TF-CBT Questions and Answers Latest Version Graded A

TF-CBT Questions and Answers Latest Version Graded A How often should TF-CBT treatment sessions be conducted? a. At least 1 session per month b. Once a week or more frequently c. Never less than 1 session every 2 weeks d. Once a week with the child and once every two weeks with the parent/caregiver e. Two sessions per week b. 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. What is the typical length of a full course of TF-CBT? a. 6-12 sessions b. 8-50 sessions c. 12-25 sessions d. 18-40 sessions e. 25-30 sessions c. 12-25 sessions A typical course of TF-CBT should take somewhere between 3-5 months of regular weekly sessions. For what age range of children has TF-CBT been found to be effective? a. 10-18 years b. 7-17 years c. 5-12 years d. 3-10 years e. 3-18 years e. 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? a. All children who have experienced at least one potentially traumatic event are good candidates for TF-CBT b. Supportive parents/caregivers participate in all sessions of TF-CBT c. Emphasizing self-efficacy is a key principle of TF-CBT d. Gradual Exposure is part of every component and every session of TF-CBT e. Constructing and processing the trauma narrative should take one-third of the total treatment sessions. a. 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? a. Yes, she probably is avoiding all thoughts and feelings related to the car crash, and treatment is needed. b. No, she does not have clinically significant trauma-related problems that require trauma-focused treatment. c. Yes, all children who have experienced any traumatic event should receive TF-CBT d. No, children who score in the normal range on a standardized measure of PTSD should never receive TF-CBT. e. Yes, all children can benefit from the stress management components of TF-CBT. b. 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? a. Helping parents and caregivers process their own trauma histories in order to be better parents. b. Parents and caregivers learn how to avoid behaviors and situations that might trigger future traumatic stress reactions by their child c. To improve the marriage or partner relationship of the parents or caregivers d. To increase caregiver support of the child, parenting skills, and parent-child communication e. To increase parent or caregiver self-esteem and personal health d. 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? a. Child is in imminent danger of harm by a caregiver b. Child reports significant suicidal ideation c. Active, frequent, problematic substance abuse by the child d. Child exhibits severe, disruptive or aggressive behavior problems e. Child has significant academic problems and is failing e. 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? a. Parenting Skills and Gradual Exposure b. Psychoeducation and Cognitive Coping c. Affective Identification and Regulation and Cognitive Coping d. Parenting and Enhancing Safety e. Gradual Exposure and Cognitive Coping a. 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? a. Psychoeducation, Gradual Exposure, Cognitive Coping and Parenting b. Parenting, Affective Identification and Regulation, Trauma Narrative, and Enhancing Future Safety and Development c. In Vivo Mastery, Conjoint Sessions, and Enhancing Future Safety and Development d. Cognitive Coping, Affective Integration and Regulation, Trauma Narrative, In Vivo Mastery e. Trauma Narrative, In Vivo Mastery, Conjoint Sessions, and Enhancing Future Safety and Development c. 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? a. No, since Samuel has a cognitive disability, TF-CBT is not a good treatment for him. b. Yes, all children who have experienced physical abuse should receive TF-CBT. c. No, children who score in the normal range on a standardized measure of PTSD should never receive TF-CBT. d. Yes, Samuel's problems with guilt, self-blame, and shame are clinically significant trauma related problems that can be treated with TF-CBT. e. No, Samuel's parents are not appropriate as supportive caregivers to participate in treatment. d. 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? a. Training and Competence b. Adherence and Competence c. Training and Adherence d. Evidence and Competence e. Evidence and Training b. 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).