Action for Child Trauma International (ACTI) empowers communities to treat PTSD in children.

We are small team of expert volunteers with a large international network, delivering in 17 countries across Africa, South America, the Middle East, and Asia on an annual budget of ~Ā£35k. Working with NGOs and local professionals, we provide local people dealing first-hand with the impact of disaster, conflict and state failure with evidence-based tools and training. We are members of the Consortium for Street Children and the Action Trauma Network, and work in partnership with organisations including the International Rescue Committee and The Syrian American Medical Society.

About PTSD

PTSD is a disorder caused by experiencing or witnessing a traumatic, life-threatening event. It is normal to feel very anxious after a life-threatening incident but for most people, these feelings settle down after a few weeks or months. About 30% of people develop PTSD. They remain trapped in the terror of the event, experiencing the worst moments of their lives in  flashbacks and nightmares as if the events were still happening, again and again. The memory of the event has ā€˜stuckā€™ in the brain.

PTSD has been called a ā€˜life sentenceā€™ by researchers due to its association with increased risk of chronic disease, accelerated aging, and premature mortality. Half of all global cases are persistent and only half of those with severe PTSD report receiving any treatment, with only a minority receiving speciality care.

Individuals with PTSD repeatedly re-experience traumatic events through nightmares and flashbacks. The need to avoid triggers for re-experiencing hinders daily life and prospects and creates a need for appropriate psychoeducation amongst groups responding to trauma. Trauma has intergenerational impacts and responding can produce secondary trauma for families, communities, and caregivers. This can prevent sufferers getting the support they need: trauma overwhelms not only the individual but systems of care. Without treatment most children will never get better and are at high risk of other serious mental illness. As memories of traumatic events are triggers for re-experiencing, failure to treat PTSD limits the effectiveness of treatment for co-morbid mental health issues. With treatment, they can go on to lead normal lives and experience increased resilience in the face of future traumatic events.

About CATT and how we deliver

ACTI train and support skilled and experienced child mental health and education practitioners to lead our work. They in turn train local mental health professionals and others working closely with child victims of trauma, together with their families and communities, to relieve the symptoms of post-traumatic stress disorder (PTSD).

We use a child-centred therapeutic treatment, Childrenā€™s Accelerated Trauma Technique (CATT), which empowers local communities with an effective individual approach to the treatment of psychological trauma in children suffering from some of the worst effects of violence. CATT combines play and arts therapy techniques with trauma focussed CBT and children's rights principles. It enables children to reprocess traumatic memories, alleviating the symptoms of PTSD. CATT adheres to best practice guidelines from NICE and the WHO. Our model enables local people to use CATT, and provides those who have gained a high level of experience with the skills to train others.

This generates growth in the skills and knowledge needed to manage and treat PTSD, and ensures the sustainability of our work. Because CATT may be used outside the UK by people who are not mental health practitioners, ACT Internationalā€™s model is able to address the suffering of children in parts of the world where mental health services are non-existent or under-resourced.

This proven cascade model makes ACT International cost-effective and sustainable, with high positive impact for children and their communities from each pound invested in training.

Training

See TraumaPsychology UK website for details of CATT training courses and registration in the UK.

Information about CATT training courses in the UK by ACT International will be publicised on our social media and news.

Monitoring, Evaluation and Learning (MEL)

IMPACT & AUDIT

CATT - Childrenā€™s accelerated trauma technique

Cuffe (2022) ā€˜Assessment of the impact of CATT practice in Ugandaā€™

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Burch (2021) ā€˜Brief audit report: Effectiveness of CATT in treating PTSD in children at a new Childrenā€™s Trauma Clinic in Gazaā€™.

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Hatcher (2020) ā€˜The Impact of CATT Tool Application on Childcare Professionals in Armenia, in the Context of Child Rights Approachesā€™

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Allard, Bates and Skaarbrevik (2016) Social Impact Assessment of Luna Childrenā€™s Charity CATT Training in Uganda

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Anxiety and resilience programme

Burch (2021) ā€˜ACTI Anxiety and Resilience Programme Audit Reportā€™

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BACKGROUND & PROBLEM SPACE

Raby and Plant (2021) ā€˜The Development of Childrenā€™s Accelerated Trauma Technique (CATT): A Human Rights and Child-centred Psychological Approach to treating Post-traumatic Stress Disorder (PTSD) and Complex Post-traumatic Stress Disorder (C-PTSD)ā€™ in ā€˜Using Image and Narrative in Therapy for Trauma, Addiction and Recoveryā€™ (Ed: West)

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Lancet (2019 ) New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis

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Silove, Ventevogel and Rees (2017): 'The contemporary refugee Crisis; an overview of mental health challenges' in World Psychiatry 2017, June, 16 (2)

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Rolington (2014) ā€˜Children, Mental Health, and the United Nations Convention on the Rights of the Child: Investigating the Efficacy of Delivering Trauma Therapy through a Child-Rights Framework, reflection for Luna Childrenā€™s Charityā€™

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Stein and Nalugya (2013) ā€˜Does this Child have Nodding Syndrome? A Complex Case of Head Nodding in Ugandaā€™

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Edwards (2011) ā€˜Treating trauma in an African contextā€™, chapter in Mpofu, E. (ed) Counselling people of African ancestry

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Raby and Edwards (2011) ā€˜Unrecognized hospital trauma as a source of complex psychiatric symptoms: A systematic case study with implications for childrenā€™s rights and evidence-based practiceā€™

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Favila and Felloe (2009) ā€˜Treatment of Post-Traumatic Stress Disorder in Post-Genocide Rwandaā€™

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FRAMEWORK

Action For Child Trauma International (ACTI) Measurement, Evaluation, and Learning Framework

COST-EFFECTIVENESS

Cost-effectiveness modelling (2023).

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Support our work

You canā€™t change what happened but you can change what happens next. Support our work to help traumatised children.

do you need our help?

If you are an individual or charity working with traumatised children and need training or support please contact us.

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We are currently looking for a volunteer fund-raiser. Please contact us if you can help!