Treating Trauma and Traumatic Grief in Children and Adolescents: Second Edition

This authoritative guide has introduced many tens of thousands of clinicians to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), a leading evidence-based treatment for traumatised children and their parents or caregivers. Pre-eminent clinical researchers provide a comprehensive framework for assessing post traumatic stress disorder (PTSD), other trauma-related symptoms, and traumatic grief in 3- to 18-year-olds; building core coping skills; and directly addressing and making meaning of children's trauma experiences. Implementation is facilitated by sample scripts, case examples, troubleshooting tips, and reproducible client handouts. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8½" x 11" size. TF-CBT is listed in SAMHSA's National Registry of Evidence-Based Programs and Practices.

New to This Edition

• Incorporates a decade's worth of advances in TF-CBT research and clinical practice.
• Updated for DSM-5.
• Chapter on the model's growing evidence base.
• Chapter on group applications.
• Expanded coverage of complex trauma, including ways to adapt TF-CBT for children with severe behavioural or affective dysregulation.

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Table of Contents

I. Trauma-Focused Cognitive-Behavioral Therapy: Overview and Conceptual Framework

1. The Impact of Trauma and Grief on Children and Families
2. Assessment Strategies for Traumatized Children
3. The TF-CBT Model: How It Works
4. Research on TF-CBT
5. The Role of the TF-CBT Therapist

II. Trauma-Focused Components

Introduction to the Trauma-Focused Components

6. Trauma-Focused Component 1. Trauma Psychoeducation
7. Trauma-Focused Component 2. Parenting Skills
8. Trauma-Focused Component 3. Relaxation Skills
9. Trauma-Focused Component 4. Affective Expression and Modulation Skills
10. Trauma-Focused Component 5. Cognitive Coping and Processing Skills: The Cognitive Triangle
11. Trauma-Focused Component 6. Trauma Narration and Processing, Part 1: Trauma Narration
12. Trauma-Focused Component 6. Trauma Narration and Processing, Part 2: Cognitive Processing
13. Trauma-Focused Component 7. In Vivo Mastery of Trauma Reminders
14. Trauma-Focused Component 8. Conjoint Child–Parent Sessions
15. Trauma-Focused Component 9. Enhancing Future Safety and Development
16. Group Application of Trauma-Focused Components

III. Grief-Focused Components Introduction to the Grief-Focused Components

17. Grief-Focused Component 1. Grief Psychoeducation
18. Grief-Focused Component 2. Grieving the Loss and Addressing Ambivalent Feelings: "What I Miss and What I Don't Miss"
19. Grief-Focused Component 3. Preserving Positive Memories
20. Grief-Focused Component 4. Redefining the Relationship and Committing to Present Relationships
21. Treatment Review and Closure

Appendices

1. Handouts for Families
2. Implementation Resources: Books and Games to Use during Treatment
3. Additional Professional Resources: Training

References

Index

"Covering every aspect of TF-CBT--including the critical role of the therapeutic relationship and the flexible use of treatment procedures--this book provides a complete understanding of our most effective treatment for children and youth with trauma-related problems. Practitioners will greatly appreciate the extensive case examples and excellent clinical materials. I have never read a treatment manual in which every point made was so thoroughly grounded in the most recent scientific research. From start to finish, the authors combine the best science and clinical experience with a laser focus on tailoring treatment to the individual needs of each child and family. This book is evidence-based practice at its best. It should be read and studied by every therapist working with traumatized children and youth."
- Benjamin E. Saunders, PhD, Professor and Associate Director, National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina

"This manual represents the gold standard for synthesizing the best research and clinical practice into a coherent treatment model. Especially notable is the attention to ongoing developments in the field, such as the interest in a grief-related diagnosis. The authors are acutely sensitive to the needs of front-line clinicians working with complicated cases in various settings. They have expanded the original model in a way that is considerate of real-world challenges by offering therapists practical suggestions for adapting the core TF-CBT techniques to make them their own."
- Robin F. Goodman, PhD, private practice, New York City; Executive Director, A Caring Hand organization and bereavement program

"Developed by three of our most important child trauma researchers, TF-CBT represents a state-of-the-art approach for understanding and treating this underserved population. This second edition couldn't be more timely for clinicians who work with children, adolescents, and families. The effectiveness of the approach is demonstrated in the authors' clinical research studies as well as studies from other laboratories across the world, and the inclusion of multiple clinical examples renders the book usable for clinicians of all backgrounds and training."
- Terence M. Keane, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine

"Impressive. The authors interweave theory, research, and clinical insights to show how clinicians can engage traumatized children and their families in the process of change and recovery. The second edition includes extensive new research on both trauma- and grief-focused components and continues to provide a rich set of reproducible handouts. I recommend this book not only for clinicians working with traumatized youth, but also as a text that should be used at universities and colleges around the world."
- Tine K. Jensen, PhD, Department of Psychology, University of Oslo, Norway

"This outstanding second edition lays out both basic and sophisticated strategies, component by component. The authors reference the latest empirical findings from clinical trials, present useful case vignettes, and describe clinical complexities that clinicians of all levels of experience may face in practice."
- Lisa Amaya-Jackson, MD, MPH, UCLA-Duke National Center for Child Traumatic Stress, Duke University School of Medicine