{"id":19615,"date":"2026-08-21T16:22:12","date_gmt":"2026-08-21T14:22:12","guid":{"rendered":"https:\/\/barnafrid.se\/kunskapsportal\/?page_id=19615"},"modified":"2026-08-26T11:06:13","modified_gmt":"2026-08-26T09:06:13","slug":"inklusions-och-exklusionskriterier","status":"publish","type":"page","link":"https:\/\/barnafrid.se\/kunskapsportal\/inklusions-och-exklusionskriterier\/","title":{"rendered":"Inklusions- och exklusionskriterier"},"content":{"rendered":"<section class=\"ArticleSection \">\n      <h2 class=\"ArticleSection-title\" id=\"vem-skall-erbjudas-behandling-med-tf-kbt\">\n      Vem skall erbjudas behandling med TF-KBT?    <\/h2>\n    \n\n<p class=\"wp-block-paragraph\">TF-KBT,\u00a0traumafokuserad kognitiv beteendeterapi,\u00a0\u00e4r en evidensbaserad behandling f\u00f6r barn och ungdomar som utsatts f\u00f6r potentiellt traumatiserande h\u00e4ndelser och utvecklat posttraumatiska symtom, PTSD\u00a0och\u00a0traumatisk sorg. Behandlingen genomf\u00f6rs\u00a0vanligtvis tillsammans\u00a0med omsorgsperson n\u00e4r det \u00e4r\u00a0l\u00e4mpligt och\u00a0m\u00f6jligt.\u00a0<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Inklusionskriterier\u00a0<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">TF-KBT \u00e4r utvecklad f\u00f6r barn och ungdomar 3\u201317\u00a0\u00e5r\u00a0och\u00a0medf\u00f6ljande omsorgsperson. Metoden\u00a0anpassas efter \u00e5lder, mognad och utvecklingsniv\u00e5.\u00a0TF-KBT\u00a0\u00e4r:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">f\u00f6rstahandsval 6 \u2013 17 \u00e5r (NICE, 2018\/2025; SFBUP, 2019)<\/li>\n\n\n\n<li class=\"List-item\">att \u00f6verv\u00e4ga fr\u00e5n 5 \u00e5r (NICE, 2018\/2025; SFBUP, 2019)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">TF-KBT kan\u00a0erbjudas\u00a0n\u00e4r:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Potentiellt traumatiserande h\u00e4ndelse har identifierats.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Barnet eller ungdomen har varit utsatt f\u00f6r eller bevittnat en eller flera potentiellt traumatiserande h\u00e4ndelser\u00a0och kan\u00a0sj\u00e4lvst\u00e4ndigt \u00e5terge minnen fr\u00e5n, exempelvis:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">fysiskt v\u00e5ld\u00a0<\/li>\n\n\n\n<li class=\"List-item\">sexuella \u00f6vergrepp\u00a0<\/li>\n\n\n\n<li class=\"List-item\">psykiskt v\u00e5ld\u00a0<\/li>\n\n\n\n<li class=\"List-item\">v\u00e5ld i n\u00e4ra relationer\u00a0<\/li>\n\n\n\n<li class=\"List-item\">allvarliga\u00a0olyckor\u00a0<\/li>\n\n\n\n<li class=\"List-item\">allvarlig sjukdom eller medicinska ingrepp\u00a0<\/li>\n\n\n\n<li class=\"List-item\">pl\u00f6tslig f\u00f6rlust av en n\u00e4rst\u00e5ende\u00a0\u00a0<\/li>\n\n\n\n<li class=\"List-item\">katastrofer eller andra allvarliga hot mot liv och s\u00e4kerhet\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Posttraumatiska symtom\u00a0f\u00f6rekommer<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TF-KBT rekommenderas vid PTSD hos barn och ungdomar.