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Promising Program Seal

Cognitive Behavioral Intervention for Trauma in Schools (CBITS)

Blueprints Program Rating: Promising

A 10-session group intervention provided by mental health professionals to reduce children's post-traumatic stress disorder (PTSD), depression and anxiety resulting from exposure to violence. Also included are 1-3 individual child sessions, 2 optional parent sessions, and a teacher educational session.

Initial Training and Technical Assistance

Training costs $4,000 plus travel for on-site training of up to 15 trainees. For programs of adequate size, train the trainer opportunities are available.

Before taking the CBITS training course, please download or purchase the CBITS manual. The CBITS manual for the entire course is available as a FREE download, or you can purchase the paperback manual.

Curriculum and Materials

$23.20 plus tax and shipping for a reusable manual.



Other Start-Up Costs


Ongoing Curriculum and Materials

None, unless manuals need replacement.


Qualifications: Implementation by a master’s degree mental health professional is recommended. Such a person can be employed by a school or mental health agency. The purveyor suggests a salary and fringe cost of $90,000 for group leaders.

Ratios: A Mental Health Professional delivering CBITS can serve up to 30 groups of 6-8 students annually, reaching a total of 210 students in a year.

Time to Deliver Intervention: For each participant, the complete program consists of 10 group sessions, 1 – 3 individual sessions, 2 parent psychoeducational sessions, and 1 teacher educational session.

Other Implementation Costs

For programs offered in schools, classroom or other available space is typically used at no additional cost. For programs in other venues, meeting space for 8-10 people is needed.

Ongoing Training and Technical Assistance

School systems can choose to have an annual refresher course at $2,000 per day plus trainer for on-site training.

Fidelity Monitoring and Evaluation

Can range from no cost (using a session checklist) to taping sessions for expert review at $100 per hour.

Ongoing License Fees


A co-leader can be used if desired, at additional staffing cost.

Year One Cost Example

A school system wishing to implement CBITS in 10 schools can expect the following year one costs:

Training, including trainer travel
Manuals (10)
Salaries Fringe (10 mental health professionals)

Total Year One Cost

At a ratio of 30 groups serving 6 – 8 children per Mental Health Professional, the above costs would support CBITS for 2,100 children and youth at a per youth cost of $431 for year one.