1. What is the typical length of a full course of 12-25 sessions
TF-CBT? A typical course of TF-CBT should take
somewhere between 3-5 months of re-
qular weekly sessions.
2. . How often should TF-CBT treatment sessions Once a week or more frequently
be conducted? Weekly sessions are the TF-CBT stan-
dard, and treatment can be delivered
more frequently if circumstances make
that possible.
3. For what age range of children has TF-CBT 3-18 years
been found to be effective? Research demonstrating TF-CBT's efl-
cacy has included children as young as
3 and as old as 18.
4. Which of the following statements is NOT true All children who have experienced at
for TF-CBT? 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.
5. Lila is a 10-year-old girl referred to you by No, she does not have clinically signif-
a school counselor due to misbehavior in icant trauma-related problems that re-
school and decreased academic performance quire trauma-focused treatment.
that both have become serious problems over TF-CBT should be provided to kids who
the past 3 months. Your trauma assessment have experienced trauma AND who re-
revealed that she had been in a serious car port some symptoms of PTSD
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 standard-
ized measure of PTSD symptoms was in the
low normal range. Is Lila a good treatment
candidate for TF-CBT and why?
6. Which of the following is a TF-CBT treatment To increase caregiver support of the
goal for participating parents and caregivers? 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.
7. Which of the following is NOT a problem Child has significant academic problems
that should be managed prior to beginning and is failing
TF-CBT? Issues that pertain to the safety of the
child or others in the child's environ-
ment need to be addressed prior to
beginning TF-CBT. Academic problems
generally do not rise to this standard.
8. What treatment elements should be included Parenting Skills and Gradual Exposure
in every session of TF-CBT? 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
9. Which TF-CBT treatment components make In Vivo Mastery, Conjoint Sessions, and
up the Integration/Consolidation Phase of Enhancing Future Safety and Develop-
treatment? ment
, Integration/Consolidation is the final
phase of TF-CBT treatment and includes
all the components after the creation
and processing of the Trauma Narrative.
10. Samuel is a 14-year-old boy with a cognitive Yes, Samuel's problems with guilt,
disability who functions at about the level of self-blame, and shame are clinically sig-
a 5-year-old. He was referred to you by a nificant trauma related problems that
child welfare worker after a report of physical can be treated with TF-CBT.
abuse by his mother. Your trauma assessment Despite Samuel's disability, he is func-
found that Samuel had a long history of sig- tioning at a developmental level for
nificant physical abuse by both his parents. which TF-CBT is appropriate, and his
Samuel reported that when his parents beat self-blame and emotional symptoms
him, it was his fault because he did something are appropriate treatment targets.
wrong, and that he usually deserved the pun-
ishment. He often felt guilty about causing
his parents to hit him and ashamed of him-
self 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?
11. What are the two components of treatment Adherence and Competence
fidelity? The degree to which therapists pro-
vide treatment "with fidelity" is depen-
dent on how closely they follow the pre-
scribed treatment model (adherence)
and their skill in delivering the treatment
components (competence).
12.