Our evidence-based programs

Little Warriors recognizes the importance of continually assessing and improving program design for our Be Brave Ranch intensive treatment programs. By utilizing a process known as Measurement-Based Care (MBC), Little Warriors collects important clinical data aimed at informing treatment approaches. Through a partnership with the University of Alberta’s Department of Psychiatry, Little Warriors aims to use MBC to develop an evidence-based standard of excellence for the treatment of child sexual abuse (CSA) survivors. Read more about our Measurement-Base Care (MBC) here. 

Ongoing evaluation and quantitative data analysis is conducted and reviewed through a Scientific and Clinical Council, led by Dr. Peter Silverstone (Professor and Interim Chair of the Department of Psychiatry, University of Alberta) and involving several other leading University specialists. This Council provides feedback and supports the clinical team so that programs operate in accordance with clinical best practices and all applicable regulations.

The evidence-based, trauma-informed treatment program is the only program of its kind to offer intensive, specialized, multi-modal treatment to child sexual abuse survivors between the ages of 8 – 17.

Published Articles

A preliminary analysis of the adolescent program was published in the Journal of the Canadian Academy of Child and Adolescent Psychiatry. In this study, 27 adolescent females (average age of 14), reported over 20% reduction in symptoms of Post-Traumatic Stress Disorder (PTSD), Depression, and Anxiety; as well as a 20% improvement in Quality of Life and Self-Esteem after only one round of treatment.

More recently, an assessment of the first half of both the child and adolescent programs was published in the reputable journal Child Abuse & Neglect. Eighty-two participants in the child program (average age 11) reported over 35% improvement in depression symptoms, and 25% in PTSD and anxiety. In the adolescent program, 69 participants (average age 14) reported over 30% improvement in PTSD and anxiety symptoms, with nearly 20% improvement in depression and self-esteem. These results were sustained over the first half of the treatment program.

A Social Return on Investment (SROI) study conducted by our Scientific and Clinical Committee indicates that for every dollar invested in Little Warriors Be Brave Ranch, $11 is saved in social services and healthcare costs. For every $1 million invested, over $11 million is saved. Five-year cost savings of a multimodal treatment program for child sexual abuse (CSA): A social return on investment study.


Other Publications

Access to therapy for child sexual abuse survivors: Preliminary dialogue of barriers and facilitators between caregivers

Early Mental Health Foundations: A Scoping Review of Reflective Functioning in Caregiver–Child Dyads

A Novel 2-week Intensive Multimodal Treatment Program for Child Sexual Abuse (CSA) Survivors is Associated with Mental Health Benefits for Females aged 13-16.

Cognitive Improvements in Child Sexual Abuse Victims Occur Following Multimodal Treatment Program: As Measured by MyCognition Quotient

A Complex Multimodal 4-Week Residential Treatment Program Significantly Reduces PTSD Symptoms in Child Sexual Abuse Victims: The Be Brave Ranch

Design of a Comprehensive One-Year Program at the Be Brave Ranch to help Children who have been Victims of Sexual Abuse

This work was supported by Mitacs through the Mitacs Elevate Program.