Cohen Judith, Mannarino Anthony P
Department of Psychiatry, Allegheny General Hospital, Pittsburgh, PA, USA.
Trauma Violence Abuse. 2008 Oct;9(4):214-26. doi: 10.1177/1524838008324336.
Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based practice (EBP) for children. TF-CBT is being disseminated and implemented through a variety of strategies, including distance learning/ Internet training, live training + ongoing phone consultation, a learning collaborative model, and mixed models. Each dissemination and implementation model is described, examples are provided of how it has been used to spread the TF-CBT model among community clinicians treating traumatized children, and data regarding its use are presented. Quality and quantity of data from these dissemination/ implementation models varies, but overall they supports the effectiveness of both the TF-CBT model in treating traumatized children and a variety of dissemination and implementation models. More research is needed to learn about optimal strategies for disseminating and implementing EST for traumatized children, and to explore novel methodologies (e.g., including training in EST for traumatized children in graduate programs).
创伤聚焦认知行为疗法（TF-CBT）是一种针对儿童的循证实践（EBP）。TF-CBT正通过多种策略进行传播和实施，包括远程学习/互联网培训、现场培训+持续电话咨询、学习协作模式以及混合模式。文中描述了每种传播和实施模式，提供了其如何在治疗受创伤儿童的社区临床医生中推广TF-CBT模式的示例，并展示了有关其使用的数据。这些传播/实施模式的数据质量和数量各不相同，但总体而言，它们支持TF-CBT模式在治疗受创伤儿童方面的有效性以及多种传播和实施模式。需要更多研究来了解为受创伤儿童传播和实施循证治疗（EST）的最佳策略，并探索新方法（例如，包括在研究生课程中开展针对受创伤儿童的循证治疗培训）。
