ITCT-C and A: Integrative Treatment of Complex Trauma for Children and Adolescents
By Jack Komer, 12/2021.
What is ITCT?
Specifically developed to be responsive and sensitive to cultural differences as well as the effects of poverty and social marginalization. Widely used by programs with diverse clients. Can be used for Complex trauma, physical abuse, sexual abuse, emotional abuse and neglect, community violence, domestic violence, medical trauma, traumatic loss, and parental substance use.
​
There are two versions: ITCT-C which can be used with children between the ages of 5-12 and ITCT-A which can be used with adolescents between the ages of 12-21.
Evidence in Support of ITCT-C
Research Describing Components and Implementation of ITCT-C (NCTSN, 2017):
-
Lanktree, C. B., & Briere, J.N. (2016). Treating complex trauma in children and their families: An integrative approach. Thousand Oaks, Ca.: Sage.
-
Lanktree, C.B., & Briere, J. (2013). Integrative Treatment of Complex Trauma (ITCT) for children and adolescents. In J.D. Ford and C.A. Courtois, Treating complex traumatic stress disorders with children and adolescents: An evidence-based guide (pp. 143-161). NY: Guilford.
​
Pilot/Feasibility Trials (NCTSN, 2017):
-
Lanktree, C.B., Briere, J., Godbout, N., Hodges, M., Chen, K., Trimm, L., Adams, B., Maida, C.A., & Freed, W. (2012). Treating multi-traumatized, socially- marginalized children: Results of a naturalistic treatment
outcome study. Journal of Aggression, Maltreatment & Trauma, 21, 813–828.
https://doi.org/10.1080/10926771.2012.722588
​
Research Results:
-
"Significantly reduced (average of > 40%) symptoms on all trauma-related areas as
measured by the TSCC (Trauma Symptom Checklist for Children): anxiety, depression, anger, posttraumatic stress, dissociation, and sexual concerns." (NCTSN, 2017, Pg.3)
​
Evidence in support of ITCT-A:
Research Describing Components and Implementation of ITCT-A (NCTSN, 2015):
-
Briere, J. (2015). Mindfulness and trigger management interventions for
traumatized, substance-using youth. Counselor, 16, 41- 47. -
Briere, J., & Lanktree, C.B. (2013). Integrative treatment of complex trauma
for adolescents (ITCT-A): A guide for the treatment of multiply-traumatized youth,
2nd edition. Los Angeles, CA: USC Adolescent Trauma Training Center, National
Child Traumatic Stress Network, Substance Abuse and Mental Health Services
Administration. -
Briere, J. & Lanktree, C.B. (2012). Treating complex trauma in adolescents and
young adults. Thousand Oaks, CA: Sage. -
Briere, J., & Lanktree, C.B. (2014). Treating substance use issues in traumatized
adolescents and young adults: Key principles and components. Los Angeles, CA:
USC Adolescent Trauma Training Center, National Child Traumatic Stress Network,
Substance Abuse and Mental Health Services Administration. -
Lanktree, C.B., & Briere, J. (2013). Integrative Treatment of Complex Trauma (ITCT)
for children and adolescents. In J.D. Ford and C.A. Courtois, Treating complex
traumatic stress disorders with children and adolescents: An evidence-based guide
(pp. 143-161). NY: Guilford. -
Lanktree, C.B., Briere, J., Godbout, N., Hodges, M., Chen, K., Trimm, L., Adams, B.,
Maida, C.A., & Freed, W. (2012). Treating multi-traumatized, socially-marginalized
children: Results of a naturalistic treatment outcome study. Journal of Aggression, Maltreatment & Trauma, 21, 813–828. https://doi.org/10.1080/10926771.2012.722588
​
Pilot/Feasibility Trials (NCTSN, 2015):
-
Lanktree, C.B., Briere, J., Godbout, N., Hodges, M., Chen, K., Trimm, L., Adams, B., Maida, C.A., & Freed, W. (2012). Treating multi-traumatized, socially- marginalized children: Results of a naturalistic treatment
outcome study. Journal of Aggression, Maltreatment & Trauma, 21, 813–828.
https://doi.org/10.1080/10926771.2012.722588
​
Research Results:
-
"Significantly reduced (average of > 40%) symptoms on all trauma-related areas as
measured by the TSCC (Trauma Symptom Checklist for Children): anxiety, depression, anger, posttraumatic stress, dissociation, and sexual concerns." (NCTSN, 2015, Pg.3)
​
References
NCTSN. (2015). ITCT-A: Integrative Treatment of Complex Trauma for Adolescents [Fact sheet].
https://www.nctsn.org/sites/default/files/interventions/itcta_fact_sheet.pdf
​
NCTSN. (2017). ITCT-C: Integrative Treatment of Complex Trauma for Children [Fact sheet]. https://www.nctsn.org/sites/default/files/interventions/itctc_fact_sheet.pdf