Abstract:
This manual addresses strategies for implementing an evidence‐based trauma treatment for youth
and families, Trauma‐Focused Cognitive Behavioral Therapy (TF‐CBT, Cohen, Mannarino &
Deblinger, 2012, 2017), for self-defined Black youth ages 3-17 years and their parents and/or other
caregivers who experience racial-related stress or trauma as well as other types of significant
trauma. (As with TF-CBT generally, these strategies may also be applicable for some transition
age Black youth, between 18 and 25 years old). The information in this manual was conceptualized
by following an empirically supported systematic framework, the ADAPT-ITT Model (Wingood
& DiClemente, 2008) that emphasizes maintaining core elements of an existing treatment while
integrating the culture of at-risk populations in order to increase treatment relevance, acceptability,
and sustainability of evidence-based interventions. This model is described in more detail below
(pp 54-55). Through a Substance Abuse and Mental Health Services Administration (SAMHSA)
grant for the National Child Traumatic Stress Network (https://nctsn.org) to the Allegheny General
Hospital Center for Traumatic Stress in Children and Adolescents, a year-long Learning
Community was conducted to evaluate and refine strategies for integrating TF-CBT with Racial
Socialization initially proposed by Metzger and colleagues (2021).