Details:

Alternative Title:
Am J Orthopsychiatry
Publisher's site:
http://dx.doi.org/10.1037/ort0000233
Personal Author:
Auslander, Wendy ; McGinnis, Hollee ; Tlapek, Sarah ; Smith, Penny ; Foster, April ; ... More +
Auslander, Wendy ; McGinnis, Hollee ; Tlapek, Sarah ; Smith, Penny ; Foster, April ; Edmond, Tonya ; Dunn, Jerry Less -
Description:
This study describes the process of adapting and implementing Girls Aspiring toward Independence (GAIN), a trauma-focused, group-based therapy adapted from Cognitive Behavioral Intervention for Trauma in Schools (CBITS) for girls in child welfare. Descriptive data were examined on 3 outcomes: posttraumatic stress disorder (PTSD), depression, and social problem-solving skills among adolescent girls in the child welfare system. Qualitative and quantitative methods were utilized to inform the adaptation of the CBITS intervention, evaluate feasibility, treatment fidelity, and acceptability, and to test the effects of the intervention. Girls ages 12 to 18 (N = 27) were randomly assigned to the experimental and usual care conditions. Participants' symptoms of PTSD and depression and social problem-solving skills were evaluated at pre, post- (3 months), and follow-up (6 months) assessments. Adaptations for GAIN were primarily related to program structure. Data indicated that the program was receptive to girls in child welfare and that it was feasible to recruit, randomize, assess outcomes, and implement with adequate fidelity. Retention was more successful among younger girls. Descriptive initial data showed greater reductions in the percentage of girls with PTSD and depression, and modest increases in social problem-solving skills in the experimental versus usual care condition. Despite the growth of knowledge in dissemination and implementation research, the application of trauma-focused empirically supported treatment to child welfare populations lags behind. A large-scale RCT is needed to determine if GAIN is effective in reducing mental health problems and social problem-solving in the child welfare population. (PsycINFO Database Record
Subject:
[+]
Adolescent Girls
Article
Child Welfare
Depression
PTSD
Social Problem Solving
Trauma Treatment

Source:
Am J Orthopsychiatry. 87(3):206-215.
Pubmed ID:
27977284
Pubmed Central ID:
PMC5426970
Document Type:
Journal Article
Funding:
R49 CE001510/CE/NCIPC CDC HHS/United States ; UL1 TR000448/TR/NCATS NIH HHS/United States
R49 CE001510/CE/NCIPC CDC HHS/United States ; UL1 TR000448/TR/NCATS NIH HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0b55efcb2d159e2d2a964ff17ade8d21450104e117bdfeb9ffb47c39577c374d
File Type:

Supporting Files

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