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Patterns of Caregiver Factors Predicting Participation in Trauma-Focused Cognitive Behavioral Therapy

Abstract

This study examined patterns of caregiver factors associated with Trauma- Focused Cognitive Behavioral Therapy (TF-CBT) utilization among trauma-exposed youth. This study included 41 caregivers (caregiver age M = 36.1, SD = 9.88; 93% African American) of youth referred for TF-CBT, following a substantiated forensic assessment of youth trauma exposure. Prior to enrolling in TF-CBT, caregivers reported on measures for parenting stress, attitudes towards treatment, functional impairment, caregiver mental health diagnosis, and caregiver trauma experiences. Classification and regression tree methodology were used to address study aims. Predictors of enrollment and completion included: attitudes towards treatment, caregiver trauma experiences, and parenting stress. Several caregiver factors predicting youth service utilization were identified. Findings suggest screening for caregivers’ attitudes towards therapy, parenting stress, and trauma history is warranted to guide providers in offering caregiver-youth dyads appropriate resources at intake that can lead to increased engagement in treatment services.

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Acknowledgments

Funding for this study was provided by the Georgia Center for Child Advocacy, Emory Center for Injury Prevention (PI: Shannon Self-Brown, Ph.D.). The authors would like to thank Brooke Beaulieu, Constance Ogokeh, and Ryan Savage for their feedback on this manuscript. The authors have no conflicts of interest to report.

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Correspondence to Betty S. Lai.

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All Procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation [institutional and national] and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Lai, B.S., Tiwari, A., Self-Brown, S. et al. Patterns of Caregiver Factors Predicting Participation in Trauma-Focused Cognitive Behavioral Therapy. Journ Child Adol Trauma 12, 97–106 (2019). https://doi.org/10.1007/s40653-017-0177-5

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Keywords

  • Enrollment
  • Engagement
  • Barriers
  • Family
  • Children