Administrative Supplement, Community TF-CBT for Children after Hurricane Katrina
Principle Investigator: Judith A. Cohen, M.D.; Co-Investigator: Anthony P. Mannarino, Ph.D.
Funding Source: National Institute of Mental Health (NIMH)
Abstract
The parent grant of this application, “Treating PTSD in Children Exposed to Domestic Violence” is comparing TF-CBT to treatment as usual in a community women’s center and shelter with domestic violence-related PTSD symptoms and their mothers, the direct victims of domestic violence. There are similarities in the populations to be studied, as well as in the treatment model, settings and providers for the parent grant and Supplement, which makes the Supplement a reasonable extension of the parent grant. The Supplement extends the intent of the existing parent grant, which is to evaluate the effectiveness, feasibility and acceptability of TF-CBT when used in community settings by community therapists. It proposes to do so by capitalizing on the opportunity in the aftermath of Hurricane Katrina, in collaboration with grants by Catholic Charities to fund Project Fleur-de-lis and our existing SAMHSA funding. Following community level disasters, a number of issues typically emerge regarding optimal triaging of exposed children for mental health interventions. The specific aims of this supplement are to develop a “risk” profile for children and adolescents based on PTSD symptoms, to implement and observe outcomes of two evidence-based models of therapy (TF-CBT and CBITS, Cognitive Behavioral Intervention for Trauma in Schools) for trauma in private and parochial school students in New Orleans following Hurricane Katrina; observe how students with different risk levels fare in each intervention; and lastly, evaluate the relative effectiveness of providing TF-CBT in a community setting to children following a natural disaster such as Hurricane Katrina.
Treating Young Sexually Abused Children: Optimal CBT Strategies
Principle Investigators: Anthony P. Mannarino, Ph.D. and Judith Cohen, M.D.
Funding Source: National Institute of Mental Health (NIMH)
Abstract
Trauma-focused Cognitive Behavior Therapy (TF-CBT) has been found in several studies to be superior to other treatments in children who have experienced sexual abuse. This study will provide different forms of TF-CBT to sexually abused 4-11 year old children and their non-abusive parents, in order to evaluate the optimal length of treatment and which components of TF-CBT are most critical for improving symptoms in young children. Treatment will be provided free of charge, and families will be compensated for completing research questionnaires.
Treating Childhood Traumatic Grief
Principle Investigators: Judith Cohen, M.D. and Tony Mannarino, Ph.D.
Funding Source: Substance Abuse and Mental Health Services Administration (SAMHSA)
Abstract
Childhood Traumatic Grief is a condition in which a child has lost a loved one in traumatic circumstances, and trauma symptoms impinge on the child's ability to negotiate the normal grieving process. Trauma symptoms typically include intrusive reminders (nightmares, frightening thoughts) of the traumatic event that lead to the loved one's death; attempts to avoid places, people or situations which remind the child of the deceased person or how they died; and increased arousal symptoms such as sleep disturbance, irritability, increased startle reaction, and feeling unsafe. It is generally believed that children with this condition need to resolve these trauma symptoms in order to be able to fully grieve the loss of the loved one. This treatment study is evaluating the efficacy of a combined trauma-and grief-focused treatment for children with traumatic grief and their parents. Treatment is provided free of charge for 16 sessions.
Treatment of PTSD in Children Exposed to Domestic Violence
Principle Investigators: Judith Cohen, M.D. and Tony Mannarino, Ph.D.
Funding Source: National Institute of Mental Health (NIMH)
Abstract
Domestic violence (DV) is a widespread problem in American families. Recent studies have indicated that children frequently develop PTSD symptoms in response to DV exposure. This study aims to evaluate the efficacy of trauma-focused treatment to children and their parents who have been exposed to domestic violence and have DV-related symptoms of Posttraumatic Stress Disorder (PTSD). Treatment is located at the Women's Center and Shelter of Greater Pittsburgh and is provided free of charge for 8 sessions.
For more information or to schedule an appointment, please call our coordinator:
Center for Traumatic Stress in Children & Adolescents
Allegheny General Hospital
phone: 412-330-4328
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