\u00a0TF-KBT kan \u00e4ven erbjudas om barnet har\u00a0kliniskt\u00a0signifikanta\u00a0traumarelaterade symtom\u00a0och besv\u00e4r, exempelvis:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">\u00e5terupplevande<\/li>\n\n\n\n<li class=\"List-item\">undvikande<\/li>\n\n\n\n<li class=\"List-item\">\u00f6versp\u00e4ndhet\/hyperarousal<\/li>\n\n\n\n<li class=\"List-item\">traumarelaterade\u00a0tankar eller k\u00e4nslor<\/li>\n\n\n\n<li class=\"List-item\">funktionsneds\u00e4ttning i vardag, skola eller relationer<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Barnet kan delta i ett strukturerat behandlingsarbete<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Barnet beh\u00f6ver ha tillr\u00e4ckliga\u00a0f\u00f6rm\u00e5gor f\u00f6r\u00a0att:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">delta i samtal,\u00a0psykopedagogisk\u00a0lek\u00a0och\u00a0utvecklingsanpassade interventioner<\/li>\n\n\n\n<li class=\"List-item\">arbeta med k\u00e4nslor, tankar och minnen<\/li>\n\n\n\n<li class=\"List-item\">successivt n\u00e4rma sig traumarelaterat material under terapeutiskt st\u00f6d<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Omsorgsperson\u00a0kan\u00a0delta<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TF-KBT\u00a0inkluderar\u00a0vanligtvis\u00a0aktiv medverkan fr\u00e5n minst en omsorgsperson\u00a0(en\u00a0icke f\u00f6r\u00f6vande person).\u00a0N\u00e4r v\u00e5rdnadshavare inte kan delta\u00a0kan annan stabil omsorgsperson involveras.\u00a0Individuell\u00a0TF-KBT\u00a0utan medverkande omsorgsperson kan\u00a0vid\u00a0undantag\u00a0\u00f6verv\u00e4gas,\u00a0forskningsst\u00f6det \u00e4r dock begr\u00e4nsat.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Omst\u00e4ndigheter som kr\u00e4ver s\u00e4rskild bed\u00f6mning innan TF-KBT p\u00e5b\u00f6rjas\u00a0<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">F\u00f6ljande\u00a0tillst\u00e5nd\u00a0kr\u00e4ver vanligtvis\u00a0mer\u00a0stabilisering, anpassningar\u00a0och\u00a0eller parallella insatser:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">komplex traumatisering\u00a0<\/li>\n\n\n\n<li class=\"List-item\">dissociation\u00a0<\/li>\n\n\n\n<li class=\"List-item\">neuropsykiatrisk funktionsneds\u00e4ttning\u00a0<\/li>\n\n\n\n<li class=\"List-item\">affektregleringssv\u00e5righeter\u00a0<\/li>\n\n\n\n<li class=\"List-item\">sv\u00e5ra beteendeproblem\u00a0<\/li>\n\n\n\n<li class=\"List-item\">p\u00e5g\u00e5ende v\u00e5rdnadskonflikter\u00a0<\/li>\n\n\n\n<li class=\"List-item\">os\u00e4ker omsorgs- eller livssituation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Vid komplex traumatisering kan\u00a0behandlingen\u00a0beh\u00f6va l\u00e4ngre stabiliseringsfas, flexibilitet och ytterligare st\u00f6dinsatser.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Exklusionskriterier\u00a0f\u00f6r att inleda\u00a0TF-KBT<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>P\u00e5g\u00e5ende\u00a0utsatthet f\u00f6r v\u00e5ld\u00a0eller allvarlig otrygghet<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TF-KBT b\u00f6r inte\u00a0p\u00e5b\u00f6rjas\u00a0innan grundl\u00e4ggande s\u00e4kerhet\u00a0s\u00e4kerst\u00e4llts\u00a0om barnet:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">uts\u00e4tts f\u00f6r\u00a0p\u00e5g\u00e5ende v\u00e5ld\u00a0eller fara\u00a0<\/li>\n\n\n\n<li class=\"List-item\">lever under akuta hot eller extrem otrygghet\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Akut psykiatrisk\u00a0eller somatisk\u00a0instabilitet<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Akuta tillst\u00e5nd beh\u00f6ver behandlas eller stabiliseras f\u00f6rst\u00a0vid exempelvis:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">akut psykos\u00a0<\/li>\n\n\n\n<li class=\"List-item\">akut och livshotande\u00a0suicidalitet\u00a0<\/li>\n\n\n\n<li