Integrative Treatment of Complex Trauma for Adolescents (ITCT-A)


ITCT-A is an evidence-based, multi-modal trauma therapy for adolescents that integrates treatment principles from attachment theory, the Self-Trauma Model, emotional regulation skills development, and components of cognitive behavioral therapy. It involves structured protocols and interventions that are customized to the specific issues of each client, since complex posttraumatic outcomes are notable for their variability across different individuals and different environments.

Training and information on ITCT-A is available from the University of Southern California Adolescent Trauma Training Center (ATTC), an affiliate member of the National Child Traumatic Stress Network (NCTSN).

Click here to learn more about Integrative Treatment of Complex Trauma for Adolescents, and here to download

  • the 2nd edition of the ITCT-A treatment guide and associated worksheets and handouts, and
  • USC-ATTC supplemental guides on
    • treating substance using/abusing adolescents;
    • treating self-injurious behavior;
    • using mindfulness in ITCT-A; and
    • teletherapy approaches to ITCT-A in the era of COVID-19.

NOTE: NCTSN Category II and III sites planning on implementing ITCT-A should use this 2nd edition.

USC-ATTC trains clinicians and disseminate information throughout the United States on the evaluation and treatment of complex trauma effects – including substance abuse – in multiply-traumatized, socially marginalized adolescents who come in contact with mental health, substance abuse, child welfare, and juvenile justice environments.

Treatment outcome information on ITCT may be found in:

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, 300-320.