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Resilient Roots: Supporting Youth and Families

TRANSFORM: Translational Research That Adapts New Science FOR Maltreatment Prevention Project 3

Who can join

Ages 10 to 15 · All sexes · Healthy volunteers welcome

Inclusion Criteria:

Youth participants will be:

* Youth who are seeking services at the University of Rochester Medical Center Pediatric Behavioral Health and Wellness and whose caregivers consent to participate and youth assent to participate.
* Youth ages 10-15 years at the time of enrollment.
* Youth with histories of child maltreatment as determined by screening positive on at least 1 child abuse or neglect item from the ACE scale completed by caregiver report and/or report of child trauma exposure during the phone screen at intake or on the Child PTSD Symptom Checklist assessment tool completed independently by youth.

Exclusion Criteria:

* Significant cognitive limitations or psychiatric condition that would interfere with ability to participate in the assessment and treatment portions of the study
* Physical disability, if we do not have a way of providing necessary accommodations to allow them to engage in the study
* Youth in foster care or residential treatment
* Caregivers with self-reported significant psychiatric needs or substance use requiring inpatient treatment that would interfere with their ability to participate in the assessment and treatment of study
* Language: English speaking proficiency that precludes completing assessment measures

About the study

Resilient Roots is integrated into the TRANSFORM Center to promote translation of research findings into clinical interventions, to inform the next generation of research on child abuse and neglect (CAN), and to facilitate dissemination of research and practice knowledge/skills to varied stakeholders. Exposure to CAN frequently results in long-term detrimental effects on mental health. For youth who have experienced socioecological stress, the trauma associated with CAN may be compounded by stress and trauma deriving from experiences of stress in their communities. Interventions to address specific socioecological stress for symptomatic youth receiving human centered mental health services are lacking, and use of mental health services that are acceptable to families are too often misaligned with their representation in the population in general and overrepresentation in the child welfare system specifically. Incorporating support for families in enhancing socialization and coping skills specific to addressing contextual stress and trauma has relevance for public health. Although Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children who have experienced CAN, determining best practices for implementing enhanced TF-CBT with socialization components is urgently needed to address these gaps and provide optimal intervention. Resilient Roots is a pilot study within a RE-AIM/PRISM framework (including Reach, Effectiveness, Adoption, Implementation, and Maintenance with emphasis on contextual factors at multiple levels of the implementation setting) that will incorporate stakeholder perspectives and evaluate the incorporation of socialization into enhanced TF-CBT, while identifying barriers and facilitators to implementation to guide future larger-scale trials.

What is being tested

• Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) (behavioral)
• Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) augmented with Socialization (S) (behavioral)

Sponsor: University of Rochester · Participants: 60 · Started: Jul 15, 2024

Contact the study team

• Jody T Manly, Ph.D. · Phone: 5852752991
• Sheree L Toth, Ph.D. · Phone: 5852752991

Official record on ClinicalTrials.gov — NCT06535516

Locations in the U.S.

Conditions

• Post-Traumatic Stress Disorder

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.