Culturally Adapted Spiritually Oriented Trauma-Focused Cognitive-Behavioral Therapy for Child Survivors of Restavek
Restavek is a form of modern-day slavery that is estimated to affect 300,000 (i.e., approximately 1 in 10) children in Haiti. It typically involves a child from a poor rural family being sent to work as an indentured domestic servant for an affluent urban family. Restavek children experience a high rate of trauma, as well as other mental health concerns.The present study explored the effectiveness of a culturally adapted form of Spiritually Oriented Trauma-Focused Cognitive-Behavioral Therapy (SO-TF-CBT), a treatment model for assessing and treating religious and spiritual issues within the standard TF-CBT protocol (an evidence-based treatment for childhood trauma). This study involved 20 control participants and 38 treatment participants assigned to a 12-session protocol. The primary research question of the present study is whether a culturally adapted SO-TFCBT intervention, relative to a control, would lead to a reduction in posttraumatic stress symptoms among child survivors of Restavek in Haiti. Because SO-TF-CBT also targets potential religious and spiritual issues related to trauma, a secondary research question examined the effects of this intervention on participants' tendencies to experience spiritual struggles. In the interests of better addressing the mental health treatment gap among this population in Haiti, our study also investigated, as a secondary goal, whether this treatment could be effectively delivered by people with less formal mental health training. Specifically, we examined 3 distinct delivery methods: (a) community- based lay counselors, (b) NGO staff volunteers, and (c) undergraduate students from a local university.
- Single study
- Culturally Adapted Spiritually Oriented Trauma-Focused Cognitive-Behavioral Therapy for Child Survivors of Restavek
- Single study