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Implementation of CBT for youth affected by the World Trade Center disaster: Matching need to treatment intensity and reducing trauma symptoms
Author(s) -
AUTHOR_ID
Publication year - 2010
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20594
Subject(s) - context (archaeology) , psychological intervention , mental health , multilevel model , clinical psychology , psychology , cognitive behavioral therapy , poison control , occupational safety and health , suicide prevention , matching (statistics) , cognition , psychiatry , cognitive therapy , medicine , medical emergency , paleontology , pathology , machine learning , computer science , biology
An implementation study of cognitive–behavioral therapies (CBT) was conducted for traumatized youth in a postdisaster context. Headed by the New York State Office of Mental Health, the study targeted youth ( N = 306) ages 5–21 affected by the World Trade Center disaster. They received either trauma‐specific CBT or brief CBT skills depending upon the severity of trauma symptoms. Clinicians were trained to deliver these interventions and received monthly consultation. A regression discontinuity design was used to assess optimal strategies for matching need to service intensity. At 6‐months postbaseline, both groups had improved. Rate of change was similar despite differences in severity of need. The implications for the implementation of evidence‐based treatments postdisaster are discussed.