![]() ![]() Youth assigned to trauma-focused cognitive-behavioral therapy (TF-CBT) were more likely to complete treatment compared with those assigned to child-centered therapy (CCT) approaches (odds ratio ϭ 4.48, 95% CI, p ϭ. Predisposing and need characteristics were not significantly associated with initiating or completing treatment in adjusted models. Among youth who initiated treatment, 61.8% (n ϭ 55) completed a TIC treatment. Results: We found that 69.5% of treatment-seeking youth (n ϭ 89) initiated treatment, defined as attending at least 1 TIC session. Method: This retrospective medical record review study used data collected through routine clinical care at an outpatient, no-cost community mental health clinic. The purpose of the present study was to investigate factors associated with initiation, completion, and selection of type of TIC treatment among a sample of 128 treatment-seeking youth who experienced crime or violence. Objective: Few studies have investigated determinants of trauma-informed care (TIC) in vulnerable youth populations. Efforts to understand the interactions between attrition factors, as well the use of different operational definitions in relation to premature termination, are warranted. Conclusions: Demographic and family factors, trauma characteristics, and level of caregiver-reported symptoms may help identify families at risk for premature termination. Children's symptom reports were unrelated to either attrition definition. Relatively fewer factors were associated with the adequate dose operationalization of attrition. Results: Several demographic factors (e.g., child's age, minority status, household income, maternal years of education), Child Protective Services (CPS) involvement, type of treatment received, number of traumatic events, and caregiver-rated pretreatment symptom levels were related to clinician-rated treatment status. Demographic and family variables, characteristics of the traumatic event, and caregiver-and child-reported pretreatment symptoms levels were assessed in relation to both clinician-rated treatment status and whether the child received an adequate dose of treatment (i.e., 12 sessions). Method: Four hundred and sixty-six children (ages 2–18 years M 9.23, SD 3.78 66.1% females) who were referred to a Child Advocacy Center (CAC) for trauma-focused therapy were included in the study. Because different definitions of attrition may influence results, candidate factors were examined in relation to 2 operational definitions of attrition. ![]() The primary aim of the present study was to investigate whether demographic factors and pretreatment symptom levels were associated with premature termination among children who received trauma-focused treatment. ![]() Objectives: Identifying the factors related to premature termination from trauma-focused child therapy is an important first step in ultimately preventing attrition in at-risk families. ![]()
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