What is the typical length of a full course of TF-CBT? - answer✔✔12-25 sessions
A typical course of TF-CBT should take somewhere between 3-5 months of reqular weekly
sessions.
. How often should TF-CBT treatment sessions be conducted? - answer✔✔Once a week or more
frequently
Weekly sessions are the TF-CBT standard, and treatment can be delivered more frequently if
circumstances make that possible.
For what age range of children has TF-CBT been found to be effective? - answer✔✔3-18 years
Research demonstrating TF-CBT's efficacy has included children as young as 3 and as old as 18.
Which of the following statements is NOT true for TF-CBT? - answer✔✔All children who have
experienced at least one potentially traumatic event are good candidates for TF-CBT
Simply experiencing a trauma does not make a child a good candidate for TF-CBT; trauma-
related symptoms must be present, as well.
Lila is a 10-year-old girl referred to you by a school counselor due to misbehavior in school and
decreased academic performance that both have become serious problems over the past 3
months. Your trauma assessment revealed that she had been in a serious car crash about three
years ago, suffering some minor physical injuries. Neither she nor her parents report any other
traumatic events. Her mother reported no difficulties related to the car crash and Lila's score on a
standardized measure of PTSD symptoms was in the low normal range. Is Lila a good treatment
candidate for TF-CBT and why? - answer✔✔No, she does not have clinically significant trauma-
related problems that require trauma-focused treatment.
TF-CBT should be provided to kids who have experienced trauma AND who report some
symptoms of PTSD
Which of the following is a TF-CBT treatment goal for participating parents and caregivers? -
answer✔✔To increase caregiver support of the child, parenting skills, and parent-child
communication
Some of the other response options may be ancillary benefits of TF-CBT in some cases, but they
are not explicit treatment goals.
Which of the following is NOT a problem that should be managed prior to beginning TF-CBT? -
answer✔✔Child has significant academic problems and is failing
Issues that pertain to the safety of the child or others in the child's environment need to be
addressed prior to beginning TF-CBT. Academic problems generally do not rise to this standard.
What treatment elements should be included in every session of TF-CBT? - answer✔✔Parenting
Skills and Gradual Exposure
The trauma should be discussed in every session of TF-CBT (as the PRAC skills are applied to
trauma-related problems, for example), and parent sessions should include some discussion of
parenting
Which TF-CBT treatment components make up the Integration/Consolidation Phase of
treatment? - answer✔✔In Vivo Mastery, Conjoint Sessions, and Enhancing Future Safety and
Development
Integration/Consolidation is the final phase of TF-CBT treatment and includes all the
components after the creation and processing of the Trauma Narrative.
Samuel is a 14-year-old boy with a cognitive disability who functions at about the level of a 5-
year-old. He was referred to you by a child welfare worker after a report of physical abuse by his
mother. Your trauma assessment found that Samuel had a long history of significant physical
abuse by both his parents. Samuel reported that when his parents beat him, it was his fault
because he did something wrong, and that he usually deserved the punishment. He often felt
guilty about causing his parents to hit him and ashamed of himself for being bad. A standardized
measure of PTSD symptoms completed by his current caregiver, an aunt, was in the high normal
range. Is Samuel a good treatment candidate for TF-CBT and why? - answer✔✔Yes, Samuel's
problems with guilt, self-blame, and shame are clinically significant trauma related problems that
can be treated with TF-CBT.
Despite Samuel's disability, he is functioning at a developmental level for which TF-CBT is
appropriate, and his self-blame and emotional symptoms are appropriate treatment targets.
What are the two components of treatment fidelity? - answer✔✔Adherence and Competence
The degree to which therapists provide treatment "with fidelity" is dependent on how closely
they follow the prescribed treatment model (adherence) and their skill in delivering the treatment
components (competence).
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