Evidence-Based Treatments for Traumatized Children and Adolescents
Overview | Dissemination Process l Multilevel Collaboration l Co-Creation l Available Training
Trauma Treatment Training Center Overview
The Trauma Treatment Training Center / TTTC is a collaboration of the Mayerson Center for Safe and Healthy Children and The Childhood Trust at Cincinnati Children's Hospital Medical Center.
The Mayerson Center for Safe and Healthy Children is a child advocacy center dedicated to prevention, evaluation, treatment and research of child abuse and neglect. The center includes physicians, psychologists, social workers, nurses, child protection workers and law enforcement professionals.
The Childhood Trust is a joint effort of Cincinnati Children's and the University of Cincinnati that offers training and consultation on the intervention and treatment of child abuse and family violence.
The purpose of the TTTC is to transfer evidence-based and evidence-informed treatments for traumatized children and adolescents and their families to community mental health providers.
This is accomplished through a cycle-based dissemination method designed to transfer treatment models to culturally diverse communities in a manner that leads to sustainable adoption and practice.
The specific trauma populations primarily served by the therapists (and their participating agencies) who are trained by the TTTC are children and adolescents who were victims of child maltreatment, primarily physical and sexual abuse, and children who were exposed to domestic or community violence.
The TTTC, formerly the Trauma Treatment Replication Center (TTRC), was funded from 2002-2005 by the National Child Traumatic Stress Network (NCTSN) which is funded by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration / SAMHSA.
In September 2005, we were notified that our grant funding would not be renewed. Although this wasn't great news, our success in working with 29 agencies from 10 states and training over 130 therapists in Parent-Child Interaction Therapy / PCIT reinforced our mission to provide training to community mental health providers.
The good news is that we have been fortunate to obtain some private funding to help support the center, which is being renamed the Trauma Treatment Training Center / TTTC.
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The Dissemination Process
You can download the Replication Cycle (60K) chart in portable document format (.pdf). You must have Adobe Acrobat Reader installed on your computer to read this file.
The Trauma Treatment Training Center / TTTC begins by selecting a model to disseminate. The TTTC looks at current evidence-based treatment models in the field. To be implemented successfully, treatments must:
- Have measurable positive clinical outcomes
- Be well-defined and teachable
- Be acceptable to clients, providers and payers
- Be fiscally and administratively manageable
- Be cost-effective and affordable
Once a model is selected, training materials are prepared and the first training session occurs. Upon completion of training, TTTC staff provide follow-up consultation to trainees until they reach competency. Not only does research inform practice, but practice informs practice. Trainees who take treatments back to their agencies and use them with their clients know what works and what does not and can help us understand why. These clinicians can also provide insight into how training could be improved or revised based on their clinical experiences with the model. Their feedback is integrated into the model for the next replication cycle and the process of preparation and training begins again.
Continuous quality improvement is embedded into every dissemination cycle in an effort to make each treatment model adaptable and usable in a variety of settings with a variety of client populations while remaining faithful to model fidelity.
You can download Adobe Acrobat" Reader at Adobe's web site by selecting the version appropriate for your type of computer.
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Multilevel Collaboration
In addition to training and providing follow-up consultation to clinicians, the TTTC works with agency supervisors to implement the model, maintain fidelity to the model and build training capacity within the agency. The TTTC collaborates with agency administrators around issues of billing and sustainability, as well as with third-party payers to recognize models as billable therapies to ensure agency reimbursement. This information offers insight about a model's impact in an agency at every level.
In collaboration with model developers and other practitioners in the field, this continuous quality improvement loop allows us to refine treatment models, and learn how these models are trained and implemented in real-world settings. This replication process is repeated until an Implementation Toolkit can be developed. Using this toolkit the TTTC then works with other centers to develop local training programs of their own.
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Co-Creation
The replication cycle allows us to better understand how to implement specific evidence-based treatment models in community agencies, while teaching us about the process of implementing evidence-based treatment models in general. When implementing any evidence-based treatment model, certain principles hold true across all models, while other principles are model-specific or may require adaptation based on agency-specific factors. Because of this, and because model dissemination is not an exact science, transferring evidence-based treatment models is, in essence, a co-creation among model developers, trainers, agency administrators and clinicians.
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Available Training
In the past, the TTTC primarily trained Parent-Child Interaction Therapy (PCIT). We have expanded the evidence-based treatment model trainings that we offer, including: Parent-Child Interaction Therapy-Applications (PCIT-A), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Treating Traumatic Loss in Children (TTLC), Psychological First Aid, Child Forensic Interviewer Training, Specialized Child Forensic Interviewer Trainings, Child-Adult Relationship Enhancement (CARE) and Cognitive Processing Therapy for Sexual Abuse (CPT-SA). Descriptions and registration information for all of these trainings can be found in the TTTC Training Catalog.
You can download the Trauma Treatment Training Center Training Catalog (976kb) in portable document format (.pdf). You must have Adobe Acrobat Reader installed on your computer to read this file.
You can download Adobe Acrobat" Reader at Adobe's web site by selecting the version appropriate for your type of computer.
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OhioCanDo4Kids.org
The mission of Child Abuse and Neglect Do tank (CANDO) is to facilitate productive collaborative relationships among institutions, agencies, and individuals that provide services to maltreated and traumatized Ohio children and their families.
From this site you can download documents such as:
- referral lists of past trainees trained in TF-CBT, PCIT, CPT-SA, CARE, and TTLC
- the Childhood Trust Events Survey (C-TES) in English and Spanish
- the current and past issues of Real World PCIT
- many other useful documents
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