class=\"List-item\">allvarlig\u00a0sj\u00e4lvskadeproblematik\u00a0med h\u00f6g risk\u00a0<\/li>\n\n\n\n<li class=\"List-item\">omfattande dissociation\u00a0<\/li>\n\n\n\n<li class=\"List-item\">sv\u00e5r substansproblematik\u00a0och p\u00e5g\u00e5ende missbruk\u00a0<\/li>\n\n\n\n<li class=\"List-item\">sv\u00e5r\u00a0depression\u00a0(SFBUP, 2019)\u00a0<\/li>\n\n\n\n<li class=\"List-item\">allvarligt\u00a0och akut\u00a0somatiskt\u00a0tillst\u00e5nd, inklusive allvarlig \u00e4tst\u00f6rning<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Otillr\u00e4cklig f\u00f6rm\u00e5ga att delta<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TF-KBT b\u00f6r\u00a0inte\u00a0initieras\u00a0om barnet inte kan tillgodog\u00f6ra sig behandlingen p\u00e5 grund\u00a0av:<\/p>\n\n\n\n<ul class=\"List\">\n<li class=\"List-item\">sv\u00e5r\u00a0intellektuell funktionsneds\u00e4ttning\u00a0d\u00e4r det inte\u00a0\u00e4r m\u00f6jligt\u00a0att anpassa\u00a0modellen\u00a0<\/li>\n\n\n\n<li class=\"List-item\">extrem instabilitet,\u00a0eller\u00a0allvarlig beteendeproblematik\/regleringssv\u00e5righeter\u00a0som\u00a0hindrar\u00a0traumabearbetning<\/li>\n<\/ul>\n\n<\/section>\n\n\n\n<h2 class=\"wp-block-heading\">Referenser<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cohen, J. A.,&nbsp;Mannarino, A. P., &amp;&nbsp;Deblinger, E. (2021).&nbsp;<em>Treating trauma and traumatic grief in children and adolescents<\/em>&nbsp;(2nd ed.). Guilford Press.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">National Institute for Health and Care Excellence. (2018\/2025).&nbsp;<em>Post-traumatic stress disorder (NG116)<\/em>.&nbsp;Senast granskad 2025.&nbsp;<a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/<\/a>&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Svenska f\u00f6reningen f\u00f6r barn- och ungdomspsykiatri. (2019).&nbsp;<em>Trauma- och stressrelaterade syndrom \u2013 kliniska riktlinjer<\/em>&nbsp;<a href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/03\/Trauma-och-stress.-webb.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/03\/Trauma-och-stress.-webb.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Referenser Cohen, J. A.,&nbsp;Mannarino, A. P., &amp;&nbsp;Deblinger, E. (2021).&nbsp;Treating trauma and traumatic grief in children and adolescents&nbsp;(2nd ed.). Guilford Press.&nbsp; National Institute for Health and Care Excellence. (2018\/2025).&nbsp;Post-traumatic stress disorder (NG116).&nbsp;Senast granskad 2025.&nbsp;https:\/\/www.nice.org.uk\/&nbsp;&nbsp;&nbsp; Svenska f\u00f6reningen f\u00f6r barn- och ungdomspsykiatri. (2019).&nbsp;Trauma- och stressrelaterade syndrom \u2013 kliniska riktlinjer&nbsp;https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/03\/Trauma-och-stress.-webb.pdf<\/p>\n","protected":false},"author":30505,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-centered.php","meta":{"h5ap_radio_sources":[],"footnotes":""},"role":[],"class_list":["post-19615","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inklusions- och exklusionskriterier - Barnafrid<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/barnafrid.se\/kunskapsportal\/inklusions-och-exklusionskriterier\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Inklusions- och exklusionskriterier - Barnafrid\" \/>\n<meta property=\"og:description\" content=\"Referenser Cohen, J. 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