@article{ref1,
title="An evaluation of trauma focused cognitive behavioral therapy for children in Zambia",
journal="Child abuse and neglect",
year="2013",
author="Murray, Laura K. and Familiar, Itziar and Skavenski, Stephanie and Jere, Elizabeth and Cohen, Judy and Imasiku, Mwiya and Mayeya, John and Bass, Judith K. and Bolton, Paul Anthony",
volume="37",
number="12",
pages="1175-1185",
abstract="To monitor and evaluate the feasibility of implementing Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) to address trauma and stress-related symptoms in orphans and vulnerable children (OVC) in Zambia as part of ongoing programming within a non-governmental organization (NGO). As part of ongoing programming, voluntary care-workers administered locally validated assessments to identify children who met criteria for moderate to severe trauma symptomatology. Local lay counselors implemented TF-CBT with identified families, while participating in ongoing supervision. Fifty-eight children and adolescents aged 5-18 completed the TF-CBT treatment, with pre- and post-assessments. The mean number of traumas reported by the treatment completers (N=58) was 4.11. Post assessments showed significant reductions in severity of trauma symptoms (p<0.0001), and severity of shame symptoms (p<0.0001). Our results suggest that TF-CBT is a feasible treatment option in Zambia for OVC. A decrease in symptoms suggests that a controlled trial is warranted. Implementation factors monitored suggest that it is feasible to integrate and evaluate evidence-based mental health assessments and intervention into programmatic services run by an NGO in low/middle resource countries. Results also support the effectiveness of implementation strategies such as task shifting, and the Apprenticeship Model of training and supervision.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2013.04.017",
url="http://dx.doi.org/10.1016/j.chiabu.2013.04.017"
}