ArticleSchool mental health2021
Trauma-Focused Cognitive Behavioral Therapy in 13 Urban Public Schools: Mixed Methods Results of Barriers, Facilitators, and Implementation Outcomes.
Article in School mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed.
- Fear of Fear: Challenges and Negative Beliefs About Gradual Exposure Use in TF-CBT.Evidence-based practice in child and adolescent mental health · 2026Article
- Exploring Fidelity Elements of a Motivational Interviewing-Based Implementation Strategy to Improve Adoption of Evidence-Based Practices in Schools.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2026Article
- Organization-level determinants for low secondary traumatic stress in lay counselors delivering trauma-focused cognitive behavioral therapy in Kenya.PLOS global public health · 2026Article
- Barriers and Facilitators of Implementing Cognitive Behavioral Therapy: A Systematic Review Based on the Consolidated Framework for Implementation.Scientifica · 2025Review
- Implementation Science in School Mental Health: A 10-Year Progress Update and Development of a New Research Agenda.School mental health · 2024Article
- Research-Practice Partnerships for the Development of School Mental Health Interventions: An Introduction to the Special Issue.School mental health · 2024Article
- Implementation Feasibility and Hidden Costs of Statewide Scaling of Evidence-Based Therapies for Children and Adolescents.Psychiatric services (Washington, D.C.) · 2024Review
- Psychological intervention in women victims of childhood sexual abuse: a randomized controlled clinical trial comparing EMDR psychotherapy and trauma-focused cognitive behavioral therapy.Frontiers in psychiatry · 2024Article
- "We're not educated on that enough, and we really should be": adolescents' views of mental health service education.International journal of qualitative studies on health and well-being · 2023Article
- Measurement feedback system implementation in public youth mental health treatment services: a mixed methods analysis.Implementation science communications · 2022Article
- Conceptual Application of Trauma-Focused Cognitive Behavioral Therapy to Treat Victims of Bullying.Journal of prevention and health promotion · 2022Article
- Understanding therapists' perceived determinants of trauma narrative use.Implementation science communications · 2021Article
- Implementing trauma-focused cognitive behavioral therapy in Philadelphia: A 10-year evaluation.Implementation research and practiceArticle
- Measurement-based care implementation by K-12 public school clinicians: A mixed-methods proof of concept study.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based intervention to treat Post-traumatic Stress Disorder among youth ages 3-18 years. In this pilot study, 31 clinicians in 13 urban public schools received TF-CBT training to improve access to a high-quality trauma treatment for youth in need. A mixed methods design was used to assess implementation barriers, facilitators and outcomes to examine initial feasibility, acceptability, and appropriateness of TF-CBT delivered in school settings. Although 70% of clinicians reported confidence in the evidence-base of TF-CBT and its potential to support their students who have a very high prevalence of lifetime trauma exposure, implementation practice outcomes suggest a wide range of TF-CBT use (Range = 0 to 11 students enrolled per clinician, Mean = 1.4 students) with 23 clinicians implementing the TF-CBT model with at least one case. Results point to the potential value of training school mental health clinicians in TF-CBT based on its compatibility with student needs. Yet, by connecting focus group results to top-rated barriers and facilitators, we identify several adjustments that should be made to improve intervention-setting fit in future studies. Specifically, school setting-specific intervention adaptations, school-tailored implementation support and thoughtful consideration of school-based clinicians' roles and responsibilities are needed to enhance future implementation success.
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Registered trials
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