Identification, modification, and implementation of an evidence-based psychotherapy for children in a low-income country: The use of TF-CBT in Zambia

International Journal of Mental Health Systems

Volumn 7, Issue 1, 2013, Pages

  Murray, Laura K ^a   Dorsey, Shannon ^b   Skavenski, Stephanie ^a   Kasoma, Margaret ^c   Imasiku, Mwiya ^d   Bolton, Paul ^e   Bass, Judith ^a   Cohen, Judith A ^f  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

^c SHARPZ Organization   (Zambia)

^d UNIVERSITY TEACHING HOSPITAL   (Zambia)

^e Department of Health Behavior and Society   (United States)

^f TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Child trauma, Evidence based treatment, Implementation; International, Low resource setting

Indexed keywords

ARTICLE; CHILD PARENT RELATION; CHILD SEXUAL ABUSE; COPING BEHAVIOR; DOMESTIC VIOLENCE; EVIDENCE BASED PRACTICE; HUMAN; LOWEST INCOME GROUP; MEDICAL DOCUMENTATION; MEDICAL EDUCATION; MENTAL HEALTH; PARTICIPATORY RESEARCH; PATIENT COUNSELING; PRIORITY JOURNAL; PSYCHOEDUCATION; PSYCHOTHERAPY; QUALITATIVE RESEARCH; TRAUMA FOCUSED COGNITIVE BEHAVIOR THERAPY; TREATMENT DURATION; TREATMENT OUTCOME; ZAMBIA;

EID: 84886741976     PISSN: None     EISSN: 17524458     Source Type: Journal    
DOI: 10.1186/1752-4458-7-24     Document Type: Article

References (84)

