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Feasibility and Effectiveness of a Telehealth Service Delivery Model for Treating Childhood Posttraumatic Stress:A Community-Based, Open Pilot Trial of Trauma-Focused Cognitive–Behavioral Therapy

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dc.contributor.author Stewart, R. W., Orengo-Aguayo, R., Young, J., Wallace, M. M., Cohen, J. A., Mannarino, A. P., & de Arellano, M. A.
dc.date.accessioned 2020-07-17T16:19:16Z
dc.date.available 2020-07-17T16:19:16Z
dc.date.issued 2020
dc.identifier.citation Stewart, R. W., Orengo-Aguayo, R., Young, J., Wallace, M. M., Cohen, J. A., Mannarino, A. P., & de Arellano, M. A. (2020). Feasibility and effectiveness of a telehealth service delivery model for treating childhood posttraumatic stress: A community-based, open pilot trial of trauma-focused cognitive–behavioral therapy. Journal of Psychotherapy Integration, 30(2), 274. en_US
dc.identifier.uri https://psycnet.apa.org/fulltext/2020-39749-010.pdf
dc.identifier.uri http://hdl.handle.net/11212/4809
dc.description.abstract Telepsychotherapy (also referred to as telehealth or telemental health), the use of videoconferencing to deliver psychotherapy services, offers an innovative way to address significant gaps in access to care and is being used to deliver a variety of treatments for youth. Although recent research has supported the effectiveness of telehealth delivery of a variety of interventions for children, the literature has focused very little on childhood posttraumatic stress disorder. This pilot study examined the feasibility and potential effectiveness of trauma-focused cognitive– behavioral therapy(TF-CBT) delivered via telepsychotherapy in community-based locations of either schools or patient homes. Telepsychotherapy treatment was delivered to 70 trauma-exposed youth in 7 underserved communities. Of these, 88.6% completed a full course of TF-CBT and 96.8% of these treatment completers no longer met diagnostic criteria fingful symptom change posttreatment, with large effect sizes evident for both youth-and caregiver-reported reduction in posttraumatic stress disorder symptoms. The results observed in this pilot evaluation are promising and provide preliminary evidence of the feasibility and effectiveness of this novel treatment format. The COVID-19 global pandemic has resulted in an unprecedented need to rethink how mental health services are delivered, which is particularly applicable to high base rate conditions related to posttraumatic stress. Given the existing network of nationally certified TF-CBT therapists, and many international TF-CBT therapists, these findings suggest the potential for providing effective and accessible telepsychotherapy intervention during this public health crisis (as well as those that will occur in the future). en_US
dc.language.iso en_US en_US
dc.publisher Journal of Psychotherapy Integration en_US
dc.subject telehealth en_US
dc.subject children en_US
dc.subject adolescents en_US
dc.subject PTSD en_US
dc.title Feasibility and Effectiveness of a Telehealth Service Delivery Model for Treating Childhood Posttraumatic Stress:A Community-Based, Open Pilot Trial of Trauma-Focused Cognitive–Behavioral Therapy en_US
dc.type Article en_US


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