Topic: Violence and abuse

Implementation of TF-CBT in community mental health clinics

Implementation of TF-CBT in mental health care for children and adolescents, the specialist health services (BUP), on the basis of a model that ensures continuity in the development of skills.

2012 This project has been completed 2017

Project Manager

Project Members

Main objective

The goal is to improve knowledge about trauma and its treatment using TF-CBT among therapists in mental health care for children and adolescents, the specialist health services (BUP), in such a manner as to ensure continuity in the development of knowledge and expertise over time.


The implementation will commence with the outpatient clinics that participated in the TF-CBT study and that wish to engage in the further implementation of the model, followed by other BUPs according to capacity.

The model involves three levels of competence:

  • Consultants
  • Supervisors 
  • Therapists

A group of therapists in the outpatient clinics will be offered training in TF-CBT and may qualify as TF-CBT therapists by completing a two and half-day intensive course in trauma theory and the components of the model, studying the manual, completing the online course (, carrying out 2-3 therapy sessions under constant supervision by an accredited consultant, and completing a two day advanced course in TF-CBT.

1-2 therapists in each outpatient clinic will be trained to take a general responsibility for their clinic and act as local supervisors, i.e. supervise the other TF-CBT therapists on a regular basis and ensure that new therapists are being trained.

The supervisors are trained and attend consultations regarding their supervision with consultants at NKVTS, who must have completed a train-the-trainer programme and be accredited by those who have developed the model (Cohen and Mannarino).

There is an opportunity to apply for promotion from therapist to local supervisor, and from local supervisor to consultant at a national level, with increasing levels of competence.


The project collaborates with those who have developed the model, Judith A. Cohen and Anthony P. Mannarino.


Fagermoen, E. M., Østensjø, T., Skagemo, C. U., Moen, G. M., & Husebø, G. K. (2017). Traumefokusert kognitiv atferdsterapi og komplekse traumer. Tidsskrift for Norsk Psykologforening, 54(10), 978-989.

Sachser, C., Berliner, L., Holt, T., Jensen, T. K., Jungbluth, N., Risch, E., . . . Goldbeck, L. et al. (2017). International development and psychometric properties of the Child and Adolescent Trauma Screen (CATS). Journal of Affective Disorders, 210, 189-195. doi:10.1016/j.jad.2016.12.040