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Children who have been sexually abused not only often experience PTSD symptoms as a direct result of the trauma, but also develop unhealthy emotional responses and may engage in age-inappropriate sexual behaviors. In addition, parents also suffer from the trauma and thus are often in need of emotional support and guidance in responding to their children's needs. Based on over 25 years of research supported by grants from the National Institute of Mental Health (NIMH), the National Center on Child Abuse and Neglect (NCCAN), and other funding sources, Child Sexual Abuse describes a premier empirically supported treatment approach for children, adolescents, and non-offending parents/caregivers impacted by child sexual abuse. Developed to provide support and to alleviate symptoms and problem behaviors in children and adolescents, trauma-focused CBT for child sexual abuse incorporates treatment components that provide children and their caregivers with education and coping skills training, while simultaneously addressing the trauma. The book describes the nuts and bolts of treatment including trauma narration and processing that helps to alleviate children's distress and feelings of shame associated with the abuse. Parents are also taught effective behavior management skills, and treatment often culminates with a focus on parent-child communication and enhancing safety and future development. This highly effective treatment model can be adapted to be delivered in school-based, residential, home and/or group settings.
Violence is an epidemic that negatively impacts children across their lifespan. Reports indicate 2.1 million youth have experienced physical abuse during their lifetimes, disrupting the healthy development of children from the toddler years through adolescence, and most cases involve parents. Some parents lack the skills to effectively parent and use physical discipline as a strategy to control their children's problem behaviors. They may use increasing force if children continue to be noncompliant, which places many children at-risk for harm. Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT), created by Melissa K. Runyon and Esther Deblinger and outlined in this guide, provides an evidence-based intervention aimed at empowering families to develop optimistic outlooks on parenting and peaceful home environments, and to decrease stress experienced both by parents and children. CPC-CBT incorporates elements from empirically supported CBT models for families who have experienced physical abuse, sexual abuse, and domestic violence; additionally, CPC-CBT draws on concepts from developmental theory, learning theory, family systems theory, and motivational interviewing. The target population includes children (ages 3-17 years) and their parents/caregivers who have already engaged in or are at-risk for physically abusive behavior towards their children. This manual is for clinicians, clinical supervisors, administrators, and others who are considering the implementation of CPC-CBT in their agencies with families at-risk for child physical abuse.
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