Microsoft word - combinedtf-cbt-ssri_fact_sheet_3-21-07.doc

• Acronym (abbreviation) for intervention: Combined TF-CBT + SSRI • Aspects of culture or group experiences that are addressed (e.g., faith/spiritual component, or addresses transportation barriers): • Trauma type (primary): Sexual abuse, community violence, and multiple • Additional descriptors (not included above): This treatment combines TF-CBT with SSRI (Selective Serotonin Reuptake Inhibitors) treatments for youth with PTSD (with or without co morbid psychiatric conditions) • Age range: (lower limit) to (upper limit) 10-18 years • Ethnic/Racial Group (include acculturation level/ immigration/refugee history--e.g., multinational sample of Latinos, recent immigrant Cambodians, multigenerational African Americans): Multiracial. • Other cultural characteristics (e.g., SES, religion) : • Language(s): • Region (.e.g., rural, urban): • Other characteristics (not included above): • Key components: TF-CBT combined with introduction, titration, and management of SSRI medication by a psychiatrist (current study is evaluating Sertraline titrated to a maximum of 200 mg/day as clinically indicated and tolerated. • Are you aware of any suggestion/evidence that this treatment may be • Extent to which cultural issues have been described in writings about this intervention (scale of 1-5 where 1=not at all to 5=all the time). • This intervention is being used on the basis of anecdotes and personal communications only (no writings) that suggest its value with this group. • Are there any anecdotes describing satisfaction with treatment, drop-out rates (e.g., quarterly/annual reports)? Yes No • Has this intervention been presented at scientific meetings? Yes No • Are there any general writings which describe the components of the intervention or how to administer it? Yes No • Has the intervention been replicated anywhere? Yes No Other countries? (please list) • Other clinical and/or anecdotal evidence (not included above): No increased occurrence of suicidal thoughts or actions in this small study. Recruitment was severely curtailed following the August 2003 FDA warning about increased • What assessments or measures are used as part of the intervention or for • If research studies have been conducted, what were the outcomes? Double blind RCT comparing TF-CBT+Placebo to TF-CBT+Sertraline in 10-17 year olds with sexual abuse-related PTSD. The findings show a significant benefit was found for adding sertraline to TF-CBT for better remission of PTSD symptoms. Also, analyses looking at the effect of race/ethnicity for children in this study indicated that for Caucasian children, regardless of getting Placebo or Sertraline, the TF-CBT worked. Conversely, African-American children showed no improvements in both the Placebo and Sertraline groups even though all of our previous studies have shown that TF-CBT alone works for African- • Space, materials or equipment requirements? • Supervision requirements (e.g., review of taped sessions)? • In order for successful implementation, support should be obtained from: • List citations for manuals or protocol descriptions and/or where manuals or • How/where is training obtained? Participants must complete one day for TF- CBT plus ongoing consultation; 2 hours for medication management (in trained child & adolescent psychiatrist). Completed trainings: approximately • What is the cost of training? • Are intervention materials (handouts) available in other languages? • Other training materials &/or requirement (not included above): • What are the pros of this intervention over others for this specific group (e.g., addresses stigma re. treatment, addresses transportation barriers)? • What are the cons of this intervention over others for this specific group (e.g., length of treatment, difficult to get reimbursement)?: Further research must be conducted and interventions may need to be adjusted for African-American children based on recent analyses indicating that AA children show no improvements with TF-CBT+SSRI; however DO seem to respond to TF-CBT Center for Traumatic Stress in Children and Adolescents Phone number: Email: jcohen1@wpahs.org Website:

Source: http://www.nctsn.com/nctsn_assets/pdfs/promising_practices/CombinedTF-CBT-SSRI_fact_sheet_3-21-07.pdf