Background: Complex posttraumatic stress disorder (CPTSD) has recently been added to the ICD-11 diagnostic system for classification of diseases. The new adds three symptom clusters (PTSD) related disturbances in self-organization (affect dysregulation, negative self-concept, and relationships). Little is known whether recommended evidence-based treatments PTSD youth are helpful with CPTSD.Objectives: This study examined Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) useful reducing...

This study evaluates the Leadership and Organizational Change for Implementation (LOCI) strategy its effect on implementation leadership, transformational climate.A stepped wedge cluster randomized design enrolling 47 first-level leaders from child- adult-specialized mental health clinics within Norwegian trusts across three cohorts. All therapists (n = 790) received training in screening of trauma exposure posttraumatic stress, a subgroup 248) evidence-based treatment methods stress...

Background: Many parenting programmes lack proper evaluation, especially under community-wide implementation. Objective: Examining the effectiveness of eight-week International Child Development Programme (ICDP), implemented as a general programme. Methodology: Non-clinical caregivers attending ICDP (N = 141) and non-attending community comparison group 79) completed questionnaires on parenting, psychosocial functioning, child difficulties before after course. Analyses compare changes in...

There is a paucity of evidence about effective implementation strategies to increase treatment response and prevent drop-out among children receiving evidence-based treatment. This study examines patient, therapist, factors their association nonresponse youth Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

ABSTRACT Background Healthcare workers in nursing homes are an educationally, experientially, culturally and linguistically diverse workforce who face increasing challenges their working conditions. Studies indicate positive results with regard to cooperation care from experiencing a sense of community healthcare teams. Aim This qualitative study aimed explore workers' experiences being part team before, during after participation psychosocial competence building intervention, the...

Background: Apps have the potential to support psychological treatments by providing psychoeducation, increasing homework compliance, and generalizing therapeutic skills outside of sessions. However, there are few apps developed specific evidence-based treatment for PTSD adolescents.Objective: This paper shares experiences developing an app complement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). It also describes adolescents' therapists' perceived usefulness effect 'My everyday...

J. M. G. Williams (1996) predicted that exposure to potentially traumatizing events at an early age would give rise overgeneral recall from autobiographical memory, i.e., of general rather than specific events, and in adolescence this tendency be uncorrelated with psychopathological symptoms, e.g., depression. This was supported by two studies where war-exposed Bosnian adolescents produced significantly fewer memories a Norwegian control group, as did bombing-exposed Serbian compared...

Clinical guidelines recommend routine screening for trauma at youth mental health clinics. However, many clinicians are concerned that may be upsetting both youths who have been exposed to and those not.To investigate levels of upset following whether type symptoms posttraumatic stress were associated with level upset.Survey study in which data from exposure trauma-related collected January 1, 2015, December 31, 2017. Nearly half (n = 40) all clinics Norway submitted survey data....

Alignment across levels of leadership within an organization is needed for successful implementation evidence-based practice. The and organizational change (LOCI) intervention a multi-faceted multilevel strategy focusing on enhancing first-level general while also engaging with upper management to develop climate implementation. aim the project evaluate effectiveness LOCI in supporting treatment PTSD child- adult-specialized mental health clinics trusts Norway. study design stepped-wedge...

The implementation of evidence-based practices (EBPs) is crucial importance in health care institutions and requires effective management from leaders. However, there a lack assessment tools sufficient to evaluate the degree which employees´ rate how well their leaders are at implementing EBPs. This emphasises need for validated widely used scales relevant EBPs.The current study evaluated psychometric properties Multifactor Leadership Questionnaire (MLQ) Implementation Scale (ILS) Norwegian...

The effects of the International Child Development Programme (ICDP) and specific addition a violence prevention module were observed in preidentified population Colombia where children are experiencing high levels violence. Participants 176 parents 3- to 4-year-olds attending child centers who randomly allocated one three conditions: organized Community Activities at ICDP (CA + ICDP), CA, ICDP, preventive Violence Curriculum VC), or comparison group with only CA. completed questionnaires...