1. World Health Organization (WHO) Mental health systems in selected low and middle-income countries: a WHO-AIMS cross-national analysis http://whqlibdoc.who.int/publications/2009/9789241547741_eng.pdf., World Health Organization (WHO).
2. World Health Organization (WHO) The global burden of disease: 2004 update 2008, Geneva, World Health Organization (WHO).
3. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012, 380:2197-2223. 10.1016/S0140-6736(12)61689-4, 23245608.
4. Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ 2004, 82:858-866. 2623050, 15640922.
5. Wang PS, Angermeyer M, Borges G, Bruffaerts R, Tat Chiu W, De Girolamo G, et al. Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry 2007, 6:177-185. 2174579, 18188443.
6. Vikram P, Flisher AJ, Nikapota A, Malhotra S. Promoting child and adolescent mental health in low and middle income countries. J Child Psychol Psychiatry 2008, 49(3):313-334. 10.1111/j.1469-7610.2007.01824.x, 18093112.
7. Bolton P, Bass J, Neugebauer R, Verdeli H, Clougherty KF, Wickramaratne P, et al. Group interpersonal psychotherapy for depression in rural Uganda: a randomized controlled trial. JAMA 2003, 289:3117-3124. 10.1001/jama.289.23.3117, 12813117.
8. Bolton P, Bass J, Betancourt T, Speelman L, Onyango G, Clougherty KF, et al. Interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda: a randomized controlled trial. JAMA 2007, 298:519-527. 10.1001/jama.298.5.519, 17666672.
9. Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, Chatterjee S, et al. Effectiveness of an intervention led by lay health counselors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet 2010, 376:2086-2095. 10.1016/S0140-6736(10)61508-5, 21159375.
10. Rahman A, Malik A, Sikander S, Roberts C, Creed F. Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. Lancet 2008, 372:902. 10.1016/S0140-6736(08)61400-2, 2603063, 18790313.
11. Bass JK, Annan J, Murray SM, Kaysen D, Griffiths S, Cetinoglu T. Controlled trial of a psychotherapy for sexual violence survivors in DR Congo. N Engl J Med in press.
12. World Health Organization mhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health Settings 2010, Geneva, World Health Organization.
13. Patel V, Araya R, Chatterjee S, Chisholm D, Cohen A, De Silva M, et al. Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet 2007, 370:991-1005. 10.1016/S0140-6736(07)61240-9, 17804058.
14. Rousseau C, Kirmayer L. Cultural adaptation of psychological trauma treatment for children. J Am Acad Child Adolesc Psychiatry 2009, 48:954. 9555. author reply 955-956.
15. Wessells MG. Do no harm: toward contextually appropriate psychosocial support in international emergencies. Am Psychol 2009, 64:842-854.
16. Jordans MJ, Tol WA, Komproe IH. Mental health interventions for children in adversity: pilot-testing a research strategy for treatment selection in low-income settings. Soc Sci Med 2011, 73:456-466. 10.1016/j.socscimed.2011.06.004, 21742426.
17. Patel V, Chowdhary N, Rahman A, Verdeli H. Improving access to psychological treatments: lessons from developing countries. Behav Res Ther 2011, 49:523-528. 10.1016/j.brat.2011.06.012, 3242164, 21788012.
18. Kaysen D, Lindgren K, Sabir Zangana GA, Murray L, Bass J, Bolton P. Adaptation of Cognitive Processing Therapy for treatment of torture victims: experience in Kurdistan, Iraq. Psychological Trauma: Theory, Research, Practice, and Policy 2013, 5:184-192.
19. Verdeli H, Clougherty K, Bolton P, Speelman L, Lincoln N, Bass J, et al. Adapting group interpersonal psychotherapy for a developing country: experience in rural Uganda. World Psychiatry 2003, 2:114-120. 1525093, 16946913.
20. Verdeli H, Clougherty K, Onyango G, Lewandowski E, Speelman L, Betancourt TS. Group Interpersonal Psychotherapy for depressed youth in IDP camps in Northern Uganda: adaptation and training. Child Adolesc Psychiatr Clin N Am 2008, 17:605-624. 10.1016/j.chc.2008.03.002, 18558315.
21. Sachs JD, McArthur JW. The Millennium Project: a plan for meeting the Millennium Development Goals. Lancet 2005, 365:347-353.
22. Cohen JA, Mannarino AP, Deblinger E. Treating Trauma and Traumatic Grief in Children and Adolescents 2006, Guilford Press: New York.
