Benchmarking Treatment Effectiveness of Community-Delivered Trauma-Focused Cognitive Behavioral Therapy
Open accessAbstract
It is critical for urban youth with post-traumatic stress disorder (PTSD) living in poverty to have access to evidence-based interventions for their traumatic stress. However, there is limited research on the effectiveness of these interventions when provided in urban, community settings. The objectives of the current study are to (a) evaluate the effectiveness of trauma-focused cognitive behavioral therapy delivered from 2013 to 2016 in 15 behavioral health agencies on youth (N = 114) PTSD as well as general mental health symptoms and functioning, and (b) benchmark these clinical outcomes against other published efficacy and effectiveness trials. Effectiveness data are from the Philadelphia County Community Behavioral Health System, a system that has invested significantly in the training and ongoing support of clinicians providing high-quality trauma services to youth since 2012. From baseline to last assessment, youth PTSD symptom severity (d = 0.34), PTSD functional impairment (d = 0.38), and overall mental health problem severity (d = 0.29) improved. The effect sizes of improvements were smaller than effect sizes observed in efficacy and effectiveness studies. This study is the first benchmarking study of TF-CBT and provides preliminary findings with regard to the effectiveness, and transportability, of TF-CBT to urban community settings that serve youth in poverty.
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TF-CBT is effective across various adolescent age groups in real-world urban community settings.
“Researchers in the study [34] assess TF-CBT’s effectiveness across various adolescent age groups in real-world urban community settings”
From Clinical Efficacy of Psychotherapeutic Interventions for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Analysis. (2024) · cites this paper as [34]
The Abstract and Discussion report modest improvements among youth receiving TF-CBT in Philadelphia community agencies. Results > Preliminary Analyses gives an age range of 5–19, but the paper reports outcomes for the youth sample as a whole, not effectiveness separately across adolescent age groups. (LLM, conf=0.85)
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- Authors
- Rudd, B. N., Last, B. S., Gregor, C., Jackson, K., Berkowitz, S., Zinny, A., Kratz, H. E., Cliggitt, L., Adams, D. R., Walsh, L. M., & Beidas, R. S.
- Affiliations
- University of Pennsylvania (US)
- Department of Behavioral Health and Intellectual Disability Services (US)
- University of Colorado Boulder (US)
- La Salle University (US)
- Hall Mercer Community Mental Health Philadelphia PA USA
- University of Chicago (US)
- University of Miami (US)
- Leonard Davis Institute of Health Economics (US)
- Corresponding author
- Rudd, Brittany N.
- ORCID
- Venue
- American Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2019-08-20
- Volume
- 64
- Issue
- 3-4
- Pages
- 438-450
- ISSN
- 0091-0562 (ISSN-L)
- 1573-2770
- PMC
- PMC7136484
- OpenAlex
- W2969762991
- Cited by
- 24
- References
- 50
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 6 · 2019: 1
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32 MH109433, K23 MH 099179)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- trauma-focused cognitive behavioral therapy, post-traumatic stress disorder, youth, urban youth, poverty, benchmarking, treatment effectiveness, functional disability
- MeSH terms
- Adolescent, Child, Community Health Services, Female, Humans, Male, Stress Disorders, Post-Traumatic, Philadelphia, Cognitive Behavioral Therapy, Treatment Outcome, Benchmarking
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