What is the purpose of a ‘safety plan’ in TF-CBT?

The purpose of a ‘safety plan’ in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is to ensure the child's physical and emotional safety throughout treatment. This foundational aspect is critical because many children who have experienced trauma may still be in situations where they feel threatened or unsafe. A safety plan addresses these concerns by identifying potential risks and developing strategies to manage them, which can include steps to take in crisis situations, identifying safe adults to reach out to, and establishing routines that promote a sense of security.

Ensuring safety is paramount in creating an environment conducive to healing and processing trauma. By proactively addressing safety concerns, therapists can help children feel more secure, which is essential for effective therapeutic work. In contrast, while documenting the child's trauma history and planning for reintegration into school are also important components of the overall treatment process, they do not fulfill the immediate need for safety, which is prioritized in TF-CBT. Group therapy sessions may also be a valuable part of treatment, but they are not directly related to the specific purpose of a safety plan.