23. UNAIDS Zambia HIV and AIDS estimates http://www.unaids.org/en/regionscountries/countries/zambia/#1, UNAIDS.
24. UNAIDS United Nations Children's Fund, Zambia: Statistics 2009, http://www.unicef.org/infobycountry/zambia_statistics.html, UNAIDS.
25. Monasch R, Boerma JT. Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS 2004, 18:S55-S65.
26. Andrews G, Skinner D, Zuma K. Epidemiology of health and vulnerability among children orphaned and made vulnerable by HIV/AIDS in sub-Saharan Africa. Paper presented at the OVC roundtable at the 7th AIDS Impact Conference, Cape Town, April, 2005. AIDS Care 2006, 18:269-276. 10.1080/09540120500471861, 16546789.
27. Cluver L, Gardner F, Operario D. Psychological distress amongst AIDS-orphaned children in urban South Africa. J Child Psychol Psychiatry 2007, 48:755-763. 10.1111/j.1469-7610.2007.01757.x, 17683447.
28. Cluver L, Gardner F. The mental health of children orphaned by AIDS: a review of international and southern African research. Journal of Child and Adolescent Mental Health 2007, 19:1-17.
29. Cluver L, Operario D. Inter-generational linkages of AIDS: vulnerability of orphaned children for HIV-infection. IDS Bull 2008, 39:27-35.
30. Lester P, Rotheram-Borus MJ, Lee S, Comulada S, Cantwell S, Wu N, et al. Rates and predictors of anxiety and depressive disorders in adolescents of parents with HIV. Vulnerable Children and Youth Studies 2006, 1:81-101.
31. Applied Mental Health Research (AMHR) Group DIME Modules http://www.jhsph.edu/research/centers-and-institutes/center-for-refugee-and-disaster-response/response_service/AMHR/, Applied Mental Health Research (AMHR) Group.
32. Minkler M, Wallerstein N. Introduction to community based participatory research. Community-based participatory research for health, From Process to Outcomes, 2nd Edition 2008, John Wiley and Sons.
33. Murray LK, Haworth A, Semrau K, Singh M, Aldrovandi GM, Sinkala M, et al. Violence and abuse among HIV-infected women and their children in Zambia: a qualitative study. J Nerv Ment Dis 2006, 194:610-615. 10.1097/01.nmd.0000230662.01953.bc, 2811255, 16909070.
34. Bolton P. Cross-cultural validity and reliability testing of a standard psychiatric assessment instrument without a gold standard. J Nerv Ment Dis 2001, 189:238-242. 10.1097/00005053-200104000-00005, 11339319.
35. Bass JK, Ryder RW, Lammers MC, Mukaba TN, Bolton PA. Post-partum depression in Kinshasa, Democratic Republic of Congo: validation of a concept using a mixed-methods cross-cultural approach. Trop Med Int Health 2008, 13:1534-1542. 10.1111/j.1365-3156.2008.02160.x, 18983279.
36. Perrin S, Smith P, Yule W. Practitioner review: the assessment and treatment of post-traumatic stress disorder in children and adolescents. J Child Psychol Psychiatry 2003, 41:277-289.
37. Frederick C, Pynoos R, Nader K. Child post-traumatic stress reaction index 1992, Los Angeles: Department of Psychiatry University of California.
38. Steinberg AM, Brymer MJ, Decker KB, Pynoos RS. The University of California at Los Angeles post-traumatic stress disorder reaction index. Curr Psychiatry Rep 2004, 6:96-100. 10.1007/s11920-004-0048-2, 15038911.
39. Murray LK, Bass J, Chomba E, Imasiku M, Thea D, Semrau K, et al. Validation of the UCLA child post-traumatic stress disorder-reaction index in Zambia. Int J Ment Health Syst 2011, 5:24. 10.1186/1752-4458-5-24, 3205018, 21943178.
40. Feiring C, Taska L. The persistence of shame following sexual abuse: a longitudinal look at risk and recovery. Child Maltreat 2005, 10(4):337-349. 10.1177/1077559505276686, 16204736.
41. Achenbach TM. Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles 1991, Burlington, VT: University of Vermont, Department of Psychiatry.
42. Allen S, Meinzen-Derr J, Kautzman M, Zulu I, Trask S, Fideli U, et al. Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS 2003, 17:733. 10.1097/00002030-200303280-00012, 12646797.
43. Cohen JA, Deblinger E, Mannarino AP, Steer R. A multi-site, randomized controlled trial for children with abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatry 2004, 43:393. 10.1097/00004583-200404000-00005, 1201422, 15187799.
