Children Evidence-Based Practices
Trauma-Focused Cognitive Behavioral Therapy
The goal of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is to help address the unique biopsychosocial needs of children with Post Traumatic Stress Disorder (PTSD) or other problems related to traumatic life experiences, and their parents or primary caregivers. TF-CBT is a model of psychotherapy that combines trauma-sensitive interventions with cognitive behavioral therapy. Children and parents are provided knowledge and skills related to processing the trauma; managing distressing thoughts, feelings, and behaviors; and enhancing safety, parenting skills, and family communication.

TF-CBT is a clinic-based, individual, short-term treatment that involves individual sessions with the child and parent as well as joint parent-child sessions. TF-CBT should be provided to those children (ages 4 to 18) who have significant behavioral or emotional problems that are related to traumatic life events, even if they do not meet full diagnostic criteria for PTSD. Treatment results in improvements in PTSD symptoms as well as in depression, anxiety, behavior problems, sexualized behaviors, trauma-related shame, interpersonal trust and social competence.

Re-Education Practice
Re-ED is the acronym for "The Re-Education of Emotionally Disturbed Children and Youth”. It is a philosophy, a way of thinking about serving children and families, a paradigm which is grounded in educational psychological and ecological principles. Created and first articulated as Project Re-ED by Dr. Nicholas Hobbs, it has continued to grow and become recognized as an effective and efficient means of helping troubled and troubling children reclaim their lives. "The task of Re-Education is to help the child learn new and more effective ways of construing him/herself and his/her world and to learn new habits that lead to more effective functioning.” – Nicholas Hobbs. We utilize this model in our Madrona Day Treatment Program.
The Incredible Years
The Incredible Years Parent Training Program is designed to promote social competence and prevent, reduce and treat aggression and related conduct problems in young children ages 4-8 years. The Incredible Years parent training intervention is focused on strengthening parenting competencies (monitoring, positive discipline, confidence) and fostering parents’ involvement in children’s school experiences in order to promote children’s academic and social competencies and reduce conduct problems.
Parent Child Interaction Therapy
Parent-Child Interaction Therapy (PCIT) is an empirically-supported treatment for conduct-disordered young children that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. In PCIT, parents are taught specific skills to establish a nurturing and secure relationship with their child while increasing their child’s prosocial behavior and decreasing negative behavior. This treatment focuses on two basic interactions: Child Directed Interaction (CDI) is similar to play therapy in that parents engage their child in a play situation with the goal of strengthening the parent-child relationship; Parent Directed Interaction (PDI) resembles clinical behavior therapy in that parents learn to use specific behavior management techniques as they play with their child.
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