%0 Journal Article %J Child Abuse Negl %D 2010 %T Trauma focused CBT for children with co-occurring trauma and behavior problems. %A Cohen, Judith A %A Berliner, Lucy %A Mannarino, Anthony %K Child %K Child Abuse %K Child Behavior Disorders %K Cognitive Therapy %K Combined Modality Therapy %K Comorbidity %K Crisis Intervention %K Education %K Evidence-Based Medicine %K Family Therapy %K Humans %K Stress Disorders, Post-Traumatic %K Transfer (Psychology) %X

OBJECTIVE: Childhood trauma impacts multiple domains of functioning including behavior. Traumatized children commonly have behavioral problems that therapists must effectively evaluate and manage in the context of providing trauma-focused treatment. This manuscript describes practical strategies for managing behavior problems in the context of trauma-focused evidence-based treatment (EBT) using a commonly implemented EBT for traumatized children.

METHODS: The empirical literature is reviewed and practical strategies are described for conducting trauma- and behavioral-focused assessments; engaging families in trauma- and behavioral-focused treatment; treatment-planning that includes a balance of both trauma and behavioral foci; managing ongoing behavioral problems in the context of providing trauma-focused treatment; managing behavioral crises ("crises of the week"); addressing overwhelming family or social problems; and steps for knowledge transfer.

RESULTS: Trauma-focused EBT that integrate behavioral management strategies can effectively manage the behavioral regulation problems that commonly occur in traumatized children.

CONCLUSIONS: Addressing trauma-related behavioral problems is an important part of trauma-focused treatment and is feasible to do in the context of using common trauma-focused EBT.

PRACTICE IMPLICATIONS: Integrating effective behavioral interventions into trauma-focused EBT is essential due to the common nature of behavioral regulation difficulties in traumatized children.

%B Child Abuse Negl %V 34 %P 215-24 %8 2010 Apr %G eng %N 4 %R 10.1016/j.chiabu.2009.12.003