When It Is Used
Use it during trauma-focused treatment when safe trauma reminders are being avoided and the practitioner needs a gradual, clinically targeted path for exposure work.
In Vivo Mastery / Trauma Reminder Hierarchy
In Vivo Mastery / Trauma Reminder Hierarchy is a TF-CBT-aligned exposure planning tool for trauma-focused practitioners working with children who avoid safe trauma reminders. It helps the practitioner organize specific avoided reminders, confirm safe-reminder links, order targets by difficulty, distress, or clinical order, and review progress over repeated encounters.
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Tool guide
Learn more about this tool
Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.
What It Tracks
The tool tracks targets, safe-reminder links, ordering basis, status, repeated progress entries, skipped or paused items, and practitioner notes.
Important Boundary
The tool organizes practitioner-guided hierarchy work. It does not determine danger, diagnose symptoms, generate exposure targets, or prescribe universal exposure scripts.
Is this a general exposure builder?
No. It is specifically for TF-CBT-aligned in-vivo mastery work with avoided safe trauma reminders.
Does the tool decide whether a target is safe?
No. The practitioner provides the clinical framing and confirms that a target is a safe reminder rather than actual danger.
Can the hierarchy be changed after progress is recorded?
Yes. Targets can be reordered, paused, or retired while preserving progress history attached to the target.
Does the child need an account to participate?
No separate client account model is required by the specification. The tool may support joint completion controlled by the practitioner.