Project BEST focuses on increasing access to trauma-informed, evidence-based treatments with high relevance for children exposed to potentially traumatic events. To date, Project BEST has focused on increasing access to three evidence-based Treatments (EBTs) across South Carolina. EBTs are treatments that have rigorous research showing their effectiveness (research for each model is described more below). The treatments, to date, are Trauma-Focused Cognitive Behavioral Therapy, Alternatives for Families: A Cognitive Behavioral Therapy, and Problematic Sexual Behaviors: Cognitive Behavioral Therapy.

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Alternatives for Families: Cognitive Behavioral Therapy (AF-CBT)

Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) is a trauma-informed, evidence-based intervention designed to improve the relationship between children and their caregivers by addressing individual and family problems relating to: 

These patterns may be shown by an individual caregiver or a child/adolescent, and/or by the family.   Therefore, AF-CBT targets the caregiver, child/adolescent, and the larger family context. 

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

TF-CBT is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events. It is a components-based treatment model that incorporates trauma-sensitive interventions with cognitive behavioral, family, and humanistic principles and techniques.

Children and parents learn new skills to help process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings, and behaviors related to traumatic life events; and enhance safety, growth, parenting skills, and family communication.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children and adolescents impacted by trauma and their parents or caregivers. Research shows that TF-CBT successfully resolves a broad array of emotional and behavioral difficulties associated with single, multiple and complex trauma experiences. You can find more information, including how to become nationally certified, on the TF-CBT Website.

If you have participated in a past training, please see our TF-CBT Learning Collaboratives tab for resources and materials. If you need to access your certificate of completion, update your listing in our Roster of Professionals, or have questions, please contact the Project BEST Team.

Problematic Sexual Behaviors: Cognitive Behavioral Therapy (PSB-CBT)

PSB-CBT is a group treatment model originally designed to treat youth ages 7 to 12 who present with PSB. The PSB-CBT treatment approach uses concurrent groups for youth and their caregivers with combined multi-family group sessions about once a month. Active participation of a caregiver is required, with the caregiver defined as the person who provides primary care of the child in the home (e.g., mother, father, step-parent, grandparent, foster parent). PSB-CBT shares the common theory base and core components of evidence-based programs (EBP) for PSB. The underlying approach is strengths-based, focusing on the youth as children first with capacity to learn and implement appropriate behavior, make safe decisions, and develop healthy relationships. Using cognitive-behavioral approaches, the youth are taught rules about sexual behavior and specific skills of coping, self-control, and decision making. Core treatment components with caregivers address managing child behavior, supporting healthy development, sex education, abuse prevention, and rules about sexual behavior. The PSB-CBT treatment manual provides structure and guidelines to the sessions, but it is not a “cookbook” that is rigidly implemented. Rather, the therapists implement the core component with adaptations to fit the families being served. The group modality includes sessions with the children and caregivers together concurrently.  These sessions are about once a month.  For the family modality, sessions vary in terms of setup: Caregiver alone, child alone, and the family together.    

You can find more information on the University of Oklahoma’s Website.