None listed
Conditions
Brief summary
Primary: Explore the impact of intensive inpatient treatment on PTSD and co-morbidities on an inpatient population, when compared to treatment as usual. Secondary: Determine if changes in outcomes are maintained at 3 month follow-up. Ethical approval will be obtained from the Human Research Ethics Committee, SWSLHD. Adolescents meeting inclusion criteria of PTSD will be considered for the study. After informed consent is obtained, they will be randomly allocated to receive either intensive Trauma Focussed-Cognitive Behaviour Therapy (TF-CBT) intervention or Treatment As Usual (TAU) intervention. Once eligibility in study is confirmed the young person will be allocated a participant number to ensure anonymity. eMR audit will extract basic demographic and clinical data and scores on mandatory outcome measures. Each participant will receive 9 sessions of allocated intervention. Following the end of treatment, the outcome measures will be completed again. Participants will then be contacted 3 months after treatment to complete outcome measures at follow up. The fidelity of the TF-CBT treatment given will be monitored using the TF-CBT Fidelity Measure.
Interventions
Trauma Focused Cognitive Behaviour Therapy (TF-CBT)
TF-CBT is a component based intervention typically utilised in community settings over a 12 to 16-week period with one session conducted per week. The components of TF-CBT are: Psychoeducation/Parenting Skills, Relaxation, Affective Modulation, Cognitive Coping, Trauma Narrative and In-vivo Exposure to decrease trauma reminders, Cognitive Processing, Conjoint Child-Parent sessions, and Enhancing Safety.
For this study, the young person will re
Trauma Focused Cognitive Behaviour Therapy (TF-CBT) TF-CBT is a component based intervention typically utilised in community settings over a 12 to 16-week period with one session conducted per week. The components of TF-CBT are: Psychoeducation/Parenting Skills, Relaxation, Affective Modulation, Cognitive Coping, Trauma Narrative and In-vivo Exposure to decrease trauma reminders, Cognitive Processing, Conjoint Child-Parent sessions, and Enhancing Safety. For this study, the young person will receive an intensive adaption: 3 1:1 TF-CBT sessions per week (for a total of 3 weeks) on the unit with the trained Clinical Psychologist whilst maintaining fidelity to the treatment components (i.e. 9 sessions for the young person). Sessions will be one hour in length. Sessions will be conducted on the adolescent mental health unit. Adherence will be monitored with a TF-CBT fidelity checklist, to ensure that all principles of TFCBT treatment are met. 1 of these sessions with be a conjoint parent-child session for the purposes of sharing the trauma narrative - it occurs usually in week 3. An extra 1 hour session will be provided to a non-offending caregiver to provide parenting skills and assess parental reponses to the trauma in week 1.
Sponsors
Campbelltown Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
• Age range: 12-17, admitted to the Adolescent mental health unit during the study period • Diagnosis: Meeting DSM 5 criteria for Post-Traumatic Stress Disorder, and PTSD being the primary diagnosis where co-morbid disorders are present • Availability of a non-offending caregiver or parent to participate • Willingness to give written informed consent and willingness to participate in and comply with the study.
Exclusion criteria
• Moderate to severe Intellectual Disability (according to screening of medical file/psychiatric history on admission) • Co-morbid active Schizophrenia or active Hypomanic or Manic episode • Unable to or unwilling to consent to participate (e.g. cognitive impairment, under Mental Health Act 2007)
Outcome results
None listed