A Complex Multimodal 4-Week Residential Treatment Program Significantly Reduces PTSD Symptoms in Child Sexual Abuse Victims: The Be Brave Ranch.

Journal Name
Journal of Child and Adolescent Behavior
Journal Volume
Journal Issue
Page Count
Year Published
Author (Individual)
Silverstone, Peter H.
Greenspan, Farrel.
Silverstone, Millie.
Sawa, Hanelle.
Linder, Jacqui.
Resource Type
Journal Article
Resource Format
Childhood sexual abuse (CSA) occurs frequently and often has serious long-term sequelae including posttraumatic stress disorder (PTSD), which often leads to significantly worse outcomes among CSA survivors. However, the most effective treatment, particularly for younger children, remains uncertain. Research supports trauma-focused cognitive behavioural therapy (TF-CBT) in different age groups, and we designed a 4-week residential treatment program for CSA victims aged 8-12. Here we report the outcome from the first 35 children to take part in a complex multimodal program (mean age 10 years old), located at a dedicated facility (the “Be Brave Ranch”), with the primary therapeutic focus being TF-CBT, although several other treatment modalities were also utilized. Of the 35 children, 23 were female and 12 were male. The results show a highly significant (p

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