44. Neuner F, Catani C, Ruf M, Schauer E, Schauer M, Elbert T. Narrative exposure therapy for the treatment of traumatized children and adolescents (KidNET): from neurocognitive theory to field intervention. Child Adolesc Psychiatr Clin N Am 2008, 17:641-664. 10.1016/j.chc.2008.03.001, 18558317.
45. Holdcraft LC, Comtois KA. Description of and preliminary data from a women's dual diagnosis community mental health program. Can J Commun Ment Health 2002, 21:91-109.
46. Kolko DJ. Individual cognitive behavioral therapy and family therapy for physically abused children and their offending parents: a comparison of clinical outcomes. Child Maltreat 1996, 1:322-342.
47. Chaffin M, Silovsky JF, Funderburk B, Valle LA, Brestan EV, Balachova T, et al. Parent-child interaction therapy with physically abusive parents: efficacy for reducing future abuse reports. J Consult Clin Psychol 2004, 72:500-510.
48. Stein BD, Jaycox LH, Kataoka SH, Wong M, Tu W, Elliott MN, et al. A mental health intervention for schoolchildren exposed to violence: a randomized controlled trial. JAMA 2003, 290:603-611. 10.1001/jama.290.5.603, 12902363.
49. Kauffman Best Practices Project Closing the quality chasm in child abuse treatment: Identifying and disseminating best practices: findings of the Kauffman best practices project to help children heal from child abuse 2004, Charleston (SC)7 National Crime Victims Research and Treatment Center, http://www.chadwickcenter.org/Documents/Kaufman%20Report/ChildHosp-NCTAbrochure.pdf, Kauffman Best Practices Project.
50. Chaffin M, Friedrich B. Evidence-based treatments in child abuse and neglect. Child Youth Serv Rev 2004, 26:1097-1113.
51. SAMHSA National registry of evidence-based programs and practices http://www.nrepp.samhsa.gov/Index.aspx, SAMHSA.
52. Dorsey S, Cohen J. Trauma-focused cognitive behavioral therapy. Mental health issues of child maltreatment Saint Louis MO, G. W. Medical Publishing, Clements P, See-dat S.
53. Cohen JA, Mannarino AP. Factors that mediate treatment outcome of sexually abused preschool children: six- and 12-month follow-up. J Am Acad Child Adolesc Psychiatry 1998, 37:44-51. 10.1097/00004583-199801000-00016, 9444899.
54. Deblinger E, Lippmann J, Steer R. Sexually abused children suffering post-traumatic stress symptoms: initial treatment outcome findings. Child Maltreat 1996, 1:310-321.
55. Cohen JA, Mannarino AP. A treatment study for sexually abused preschool children: outcome during a one-year follow-up. J Am Acad Child Adolesc Psychiatry 1997, 36:1228-1235. 10.1097/00004583-199709000-00015, 9291724.
56. Cohen JA, Mannarino AP, Knudsen K. Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse Negl 2005, 29:135-145. 10.1016/j.chiabu.2004.12.005, 15734179.
57. Deblinger E, Mannarino AP, Cohen JA, Steer RA. A follow-up study of a multisite, randomized, controlled trial for children with sexual abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatry 2006, 45:1474-1484. 10.1097/01.chi.0000240839.56114.bb, 17135993.
58. Deblinger E, Steer RA, Lippmann J. Two-year follow-up study of cognitive behavioral therapy for sexually abused children suffering post-traumatic stress symptoms. Child Abuse Negl 1999, 23:1371-1378. 10.1016/S0145-2134(99)00091-5, 10626618.
59. Hoagwood KE, Vogel JM, Levitt JM, D'Amico PJ, Paisner WI, Kaplan SJ, et al. Implementing an evidence-based trauma treatment in a state system after September 11: the CATS project. J Am Acad Child Adolesc Psychiatry 2007, 46:773-779. 10.1097/chi.0b013e3180413def, 17513990.
60. Weiner DA, Schneider A, Lyons JS. Evidence-based treatments for trauma among culturally diverse foster care youth: treatment retention and outcomes. Child Youth Serv Rev 2009, 31:1199-1205.
61. Jaycox LH, Cohen JA, Mannarino AP, Walker DW, Langley AK, Gegenheimer KL, et al. Children's mental health care following Hurricane Katrina: a field trial of trauma-focused psychotherapies. J Trauma Stress 2010, 23:223-231. 2860874, 20419730.
62. Cohen JA, Mannarino AP, Staron VR. A pilot study of modified cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG). J Am Acad Child Adolesc Psychiatry 2006, 45:1465-1473. 10.1097/01.chi.0000237705.43260.2c, 17135992.
63. BigFoot DS, Schmidt SR. Honoring children, mending the circle: cultural adaptation of trauma-focused cognitive-behavioral therapy for American Indian and Alaska native children. J Clin Psychol 2010, 66:847-856. 10.1002/jclp.20707, 20549679.
