TY  - JOUR
PY  - 2021//
TI  - Therapists' perceived competence in trauma-focused cognitive behavioral therapy and client outcomes: findings from a community-based learning collaborative
JO  - Child maltreatment
A1  - Espeleta, Hannah C.
A1  - Peer, Samuel O.
A1  - Are, Funlola
A1  - Hanson, Rochelle F.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - This study examined therapists' perceived competence in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and its association with youth treatment outcomes (posttraumatic stress and depression). Participants included 99 community therapists enrolled in a TF-CBT-focused Learning Collaborative (LC), along with one of their randomly selected TF-CBT training cases. Analyzed data included: 1) caregiver/youth-reported posttraumatic stress and depressive symptoms, pre- and post-treatment, and 2) therapist-perceived competence with TF-CBT components across treatment delivery. Youth- and caregiver-reports indicated large, significant pre- to post-treatment decreases in youth posttraumatic stress (ds = 1.10-1.30, ps <.001) and depressive symptoms (d = 1.01, p <.001). Higher therapist-perceived competence with TF-CBT predicted positive treatment responses for posttraumatic stress (ds = 0.38-0.39, ps =.03) and depression (d = 0.25), though only the former association was significant (ps =.03 vs. p =.15). <br><br>FINDINGS highlight the need to monitor and improve therapists' competencies to enhance clinical outcomes for trauma-exposed youth and suggest that LCs may be an effective training/implementation model to help achieve those critical goals.<p />  <p>Language: en</p>
LA  - en
SN  - 1077-5595
UR  - http://dx.doi.org/10.1177/10775595211003673
ID  - ref1
ER  -