy Award from the American Academy of Child and Adolescent Psychiatry. 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. He is also Professor of Psychiatry at Drexel University College of Medicine. Dr. Mannarino has been a leader in the field of child traumatic stress since the 1980s. He has been awarded numerous federal grants from the National Center on Child Abuse and Neglect and the National Institute of Mental Health to investigate the clinical course of traumatic stress symptoms in children and to develop effective treatment approaches for traumatized children and their families. He is a recipient of many honors, including the Betty Elmer Outstanding Professional Award from Family Resources of Pennsylvania, the Most Outstanding Article Award for papers published in the journal Child Maltreatment from APSAC, the Model Program Award from the Substance Abuse and Mental Health Services Administration for “Cognitive-Behavioral Therapy for Child Trau- matic Stress,” and the Legacy Award from the Greater Pittsburgh Psycho- v vi about the editors logical Association. Dr. Mannarino is a past president of APSAC and of the Section on Child Maltreatment, Society for Child and Family Policy and Practice (Division 37), American Psychological Association. Esther Deblinger, PhD, is Co-Founder and Co-Director of the CARES (Child Abuse Research Education and Service) Institute and Professor of Psychiatry at the School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey (UMDNJ). She has received funding since 1986 from the Foun- dation of UMDNJ, the National Center on Child Abuse and Neglect, and the National Institute of Mental Health to investigate the impact and treatment of child abuse. Dr. Deblinger has collaborated with Judith A. Cohen and Anthony P. Mannarino over many years on the development, evaluation, and dissemination of trauma-focused cognitive-behavioral therapy, recog- nized for its efficacy by the U.S. Department of Health and Human Services and the Kaufman Best Practices Task Force. She has coauthored numerous scientific publications and two widely acclaimed professional books on the treatment of child sexual abuse and trauma and traumatic grief, as well as several children’s books on body safety. Her work has been recognized with awards from Woman’s Day magazine and the State of New Jersey’s Office of the Child Advocate. In addition, Dr. Deblinger is a recipient of the Outstanding Research Career Achievement Award from APSAC and the Rosenberry Award for Excellence in Teaching, Innovative Research, and Scholarly Vision from the Children’s Hospital, Aurora, Colorado. contributors Dolores Subia BigFoot, PhD, Center on Child Abuse and Neglect, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma Angela M. Cavett, PhD, RPT-S, Knowlton, O’Neill and Associates, West Fargo, North Dakota Judith A. Cohen, MD, Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Pittsburgh, Pennsylvania Stephen J. Cozza, MD, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, Maryland Carla Kmett Danielson, PhD, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina Michael Andrew de Arellano, PhD, National Crime Victims Treatment and Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina Esther Deblinger, PhD, CARES Institute, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey Shannon Dorsey, PhD, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington Athena A. Drewes, PsyD, RPT-S, Astor Services for Children and Families, Rhinebeck, New York Julia W. Felton, PhD, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina Christina A. Grosso, LCAT, ATR-BC, BCETS, Center for Trauma Program Innovation, Jewish Board of Family and Children’s Services, New York, New York Matthew Kliethermes, PhD, Children’s Advocacy Services of Greater St. Louis, University of Missouri–St. Louis, St. Louis, Missouri vii viii contributors Anthony P. Mannarino, PhD, Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Pittsburgh, Pennsylvania Laura K. Murray, PhD, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland Daniela Navarro, MA, LPC, LCDC, Serving Children and Adolescents in Need, Inc., Laredo, Texas Susana Rivera, PhD, LPC, Serving Children and Adolescents in Need, Inc., Laredo, Texas Susan R. Schmidt, PhD, Center on Child Abuse and Neglect, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma Stephanie A. Skavenski, MSW, MPH, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland Rachel Wamser, MA, Children’s Advocacy Services of Greater St. Louis, University of Missouri–St. Louis, St. Louis, Missouri acknowledgments The growth and dissemination of the trauma-focused cognitive-behavioral therapy (TF-CBT) model as reflected in this book is a direct result of the enormous support we have enjoyed from friends and colleagues too numer- ous to name. These colleagues include individuals who helped us get started in the field and showed us the ropes and those who supported our efforts along the way, as well as our more recent collaborators. We are particu- larly indebted to our respective institutions—the CARES Institute at the School of Osteopathic Medicine at the University of Medicine and Dentistry of New Jersey and Allegheny General Hospital/Allegheny–Singer Research Institute—and their leadership for providing the supportive atmospheres in which we have been able to successfully engage in the clinical, research, and training efforts that have made the development, evaluation, and wide- spread dissemination of TF-CBT possible. We would like to express our appreciation to our many clinical col- leagues, within our institutions as well as those across the United States and the rest of the world. Their creative clinical ideas and insights over the years have greatly contributed to the appeal and flexibility of TF-CBT. In addi- tion, we are very thankful for the commitment and diligence of our research colleagues whose important contributions allowed us to develop the evi- dence base that sets this treatment model apart and provides clinicians and consumers with confidence that their children can and will overcome the devastating effects of trauma. We are also greatly encouraged by the work of researchers outside of our institutions who are replicating our findings and adding to our understanding of how best to support the healing of chil- dren and their families. We would like to acknowledge the funding agencies that have supported our work for over 25 years. These agencies include the National Center ix

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