This research project is a hybrid type 2 effectiveness-implementation trial that simultaneously examines (1) the effectiveness of a trauma-focused intervention for youth in the education sector and (2) the impact of a theory-driven pragmatic implementation strategy designed to increase the adoption, fidelity, and sustainment of evidence-based treatments (EBTs). This trial will include 120 clinicians and 480 students, and it is designed to test the cost effectiveness and impact of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in a new setting that increases access to mental health care - schools (Aim 1); test the cost effectiveness, immediate impact, and sustained impact of the Beliefs and Attitudes for Successful Implementation in Schools (BASIS) implementation strategy on proximal mechanisms and implementation outcomes (Aims 2a, 2b, 2d); and conduct sequential mixed-methods data collection to explain residuals (i.e., clinicians whose implementation behavior is unaccounted for by the mediation model) (Aim 2c).
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TF-CBT Adoption and Penetration
Timeframe: 18 Months- Active phase (timepoint 6 to 9); Sustainment phase (timepoint 10 to 12)
Child PTSD Symptom Scale for DSM-V
Timeframe: 6 Months - Baseline (T1); 3-month follow up (T2); 6-month follow up (T3)
Mood and Feelings Questionnaire - Short
Timeframe: 6 Months - Baseline (T1); 3-month follow up (T2); 6-month follow up (T3)