Trauma Treatment in Norwegian Child Advocacy Centers

  • End date
    Dec 31, 2024
  • participants needed
  • sponsor
    Norwegian Center for Violence and Traumatic Stress Studies
Updated on 25 October 2022
behavior therapy
symptoms of stress


Norwegian child and advocacy centers´ core activities include both forensic services (e.g., forensic interviews) and follow-up services (e.g., treatment), aiming to coordinate the different services involved in each case to prevent additional burdens for youth in already vulnerable situations. However, a recent study indicates that very few receive follow-up after the forensic interview and that the follow-up in most cases includes one-time or occasional support and only in rare cases treatment. In the same study, youth receiving follow-up in the CAC in Oslo revealed significantly higher levels of common mental health problems than a comparable community sample, yet lower than clinical samples, indicating that many youths in CACs may be falling between different services within the health care system, not necessarily receiving the help they need elsewhere.

The current project will investigate four issues related to these knowledge needs;

  1. How do children and parents experience receiving trauma treatment at child advocacy centers?
  2. What predicts treatment effects?
  3. What is the prevalence of symptoms of burnout and secondary traumatic stress among employees working in child advocacy centers, and can training in evidence-based treatment prevent burnout and secondary traumatic stress?


Employees in the child advocacy centers (CAC) received training in trauma screening and a sub-sample received training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

To address the knowledge gaps, this project will answer the following research questions, corresponding to four Work Packages (WP):

  1. Youth's and caregiver´s experiences with trauma treatment in CACs: How do youth and caregivers experience receiving trauma treatment in Norwegian CACs, and how are their experiences affected by CACs dual role as both a forensic institution and a treatment institution?
  2. Response, non-response and dropout in trauma treatment in CACs: What predicts treatment outcomes for youth receiving TF-CBT in Norwegian CACs?
  3. Therapists' experiences with trauma treatment in CACs: How do therapists in Norwegian CACs experience job demands and job resources, including burnout and secondary traumatic stress, and how can working with TF-CBT influence this?
  4. Descriptive study of leadership, turnover, and secondary traumatic stress among staff in Norwegian Child Advocacy Centers.

To answer research question 1, qualitative interviews with children and caregivers will be conducted following their participation in TF-CBT.

For research question 2, quantitative data will be collected during the TF-CBT sessions. The child advocacy centers identify eligible TF-CBT clients through systematic trauma screening and establish routines for how TF-CBT is offered and delivered.

Research question 3 is qualitative, with semi-structured interviews with therapists.

Lastly, both questionnaire data and interviews will be used to answer research question 4.

Condition Post Traumatic Stress Disorder
Treatment Trauma-focused cognitive behavioral therapy (TF-CBT)
Clinical Study IdentifierNCT05314829
SponsorNorwegian Center for Violence and Traumatic Stress Studies
Last Modified on25 October 2022


Yes No Not Sure

Inclusion Criteria

Trauma exposure
Post-traumatic stress symptoms above clinical cut-off

Exclusion Criteria

Clinical assessment concludes that the child should receive services in the child and adolescent specialist services
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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