Table 2 Facilitators and challenges in working with UYRs

Project-related

Project-related

 No challenges^b

Case consultations^a

  General effectiveness

  Group-based learning

  Increases adherence

  Enables flexibility within fidelity

  Reflecting about patient

  Supervising person as competent contact person

TF-CBT Workshop^a

  General effectiveness

  Conveys important knowledge

  Structure of the workshop

Both case consultations and workshop^a

Material^a

Material^b

  General availability of material

  Material not adequate

  Availability of worksheets

  Availability of translated materials

German TF-CBT Web^a

German TF-CBT Web^b

  General effectiveness

  Too extensive

  Video examples

  Repeated use possible

  Flexibility

Manualized and evidence-based treatment^a

Documentation^b

Provision/Funding of interpreters^a

Lacking information on organizational aspects^b

Financial compensation for psychotherapists^a

Knowledge decay^b

Preparation and Initiation of treatment^a

Availability of contact persons^a

Digital implementation^a

Structural

Structural

CYWS facility aspects^c

CYWS facility aspects^a

  Supporting/accompanying the treatment sessions

  Lacking clear primary clearly responsible caregiver

  High treatment compliance from caregivers/facility

  Lacking therapy compliance from caregivers/facility

  Supportive caregivers in everyday life

  Caregiver-imposed outcome pressure

  Collaboration and exchange between caregivers and psychotherapist

  Lacking caregiver/conjoint sessions

  Knowledge about PTSD/psychotherapy

  Lacking knowledge about PTSD/psychotherapy

  Facilitating transportation^c

  Logistical access issues

Availability of interpreters ^c

Long distance between facility & psychotherapy ^a

Use of supplemental materials^c

Difficult time coordination^a

Location of the practice^c

Increased effort^a

Technical issues^a

Lacking clear responsibility from Youth Welfare Office^a

Unreliability of public transportation^a

Personal

Personal

Good therapeutic alliance^d

Openness to treat UYRs^d

Patient-related

Patient-related

Treatment readiness^e

Lacking treatment readiness^f

Language proficiency^e

Lacking language proficiency^f

Concerns regarding family^f

Complex daily challenges^f

Grief^f

Lacking educational background^f

Interpreter-related

Interpreter-related

Precise word-for-word translation ^f

Lacking word-for-word translation ^g

Transparency^f

Own therapeutic needs^g

Trusting bond with patient^f

Relationship with patient too close^g

Caring/likeable interpreter^f

Remote interpreters ^g

Experienced/Trained interpreter^f

Interpreters wish to act as co-therapist^g

Cultural mediator^f

Language mediator^f

Remote interpreter^f

Long-term continuity^f