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Treatment Overview

Learning and Empowerment for Adoptive Families (LEAF) is a 10-week interactive group designed for children who were adopted and their parents. LEAF was developed by the Post Adoption Support Services team at CCFH, including mental health clinicians and family partners.

When families participate in LEAF, they learn communication techniques to talk to each other and the outside world about adoption. Children build confidence in how they understand and communicate about their adoption story, all while engaging in games and activities. Parents learn strategies to manage their own emotions and help with children’s emotional reactions to adoption, including grief and loss.  Families also have the opportunity to meet and form lasting relationships with other families who share aspects of their unique journeys and learn they are not alone.

Impacts of LEAF treatment:

  • Builds on positive parent-child relationships / attachment
  • Increases family resiliency 
  • Builds parent understanding of child’s perspective
  • Improves parenting techniques related to emotional support
  • Improves use of coping skills for difficult emotion
  • Boosts children’s confidence in their adoptive identity 
  • Expands healthy communication about adoption

Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a trauma-focused intervention for youth (ages 3 to 18) who are experiencing symptoms directly related to a traumatic event or events and their non-offending caregiver. It targets post-traumatic stress, depressive and behavioral symptoms.

The average length of treatment is eight to 25 weekly, 60- to 90-minute sessions. Maximum benefits are seen when the youth’s primary caregiver is actively involved in treatment. TF-CBT has been successfully delivered in diverse settings, such as clinics, in-home, residential treatment facilities, schools and juvenile detention facilities.

Service Delivery

When providing LEAF, your agency will run 2 groups simultaneously — a group for adoptive children ages 10-17 and a group for their adoptive parents.

  • You will need 2 people to run the children’s group (1 licensed clinician and 1 other person, either another clinician or a non-licensed group support with some clinical background, like an intern, Qualified Professional, or Adoption Support Specialist). 
  • You will need at least 1 person to run the parent’s group (1 licensed clinician and possibly another person, if needed, either another clinician or a non-licensed group support, like a Family Partner or a parent with lived experience).

Training Requirements

LEAF group facilitation training is designed for teams from community-based, mental health agencies and adoption-support agencies. Our model relies on clinicians training together with an administrative leader from their agency to ensure successful implementation and sustainability.

LEAF trainings consist of both in-person and virtual training days throughout the training year, as well as twice-monthly group consultation calls. LEAF trainees will deliver two 10-week groups per Learning Collaborative. NC CTP will offer 1 cohort per year in LEAF.


Team Requirements

  • Have access to referrals for adoptive families in their area.
  • Serve the NC Medicaid population, or have the ability to offer services free of charge.

When applying, please choose one of the following tracks:

  • Licensed Clinician Track – For licensed clinicians  who want to be trained to facilitate LEAF groups
  • Non-licensed Group Support Track – For people without a clinical license who want to help a licensed clinician facilitate LEAF groups
  • Senior Leader Track – For organization leaders who want to support implementation of LEAF (without actually training to facilitate a LEAF group)

Agency teams should apply with at least 2 licensed clinicians and 1 senior leader.  Non-clinical group supports are welcome to attend training and consultation as well, and should complete an application if participating in any part of the Learning Collaborative activities.

When reviewing applications, preference will be given to committed teams with a highly supportive Senior Leader.

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