TY  - JOUR
PY  - 2013//
TI  - An evaluation of trauma focused cognitive behavioral therapy for children in Zambia
JO  - Child abuse and neglect
A1  - Murray, Laura K.
A1  - Familiar, Itziar
A1  - Skavenski, Stephanie
A1  - Jere, Elizabeth
A1  - Cohen, Judy
A1  - Imasiku, Mwiya
A1  - Mayeya, John
A1  - Bass, Judith K.
A1  - Bolton, Paul Anthony
SP  - 1175
EP  - 1185
VL  - 37
IS  - 12
N2  - 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>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2013.04.017
ID  - ref1
ER  -