Disseminating Trauma-Focused Cognitive Behavioral Therapy with a Systematic Self-care Approach to Addressing Secondary Traumatic Stress: PRACTICE What You Preach

This pilot study evaluated the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training programs augmented with a systematic “PRACTICE What You Preach” (PWYP) self-care focus, which has trainees personally utilize the coping skills they teach their clients. Participants were 11...

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Bibliographic Details
Published in:Community mental health journal 2020-11, Vol.56 (8), p.1531-1543
Main Authors: Deblinger, Esther, Pollio, Elisabeth, Cooper, Beth, Steer, Robert A.
Format: Article
Language:English
Subjects:
Activities of daily living
Augmentation
Behavior modification
Behavior problems
Child
Cognition
Cognitive Behavioral Therapy
Cognitive therapy
Cognitive-behavioral factors
Community and Environmental Psychology
Compassion Fatigue
Coping
Coping strategies
Educational programs
Effectiveness
Fidelity
Humans
Humor
Medicine
Medicine & Public Health
Original Paper
Pilot Projects
Post traumatic stress disorder
Psychiatry
Psychotherapy
Self Care
Skills
Social skills
Social support
Stress
Stress Disorders, Post-Traumatic - therapy
Supervisors
Symptoms
Trainees
Training
Trauma
Vicarious trauma
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Summary:This pilot study evaluated the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training programs augmented with a systematic “PRACTICE What You Preach” (PWYP) self-care focus, which has trainees personally utilize the coping skills they teach their clients. Participants were 115 clinicians/supervisors who completed a PWYP TF-CBT training program. Pre- to post-training analyses documented significant increases in participants’ competency and fidelity in implementing TF-CBT ( p s < .001), significantly more frequent use of coping skills including instrumental social support ( p < .01), active coping ( p < .001), humor ( p < .01), and restraint ( p < .01), and significant decreases in secondary traumatic stress (STS; p < .001). Children’s symptoms of PTSD ( p s < .001) and behavior problems ( p < .05) also decreased significantly. This preliminary evidence suggests that training augmented with PWYP may enhance clinicians’/supervisors’ personal coping and reduce their levels of STS without compromising treatment implementation efforts and client outcomes.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-020-00602-x