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Research

Monitoring, evaluation and learning

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Your donations help us empower communities to treat psychological trauma in children

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Impact and audit

CATT - Children’s accelerated trauma technique

CATT is an holistic approach that was designed with children for children by our founder Dr. Carlotta Raby. CATT delivers trauma-focused cognitive behavioural therapy (TF-CBT) using play and arts techniques within a children's rights framework.

Our trainees have used CATT to reduce symptoms experienced by children with the most severe forms of PTSD to below diagnostic thresholds in many of the world's most challenging environments.

Cuffe (2022) ‘Assessment of the impact of CATT practice in Uganda’

Burch (2021) ‘Brief audit report: Effectiveness of CATT in treating PTSD in children at a new Children’s Trauma Clinic in Gaza’

Hatcher (2020) ‘The Impact of CATT Tool Application on Childcare Professionals in Armenia, in the Context of Child Rights Approaches’

Allard, Bates and Skaarbrevik (2016) Social Impact Assessment of Luna Children’s Charity CATT Training in Uganda

Anxiety and resilience (A&R) programme

The A&R programme provides materials for teachers, nurses, youth workers and others who work with children and teens (including displaced children and refugee children) in conflict and disaster-affected areas. It can be used with individuals and with small groups or school classes.*

Our trainees (taught online) applied this programme with displaced children in Northern Syria and found statistially significant reductions in the anxiety.

Burch (2021) ‘ACTI Anxiety and Resilience Programme Audit Report’

Background and problem space

Raby and Plant (2021) ‘The Development of Children’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)’ in ‘Using Image and Narrative in Therapy for Trauma, Addiction and Recovery’ (Ed: West)

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

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

Rolington (2014) ‘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 Children’s Charity’

Stein and Nalugya (2013) ‘Does this Child have Nodding Syndrome? A Complex Case of Head Nodding in Uganda’

Edwards (2011) ‘Treating trauma in an African context’, chapter in Mpofu, E. (ed) Counselling people of African ancestry

Raby and Edwards (2011) ‘Unrecognized hospital trauma as a source of complex psychiatric symptoms: A systematic case study with implications for children’s rights and evidence-based practice’

Favila and Felloe (2009) ‘Treatment of Post-Traumatic Stress Disorder in Post-Genocide Rwanda’

Frameworks

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

Cost-effectiveness

Cost-effectiveness modelling (2023).

For Professionals

  • Monitoring, evaluation and learning
  • Policies
  • Annual reviews
  • Assessment of CATT in Uganda
  • Gaza clinic audit report

Get help

  • Contact us ✉️
  • Advice on supporting children after a traumatic event

ACT International

ACT International is the working name for Luna Children's Charity (Reg. Charity No. 1172010). The organisation was formed in December 2008 and became a Charitable Incorporated Organisation (CIO) in April 2017

ACT International trains in a number of countries where children’s rights are violated or have laws which compromise our values. We always do our best to uphold and teach internationally accepted standards of human rights, but may in some circumstances be obliged to adapt our programmes so that neither our trainers, trainees nor the children they serve are put at risk.