Adaptation and implementation of a trauma-focused cognitive behavioral intervention for girls in child welfare

Bibliographic Data

ID9052903
AuthorsWendy Auslander (0000-0002-0767-9090, Washington University in St. Louis), Hollee Mcginnis (0000-0003-1067-3914, Washington University in St. Louis), Sarah Myers Tlapek (0000-0002-9443-3020, Washington University in St. Louis), Sarah Tlapek, Penny Smith (0009-0003-7483-4227, Washington University in St. Louis), April Foster (0000-0002-9663-7510, Washington University in St. Louis), Tonya Edmond (Washington University in St. Louis), Jerry Dunn (Washington University in St. Louis)
Year2017
Volume87
Issue3
Pages206-215
Publication date2017-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000233
PMID27977284
OpenAlexW2562477040
LanguageEN
Citations received3
References cited11

This study describes the process of adapting and implementing Girls Aspiring toward Independence (GAIN), a trauma-focused, group-based therapy adapted from Cognitive Behavioral Intervention for Trauma in Schools (CBITS) for girls in child welfare. Descriptive data were examined on 3 outcomes: posttraumatic stress disorder (PTSD), depression, and social problem-solving skills among adolescent girls in the child welfare system. Qualitative and quantitative methods were utilized to inform the adaptation of the CBITS intervention, evaluate feasibility, treatment fidelity, and acceptability, and to test the effects of the intervention. Girls ages 12 to 18 (N = 27) were randomly assigned to the experimental and usual care conditions. Participants' symptoms of PTSD and depression and social problem-solving skills were evaluated at pre, post- (3 months), and follow-up (6 months) assessments. Adaptations for GAIN were primarily related to program structure. Data indicated that the program was receptive to girls in child welfare and that it was feasible to recruit, randomize, assess outcomes, and implement with adequate fidelity. Retention was more successful among younger girls. Descriptive initial data showed greater reductions in the percentage of girls with PTSD and depression, and modest increases in social problem-solving skills in the experimental versus usual care condition. Despite the growth of knowledge in dissemination and implementation research, the application of trauma-focused empirically supported treatment to child welfare populations lags behind. A large-scale RCT is needed to determine if GAIN is effective in reducing mental health problems and social problem-solving in the child welfare population. (PsycINFO Database Record

Developmental psychology · Fidelity · Intervention (counseling) · Mental health · Population · Psychiatry · Randomized controlled trial · Welfare · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption · Clinical Psychology · Medicine · Psychology

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