Abstract Identifying trauma-related symptoms is important for treatment planning at child and adolescent mental health services (CAMHS), routine trauma screening may be a first step to ensure appropriate treatment. Studies with community samples have found modest agreement between children’s caregivers´ report of exposure potentially traumatizing events (PTEs). However, studies from clinical populations are scarce the evidence base recommendations insufficient. The current study explores...

Background Characteristics of traumatic events may be associated with the level and specific manifestation posttraumatic stress symptoms (PTSS). This study examined differences similarities between overall levels, profiles networks PTSS after sexual trauma, domestic violence, community non‐interpersonal sudden loss or serious illness a loved one, severe bullying threats. Methods were measured in clinical sample 4,921 children adolescents (6–18 years old, M = 14.0, SD 2.7, 63.7% female)...

Globally, substance use is a leading contributor to the burden of disease among young people, with far reaching social, economic and health effects. Following finding harmful alcohol 5-8-year-old children in Mbale District, Uganda, this study aims investigate community members' views on early childhood below age 10 years.In 2016, we conducted eight focus group discussions 48 parents 26 key informant interviews teachers, workers, distributors, traditional healers, religious leaders, leaders...

Abstract Background Leaders can improve implementation outcomes by developing an organizational climate conducive to the of evidence-based practices (EBP). This study tested lagged associations between individual-level perceptions leadership, climate, and three anticipated outcomes, that is EBP acceptability, appropriateness, feasibility. Methods Screening tools treatment methods for posttraumatic stress disorder were implemented in 43 Norwegian mental health services. A sample 494 child...

Short-term effectiveness of the International Child Development Programme (ICDP) for parents in general population has been studied. The aim this paper was to investigate longer term impact ICDP programme on looking sustained changes 6-12 months after programme. For this, a non-clinical caregiver group attending (N = 79) and non-attending comparison 62) completed questionnaires parenting, psychosocial functioning, child difficulties before, completion Analyses compare scores over time....

Children at risk of substance use disorders (SUD) should be detected using brief structured tools for early intervention. This study sought to translate and adapt the Car, Relax, Alone, Forget, Family/Friends, Trouble (CRAFFT) tool determine its diagnostic accuracy, optimum cut-point identify in Ugandan children aged 6 13 years. was a sequential mixed-methods conducted two phases. In first qualitative phase, Kampala Mbale, clinician-administered CRAFFT version 2.1 translated into local...

Practitioners at Child Advocacy Centers (CACs) are frequently exposed to indirect trauma through their job, yet there is a lack of knowledge on how this affects them emotionally.

Parenting programs have been used to good effect in many settings, yet few are systematically introduced and evaluated developing countries. This study explores the relative long-term of participation International Child Development Programme (ICDP) a group caregivers Mozambique. A quasi-experimental design was compare who had completed an ICDP course (n = 75) with sociogeographically matched comparison 62) not followed any parenting program. Both groups questionnaire about parenting,...

Background: Characteristics of the traumatic event may influence levels and specific manifestation particular symptoms post-traumatic stress (Grimm, Hulse, Preiss, & Schmidt, 2012). For example, sexual trauma has been found to be associated with higher (PTSS) than both motor vehicle accidents sudden loss (Kelley, Weathers, McDevitt-Murphy, Eakin, Flood, 2009). Motor were hypervigilance physiological reactivity loss. A restricted range affect/inability love close others, avoidance...

Poor professional wellbeing and job turnover is challenging for child mental health clinics despite an increasing interest in implementing evidence-based practices (EBPs) services, little known about if how using EBPs may influence therapists' intention. To investigate this, we compare the average level of compassion satisfaction, burnout, secondary traumatic stress, intention between therapists trained EBP (Trauma-Focused Cognitive Behavioral Therapy - TF-CBT) untrained therapists. We also...

Abstract The third annual conference of the Norwegian Network for Implementation Research (NIMP) was held on November 28th, 2022, in Oslo, Norway. This event drew 98 participants from diverse sectors and disciplines such as health care, welfare, education, government, with increased interest non-research practitioners policymakers (32% attendees) compared to prior NIMP conferences. featured a keynote presentation Professor Per Nilsen, two plenary presentations, eleven parallel session five...