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Treating Complex Trauma in Adolescents and Young Adults

Treating Complex Trauma in Adolescents and Young Adults


© 2012 | 272 pages | SAGE Publications, Inc
Treating Complex Trauma in Adolescents and Young Adults is the first empirically-validated, multi-component manual to guide practitioners and students in the treatment of multi-traumatized adolescents and young adults. Acclaimed clinician-researchers John Briere and Cheryl Lanktree outline a hands-on, culturally-sensitive approach to the most challenging of young clients: those suffering from complex trauma histories, multiple symptoms, and, in many cases, involvement in a range of problematic behaviors. This model, Integrative Treatment of Complex Trauma for Adolescents (ITCT-A), integrates a series of approaches and techniques, which are adapted according to the youth's specific symptoms, culture, and age. Components include relationship-building, psychoeducation, affect regulation training, trigger identification, cognitive processing, titrated emotional processing, mindfulness training, collateral treatments with parents and families, group therapy, and system-level advocacy.
1. Introduction
Section I: Complex Trauma Outcomes and Assessment
2. Complex Trauma in Adolescence and Young Adulthood
3. Assessment
4. Completing and Using the Assessment-Treatment Flowchart for Adolescents (ATF-A)
Section II: Overview of Treatment
5. Central Aspects of ITCT-A
6. From Assessment to Intervention: The Problems-to-Components Grid (PCG)
7. Sequence and Session-Level Structure of ITCT-A
Section III: Treatment Components
8. Relationship Building and Support
9. Safety Interventions
10. Psychoeducation
11. Distress Reduction and Affect Regulation Training
12. Cognitive Processing
13. Trigger Identification and Intervention
14. Titrated Exposure
15. Relational Processing
16. Interventions for Identity Issues
17. Family Therapy
18. Interventions With Caretakers
19. Group Sessions
20. Three Case Examples
21. Treatment Outcome Results
22. Summary
Section IV: Appendices
Appendix I: Intitial Trauma Review- Adolescent Version (ITR-A)
Appendix II: ATF-A Assessment Locator
Appendix III: Assessment- Treatment Flowchart: Adolescent Version (ATF-A)
Appendix IV: Problems-to-Components Grid (PCG)
Appendix V: Written Homework About My Trauma
Appendix VI: What Triggers Me? (The Trigger Grid)
Appendix VII: Outlines for Two ITCT-A Therapy Groups

"This is a very concise, well-structured and comprehensive guide for the assessment and treatment of complex trauma in adolescents. It provides thorough descriptions of the multiple levels of interventions that are needed in order to facilitate therapeutic progress and re-establish healthy development in adolescents with histories of early traumatization. In addition, the model provides some practical tools that facilitate the implementation of appropriate strategies at different stages of treatment."

Ana Mercedes Caro
Chestnut Hill College

"The treatment model implemented in this text is excellent! This model is based upon evidence- based principles, and addresses the unique developmental and treatment needs of adolescents who are survivors of multiple traumatic experiences. No other book in the literature comes close to this thoroughly addressing the multiple treatment needs of multi-traumatized adolescents. Complex trauma and complex trauma as applied to adolescents is not this thoroughly addressed anywhere in the literature. This book is essential reading for any practitioner."

Victoria White Kress
Youngstown State University

"Drs. Briere and Lanktree have admirably succeeded in describing a truly integrative approach to psychotherapy for children and adolescents whose complex trauma histories and correspondingly complex symptoms present clinicians with a formidable challenge. This book provides a uniquely comprehensive guide to treatment planning, assessment, and therapy strategies that should be required reading for every therapist working with these youths."

Julian D. Ford
University of Connecticut Health Center

"This important text offers a comprehensive and practical treatment model for complex trauma, Integrative Treatment of Trauma for Adolescents (ITCT-A), for an age group that has not received adequate attention.The model is based on the most current research and treatment recommendations and expands upon the state of the art. Drs. Briere and Lanktree are to be congratulated for developing this highly integrative model and for providing therapists with such a clear description of its use and applications. Treating Complex Trauma in Adolescents and Young Adults is destined to be a classic."

Christine A. Courtois
Associate Editor, Psychological Trauma: Research, Theory, Practice & Policy

"This innovative book provides clinicians with an immediately useful blueprint for negotiating challenging clinical issues when working with teens and youth with histories of complex trauma. The combined clinical experience of these two seasoned researchers/clinicians is evident as they emphasize a comprehensive assessment, a customized approach, and the integration of both structure and flexibility. Of particular value are assessment-treatment tools included in the text that encourage a detailed assessment of the client's current functioning, along with clear guidelines for transitioning from problems to interventions. This structured approach also promotes establishing a strong therapy relationship that attends to culture, development, and gender. This model provides "how to" approaches every step of the way while requiring clinicians to utilize optimal judgement, sensitivity, and investment in their work with traumautized youngsters. I highly recommend this evidence-informed, clinically-sound, and inspired book."

Eliana Gil, Ph.D.
Gil Center for Healing and Play
Key features

Key Features

  • A comprehensive assessment tool (the Assessment-Treatment Flowchart) that integrates interview data, psychometric testing (if possible), and information from outside sources to generate a robust and comprehensive treatment plan that can be updated as needed.
  • A range of empirically-supported treatment components that are customized and targeted to the specific history, demographics, symptoms, and problems of each client, while maintaining a strong relational context.
  • An appendix section that features various forms, handouts, tools, and group treatment examples that will assist the clinician in using ITCT-A with his or her clients.

Sample Materials & Chapters

Table of Contents

1. Introduction

3. Assessment

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