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In Latin America, where child protection services often face resource constraints and systemic delays, the implementation of structured, evidence-based approaches is both challenging and urgently needed.
This case study illustrates the implementation of Trauma-Focused Cognitive Behavioral Therapy in Chile with an 11-year-old girl in foster care who presented complex trauma. The aim is to highlight the integration of Trauma-Focused Cognitive Behavioral Therapy with crisis intervention, supportive therapy, and creative expression in a challenging cultural and systemic context. The intervention spanned 25 months. Assessment tools included self-reported measures of depression, anxiety, post-traumatic stress symptoms, and clinical interviews. Creative strategies such as songwriting and audiovisual storytelling were incorporated to construct the trauma narrative and strengthen engagement. During treatment symptoms decreased to non-clinical levels, suicidal ideation resolved, and emotional regulation improved. Despite multiple protective placement changes, systemic delays, and judicial revictimization, the patient achieved greater stability, renewed trust in protective figures, and an increased sense of self efficacy. This case underscores the adaptability of Trauma-Focused Cognitive Behavioral Therapy in real-world contexts and the value of integrating crisis intervention, supportive therapy, and culturally sensitive creative expression
