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Trauma Violence Abuse. 2008 Oct;9(4):214-26. doi: 10.1177/1524838008324336.

Disseminating and Implementing Trauma-focused CBT in community settings.

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Department of Psychiatry, Allegheny General Hospital, Pittsburgh, PA, USA.


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).

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