Cognitive Behavioral Intervention for Trauma in Schools

The Cognitive Behavioral Intervention for Trauma in Schools (CBITS) is a skill-based, group intervention that is aimed at relieving symptoms of Post Traumatic Stress Disorder (PTSD), depression, and general anxiety among children exposed to trauma. Children are provided with normalizing education about common reactions to stress and trauma, and learn skills such as relaxation, how to challenge and replace upsetting thoughts, and social problem solving. Children also work on processing traumatic memories and grief in both individual and group settings. The program consists of ten, 1-hour group sessions (6-8 children) usually conducted once a week in a school or mental health clinic setting. It also includes 1-3 individual sessions, 2 parent sessions, and a teacher education session.

Program Type and Risk Level

  • Cognitive Behavioral Group
  • School Based
  • Intervention

Target Population

  • Ages 10-18
  • Grades 5-12
  • Groups of 4-8 youth
  • Caregiver Session(s)
  • Teacher Session

EPISCenter CBITS Logic Model

Please Visit the Developer's Website for the Most Up to Date Implementation Information: www.cbitsprogram.org

Training and Implementation Requirements

Inital guidelines for PCCD Funding Applicants

Fidelity Verification Process

This process is part of the initial training for CBITS, and is acheived via 12 bi-weekly consultation calls.  Click here to access the Fidelity Verification Form  that will be completed by the CBITS Consultant. 

Data Collection

PCCD Grantees will be expected to utilize the following tools:

Screening Tools:

  • Trauma Exposure Checklist
  • Child PTSD Symptom Scale

Evaluation Tools:

  • Child PTSD Symptom Scale
  • Strengths and Difficulties Questionnaire for Children

Adherence and Model Fidelity Tool:

  • CBITS Fidelity Adherence Measure

To access recommended screening tools and measures go to: https://cbitsprogram.org

PCCD Grantee Excel-based Data Collection and Reporting Tool

The link below will allow CBITS providers to download a free Excel-based data collection and reporting tool for CBITS.  This tool was designed for PCCD Grantee reporting purposes, but may be useful for any CBITS provider who wishes to compile and complete a simple analysis of their model fidelity and impact.  

EPISCenter CBITS Data Collection and Reporting Excel Tool (Pilot-2020)

Program Developers

Lisa Jaycox, PhD

Marleen Wong, PhD

Pia Escudero, LCSW

Sheryl Kataoka, MD,MSHS

Bradley Stein, MD, PhD