Trauma Outcome Process Assessment (TOPA) Model: An Ecological Paradigm for Treating Traumatized Sexually Abusive Youth

摘要

Discussed is a comprehensive, ecologically based paradigm applicable across cultures and created to assess the effects of abusive traumatic experiences, the Trauma Outcome Process Assessment (TOPA) model (Rasmussen, 1999, 2004, 2007; Rasmussen, Burton, & Christopherson, 1992). The TOPA model comprehensively assesses the risk and protective factors and trauma outcomes that contribute to self-destructive and/or abusive behavior in youth. TOPA interventions integrate structured cognitive-behavioral treatment exercises with expressive methods (Rasmussen, 2001). TOPA may help sexually abusive youth to decrease maladaptive behavioral responses to traumatic experiences and integrate past traumas with other life events.