Drexel University Dornsife School of Public Health, USA.
Drexel University College of Medicine, USA.
Clin Child Psychol Psychiatry. 2024 Oct;29(4):1365-1382. doi: 10.1177/13591045241272838. Epub 2024 Sep 16.
Black and Latino youth are disproportionately affected by trauma from community violence, but to date, few data support the benefit of evidence-based treatments for these youth or of including peer support to engage these youth in mental health services.
From 2018 until 2020, a hospital and community-based violence intervention program in Philadelphia pilot tested the integration of home and community-based Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) with peer services and case management for youth impacted by community violence. This study describes the implementation of this intervention.
Data was gathered by querying the program's database. The Child Post Traumatic Stress Symptom Severity Scale (CPSS-SR-5) and the Short Mood and Feelings Questionnaire (SMFQ) were utilized to evaluate the participants' pre- and post-intervention assessment of PTSD and depression. The sample ( = 50) consisted of Black and Latino youth, mean age 14.
Twenty-nine (58%) completed TF-CBT, and 82% met peer and case management goals. Youth who completed therapy showed significant improvement in both PTSD and depression symptoms at post-test.
To our knowledge, this is the first study describing the implementation of home and community-based TF-CBT with peer support and case management. The study's limitations and need for further research are discussed.
黑人和拉丁裔青年受到社区暴力造成的创伤的影响不成比例,但迄今为止,几乎没有数据支持针对这些青年的循证治疗或包括同伴支持以让这些青年参与心理健康服务的益处。
2018 年至 2020 年,费城的一家医院和社区为基础的暴力干预计划试点测试了将家庭和社区为基础的创伤聚焦认知行为疗法(TF-CBT)与同伴服务和案件管理相结合,以帮助受社区暴力影响的青年。本研究描述了该干预措施的实施情况。
通过查询该计划的数据库收集数据。使用儿童创伤后应激症状严重程度量表(CPSS-SR-5)和短期情绪和感觉问卷(SMFQ)来评估参与者在干预前和干预后的 PTSD 和抑郁评估。该样本(n=50)由黑人和拉丁裔青年组成,平均年龄为 14 岁。
29 名(58%)完成了 TF-CBT,82%的人达到了同伴和案件管理的目标。接受治疗的青年在 PTSD 和抑郁症状方面在测试后都有显著改善。
据我们所知,这是第一项描述家庭和社区为基础的 TF-CBT 与同伴支持和案件管理相结合的实施情况的研究。讨论了研究的局限性和进一步研究的必要性。