64. Jensen TK, Holt T, Ormhaug SM, Egeland K, Granly L, Hoaas LC, Hukkelberg SS, Indregard T, Stormyren SD, Wentzel-Larsen R. A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. J Clin Child Adolesc Psychol 2013, 0(0):1-14.
65. Diehle J, Boer F, Lindauer R. Posttraumatische stresstornis bij kinderer. Kind & Adolescent Praktijk 2011, 10:140-141.
66. O'Callaghan P, McMullen J, Shannon C, Rafferty H, Black A. A randomized controlled trial of Trauma-Focused Cognitive Behavioral Therapy for sexually exploited, war-affected Congolese girls. J Am Acad Child Adolesc Psychiatry 2013, 52(4):359-369. doi:10.1016/j.jaac.2013.01.013, 10.1016/j.jaac.2013.01.013, 23582867.
67. Murray LK, Familiar I, Skavenski S, Jere E, Cohen JA, Imasiku M, Mayeya J, Bass JK, Bolton P. An evaluation of trauma focused cognitive behavioral therapy for children in Zambia. International Journal of Child Abuse and Neglect 2013, 2013:2013. http://dx.doi.org/10.1016/j.chiabu.2013.04.017.
68. Schoenwald SK, Carter RE, Chapman JE, Sheidow AJ. Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy. Adm Policy Ment Health 2008, 35:379-394. 10.1007/s10488-008-0181-z, 18561019.
69. Kendall PC, Beidas RS. Smoothing the trail for dissemination of evidence-based practices for youth: flexibility within fidelity. Prof Psychol Res Pr 2007, 38:13.
70. Murray LK, Dorsey S, Bolton P, Jordans MJ, Rahman A, Bass J, et al. Building capacity in mental health interventions in low resource countries: an apprenticeship model for training local providers. Int J Ment Health Syst 2011, 18:30.
71. Beidas RS, Kendall PC. Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clin Psychol 2010, 17:1-30.
72. Herschell AD, Kolko DJ, Baumann BL, Davis AC. The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clin Psychol Rev 2010, 30:448-466. 10.1016/j.cpr.2010.02.005, 2872187, 20304542.
73. Murray LK, Skavenski S, Michalopoulos LM, Bolton PA, Bass JK, Familiar I, Imasiku M. Counselor and participant perspectives of trauma-focused cognitive behavioral therapy for children in Zambia: qualitative study. J Clin Child Adolesc Psychol In press.
74. McKay MM, Bannon WM. Engaging families in child mental health services. Child Adolesc Psychiatr Clin N Am 2004, 13:905-921. vii, 10.1016/j.chc.2004.04.001, 15380788.
75. Chomba E, Murray L, Kautzman M, Haworth A, Kasese-Bota M, Kankasa C. Integration of services for victims of child sexual abuse at the university teaching hospital one-stop centre 2010, 1-7. Tropical Medicine: Journal of.
76. Klein KJ, Sorra JS. The challenge of innovation implementation. Academy of management review 1996, 21(4):1055-1080.
77. Chatterjee S, Chowdhary N, Pednekar S, Cohen A, Andrew G, Andrew G, et al. Integrating evidence-based treatments for common mental disorders in routine primary care: feasibility and acceptability of the MANAS intervention in Goa, India. World Psychiatry 2008, 7:39-46. 2359726, 18458786.
78. Hwang WC. The Formative Method for Adapting Psychotherapy (FMAP): a community-based developmental approach to culturally adapting therapy. Prof Psychol Res Pr 2009, 40:369-377. 2898145, 20625458.
79. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research 2011, 38:4-23. 10.1007/s10488-010-0327-7, 3025110, 21197565.
80. Brownson RC, Colditz GA, Proctor EK. Dissemination and Implementation Research in Health: Translating Science to Practice 2012, New York: Oxford University Press.
81. McHugh RK, Murray HW, Barlow DH. Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: the promise of transdiagnostic interventions. Behav Res Ther 2009, 47:946-953. 10.1016/j.brat.2009.07.005, 2784019, 19643395.
82. Mazzucchelli TG, Sanders MR. Facilitating practitioner flexibility within an empirically supported intervention: lessons from a system of parenting support. Clinical Psychology: Science & Practice 2010, 17:238-252.
83. Forehand R, Dorsey S, Jones DJ, Long N, McMahon RJ. Adherence and flexibility: they can (and do) coexist!. Clinical Psychology: Science & Practice 2010, 17:258-264.
84. Ngo V, Langley A, Kataoka SH, Nadeem E. Reply to Rousseau & Kirameyer, 2009. J Am Acad Child Adolesc Psychiatry 2009, 48:954. 10.1097/CHI.0b013e3181b21669, 19692855.