Description
Trauma Outcome Process Assessment Model (TOPA) is designed to help sexually abused and sexually abusive children or youths ages 4 – 19: (1) recognize how self-destructive and/or sexually abusive behaviors connect to past sexual abuse and other traumatic experiences; (2) take responsibility for maladaptive behaviors; and (3) make adaptive choices when current stressors trigger feelings or memories related to past traumas. Therapists takes a directive role by creating a safe therapeutic environment then implementing cognitive-behavioral interventions through experimental methods (art therapy, play therapy, sand tray, bibliotherapy, role play, drama, and relaxation). The Therapist also works with the caregivers to ensure the home environment supports and maintains childÂ’s treatment gains.
Increase child’s self-awareness of feelings, thoughts, body sensations, motivations, and behaviors, as related to a traumatic experience or triggers related to the traumatic experience; Increase adaptive responses and decrease maladaptive responses (i.e., self-destructive behavior, sexual behavior problems, sexually abusive behaviors) to traumatic experiences or triggers related to traumatic experiences; Have child take responsibility for self-destructive behaviors, sexual behavior problems, and/or sexually abusive behaviors; Have child demonstrate increased self-esteem and self-caring behaviors; Have child demonstrate increased empathy for others; Have child demonstrate improved social skills; Have child cease in engaging in self-destructive behaviors, sexual behavior problems, and/or sexually abusive behaviors; Have child utilize positive coping skills when confronted with stressful events reminiscent of past sexual abuse or other trauma.
