Trauma Outcome Process Assessment Model (TOPA)

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Program/Intervention Name

Trauma Outcome Process Assessment Model (TOPA)


Sexual Behavior Problems in Adolescents and Children, Trauma Treatment

Program/Intervention Description

Designed to help sexually abused and sexually abusive children or youths: 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. Therapist 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.)

Intervention Target Population Identified (Age Group)

0-5, 6-12, 13-17

Program Goals/Outcomes

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. 2) 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.

QIC Target Group

Both Target 1 and Target 2

QIC Adoption/Guardianship Relevance Levels

LEVEL 6: General Population

QIC level of Evidence

LEVEL 5: Better Practice

Intervention Web Site/URL

  • :

Contact Person/Purveyor

Lucinda A. Rasmussen, PhD, LCSW


Center for the Integration and Resolution of Traumatic Experiences (CIRTE)

Contact Email

Contact Phone

(619) 301-8231

External Links (Registry/Other Catalog)