New Zealand Journal of Psychology, 2006, 35(3): 132-145

This article discusses a study that piloted the effectiveness of a manualised trauma-focused cognitive behavioural therapy programme that was developed for multiply-abused children with a diagnosis of posttraumatic stress disorder (PTSD). Four children (aged 9-14 years) who had been referred to the Child, Youth and Family Specialist Services participated in the programme, which comprised of psychosocial strengthening, coping skills training, gradual exposure using creative media, and special issues relevant to trauma and abuse. The major goal of the research was to examine the effectiveness of the programme in terms of reducing posttraumatic stress symptoms and increasing coping skills. A multiple baseline design was used to demonstrate the controlling effects of treatment on PTSD symptoms and coping. The results showed a decrease in symptoms of PTSD and an increase in coping skills. These improvements were generally durable over a 12 month period. It was the hope of the authors that this study would encourage other local practitioners to conduct their own clinic-based research, either based on this programme, or the development and testing of their own treatment model. It was noted that an increased commitment to quality delivery and evaluation will benefit children and families.