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Adaptation and Implementation of a Trauma-Focused Cognitive Behavioral Intervention for Girls in Child Welfare
Published: Electronically published in 2016 (a more recently published version of this article may be available)
American Journal of Orthopsychiatry
American Orthopsychiatric Association
These authors describe the process of adapting and implementing Girls Aspiring toward Independence (GAIN), a trauma-focused, group-based therapy based on Cognitive Behavioral Intervention for Trauma in Schools, for adolescent girls involved in child welfare. They used qualitative and quantitative methods to inform the adaptation process; evaluate feasibility, treatment fidelity, and acceptability; and test its impacts in a sample of 27 randomly assigned girls. Results show that GAIN was well received and it was feasible to recruit, randomize, assess outcomes, and implement with adequate fidelity. There was initial evidence of greater reductions in the percentage of girls with PTSD and depression, as well as modest increases in social problem-solving skills, in the experimental condition. Retention was more successful among younger girls. The authors discuss the need for further evaluation and revision of GAIN. Modified Author Abstract.