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Determinants of Implementing Evidence-Based Trauma-Focused Interventions for Children and Youth: A Systematic Review

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Abstract

A systematic review was conducted to identify determinants (barriers and facilitators) of implementing evidence-based psychosocial interventions for children and youth who experience emotional or behavioral difficulties due to trauma exposure. Determinants were coded, abstracted, and synthesized using the Exploration, Preparation, Implementation, and Sustainment framework. Twenty-three articles were included, all of which examined implementation of Trauma-Focused Cognitive Behavioral Therapy or Cognitive-Behavioral Intervention for Trauma in Schools. This review identified multilevel and multiphase determinants that can be addressed by implementation strategies to improve implementation and clinical outcomes, and suggests how future studies might address gaps in the evidence base.

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Funding

This study was supported by a grant from the National Institute of Mental Health (K01MH113806; Powell, PI).

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Authors and Affiliations

  1. Brown School, Washington University in St. Louis, St. Louis, USA

    Byron J. Powell

  2. Department of Health Policy and Management, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, USA

    Sheila V. Patel, Amber D. Haley, Emily R. Haines, Kathleen E. Knocke & Shira Chandler

  3. RTI International, Durham, USA

    Sheila V. Patel & Emily R. Haines

  4. Silberman School of Social Work, Hunter College, City University of New York, New York, USA

    Colleen Cary Katz

  5. Center for Child and Family Health, Durham, USA

    Heather Pane Seifert & Lisa Amaya-Jackson

  6. Duke University School of Medicine, Durham, USA

    George Ake III & Lisa Amaya-Jackson

  7. Child and Adolescent Services Research Center, University of California at San Diego School of Medicine, San Diego, USA

    Gregory A. Aarons

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  1. Byron J. Powell
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  2. Sheila V. Patel
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  3. Amber D. Haley
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Correspondence to Byron J. Powell.

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Powell, B.J., Patel, S.V., Haley, A.D. et al. Determinants of Implementing Evidence-Based Trauma-Focused Interventions for Children and Youth: A Systematic Review. Adm Policy Ment Health 47, 705–719 (2020). https://doi.org/10.1007/s10488-019-01003-3

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