Type of services provided:
ITCT-A is an assessment-driven, multicomponent and flexible treatment for multi-traumatized adolescents based on individualized, periodic assessment of the client’s needs and stressors. ITCT-A is based on developmentally appropriate, culturally adapted approaches that can be applied in multiple settings. Treatment modalities include relational/attachment-oriented, cognitive therapy, exposure therapy, mindfulness skills development, affect regulation training, trigger management, social advocacy, identity development, and psychoeducation in individual and group therapy with collateral and family therapy approaches integrated into treatment.
Continuous monitoring of treatment effects over time, using the Assessment-Treatment Flowchart (ATF-A), is a core element of ITCT-A. In addition to evaluating an adolescent’s symptomology, the ATF-A assesses socioeconomic status, culture, ongoing level of support systems and coping skills, family and caretaker relationships, attachment issues and functional self-capacities. A client’s social and physical environment is considered as well as the presence of new stressors, changes in family financial and housing status, potential danger from revictimization and exposure to community violence.
Program setting:
Outpatient clinic, school, inpatient, residential, juvenile justice system; involves collaboration with multiple community agencies
Length of program/number of sessions:
16-36 sessions
Type(s) of trauma/concerns addressed:
Complex trauma, physical abuse, sexual abuse, emotional abuse and neglect, community violence, domestic violence, medical trauma, traumatic loss, parental substance abuse
Symptoms addressed:
Symptoms associated with complex trauma including attachment disturbance, chronic negative relational schema, behavioral and affect dysregulation, interpersonal difficulties, identity-related issues and substance abuse
Education level of providers:
Therapists
Additional information:
None
Unique/Innovative Characteristics:
ITCT-A was developed as a specialized intervention to address the specific and often complex social and psychological issues of children and youth that have experienced early-onset, repeated trauma.
ITCT-A focuses on social and cultural issues and working with children/youth in socially marginalized populations.