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July 15, 2026Evidence-Based Practice in Child and Adolescent Mental HealthOpen Access

“Confident and Effective” – A Mixed-Methods Study on Psychotherapists’ Experiences Implementing TF-CBT with Unaccompanied Young Refugees

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Authors

FDFlora Katrin DietlingerCatholic University of Eichstätt-IngolstadtBKBarbara KasparikCatholic University of Eichstätt-IngolstadtJUJohanna UnterhitzenbergerRosenheim Technical University of Applied Sciences

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Overview

Randomized trial examines TF-CBT’s acceptability and implementation in unaccompanied young refugees, indicating its feasibility.

Key Points

  • The study aims to explore psychotherapists’ experiences implementing Trauma-Focused Cognitive Behavioral Therapy for unaccompanied young refugees.
  • Part of the multicenter BETTER CARE trial with 20 psychotherapists treating 57 UYR cases using TF-CBT.
  • Quantitative fidelity assessment through self-reports and qualitative data from semi-structured interviews.
  • Psychotherapists received culturally sensitive TF-CBT training and participated in bi-weekly case consultations.
  • High treatment fidelity was achieved, with core components mostly implemented except for in-vivo exposure and caregiver modules.
  • UYR cases (64.9%) were often accompanied by interpreters, and psychotherapists frequently utilized flexible strategies.
  • Psychotherapists reported increased confidence in using TF-CBT and identified specific components as useful, while others were seen as less essential for implementation.

Cite This Study

Dietlinger et al. (2026) studied this question.

synapsesocial.com/papers/6a5723c288b21df8754806a8https://doi.org/10.1080/23794925.2026.2701042
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trauma focused-cognitive behavioral therapy training effectiveness in promoting professional development of psychotherapists working with unaccompanied minors in Greece: a non-blinded randomized control trial2024
  2. 2Scaling Up Evidence-Based Treatments: An Analysis of 25,000 Sessions of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in Routine Care.2026 · 2 citations
  3. 3“When the safe place is not safe”: therapists’ perspectives on implementing TF-CBT during the war in Ukraine2026
  4. 4Access to best‐evidenced mental health support for care‐experienced young people: Learnings from the implementation of cognitive therapy for <scp>PTSD</scp>2024 · 4 citations
  5. 5Feasibility and acceptability of therapist-guided, asynchronous, internet-delivered trauma-focused CBT for adolescents with PTSD: a single-group feasibility trial in Sweden2026