Trauma Treatment in Norwegian Child Advocacy Centers
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- The Child and Adolescent Trauma Screen (CATS)
研究概览
简要总结
Norwegian child and advocacy centers´ core activities include both forensic services (e.g., forensic interviews) and follow-up services (e.g., treatment), aiming to coordinate the different services involved in each case to prevent additional burdens for youth in already vulnerable situations. However, a recent study indicates that very few receive follow-up after the forensic interview and that the follow-up in most cases includes one-time or occasional support and only in rare cases treatment. In the same study, youth receiving follow-up in the CAC in Oslo revealed significantly higher levels of common mental health problems than a comparable community sample, yet lower than clinical samples, indicating that many youths in CACs may be falling between different services within the health care system, not necessarily receiving the help they need elsewhere.
The current project will investigate four issues related to these knowledge needs;
- How do children and parents experience receiving trauma treatment at child advocacy centers?
- What predicts treatment effects?
- What is the prevalence of symptoms of burnout and secondary traumatic stress among employees working in child advocacy centers, and can training in evidence-based treatment prevent burnout and secondary traumatic stress?
详细描述
Employees in the child advocacy centers (CAC) received training in trauma screening and a sub-sample received training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).
To address the knowledge gaps, this project will answer the following research questions, corresponding to four Work Packages (WP):
- Youth's and caregiver´s experiences with trauma treatment in CACs: How do youth and caregivers experience receiving trauma treatment in Norwegian CACs, and how are their experiences affected by CACs dual role as both a forensic institution and a treatment institution?
- Response, non-response and dropout in trauma treatment in CACs: What predicts treatment outcomes for youth receiving TF-CBT in Norwegian CACs?
- Therapists' experiences with trauma treatment in CACs: How do therapists in Norwegian CACs experience job demands and job resources, including burnout and secondary traumatic stress, and how can working with TF-CBT influence this?
- Descriptive study of leadership, turnover, and secondary traumatic stress among staff in Norwegian Child Advocacy Centers.
To answer research question 1, qualitative interviews with children and caregivers will be conducted following their participation in TF-CBT.
For research question 2, quantitative data will be collected during the TF-CBT sessions. The child advocacy centers identify eligible TF-CBT clients through systematic trauma screening and establish routines for how TF-CBT is offered and delivered.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 6 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Trauma exposure
- •Post-traumatic stress symptoms above clinical cut-off
排除标准
- •Clinical assessment concludes that the child should receive services in the child and adolescent specialist services
结局指标
主要结局
The Child and Adolescent Trauma Screen (CATS)
时间窗: 2021-2023
CATS is a screening instrument for PTSD based on the DSM-5 criterias.Total score range is between 0-60. A higher score indicates more symptoms, with a cut-off ≥ 21 as indication of a clinically relevant level of symptoms.
次要结局
- Child Post-Traumatic Cognitions Inventory (cPTCI)(2021-2023)
- Short Moods and Feelings Questionnaire (SMFQ)(2021-2023)
- Duke-UNC Functional Social Support Questionnaire (FSSQ)(2021-2023)
- Child Satisfaction Questionnaire (developed by NKVTS)(2021-2023)
- Client Satisfaction Questionnaire (to the caregiver)(2021-2023)
- Project specific questionnaire, inspired by the Working Alliance Inventory (WAI)(2021-2023)
研究者
Ane-Marthe Solheim Skar
PhD, project leader
Norwegian Center for Violence and Traumatic Stress Studies