Trauma‑Focused Cognitive Behavioral Therapy adapted for autistic children and teens (pilot implementation)
Official title: Implementation Science-Guided Pilot Study of Trauma-Focused Cognitive Behavioral Therapy for Autistic Youth in Community Mental Health Settings
Run by Dartmouth-Hitchcock Medical Center · NCT07420478 · Data updated 2026-11-12
This pilot will try TF‑CBT adapted for autistic children and teens with trauma-related symptoms to see if community mental health clinicians can deliver it and families find it acceptable.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 6 Years and up |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | Dartmouth-Hitchcock Medical Center Academic / other |
| Locations | 1 site (Lebanon, New Hampshire) |
| Status | Recruiting |
| Started | May 5, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | February 28, 2027 |
| Registry record updated | May 13, 2026 |
| Trial ID | NCT07420478 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Autistic children and adolescents aged 6–17 with a current autism diagnosis, a moderate level of trauma-related distress on the CATS‑2, a non‑offending caregiver able to participate, and who are receiving outpatient care from a participating community mental health clinician.
✕Probably not a fit
Children who do not show trauma-related distress on the CATS‑2, who lack a non‑offending caregiver to participate, or who are not receiving care from a participating clinician are unlikely to benefit from this pilot.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
An open pilot will deliver a modified Trauma‑Focused Cognitive Behavioral Therapy (TF‑CBT) protocol to autistic youth aged 6–17 with moderate trauma-related distress and their non‑offending caregivers. Community mental health clinicians who are trained in TF‑CBT and employed at participating centers will provide the treatment in outpatient settings. Outcomes will focus on feasibility, acceptability, and symptom change measured with instruments such as the Child and Adolescent Trauma Screen‑2 (CATS‑2). The pilot tests implementation procedures in a real-world community mental health setting affiliated with Dartmouth‑Hitchcock and enrolls youth already on a participating clinician's caseload.
Why it matters
Potential benefit: If successful, the adapted TF‑CBT could reduce trauma symptoms and increase access to effective trauma care for autistic youth in community clinics.
How similar studies have gone: TF‑CBT is well supported for treating trauma in neurotypical youth, but adaptations for autistic youth are relatively novel and have only limited pilot data so far.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria for Therapists 1. Employed as a clinician at a participating Community Mental Health Center (CMHC; publicly-funded mental health program) for at least 6 months. 2. Trained in TF-CBT. 3. Has an eligible autistic youth on current caseload (see below). Inclusion Criteria for Child Participants 1. Between 6 and 18 years old (up to 17 years, 11 months). 2. Current medical diagnosis of autism. 3. Has a non-offending caregiver who is able to participate in treatment (i.e., caregiver who is not the perpetrator of the abuse/other trauma). 4. Initiated outpatient psychotherapy services from participating therapist within enrolled CMHC. 5. A moderate level of trauma-related distress as measured by the Child and Adolescent Trauma Screen-2 (CATS-2). Exclusion Criteria for Child Participants 1\. Does not present with trauma-related distress (score falls within the "Normal" range as measured by the Child and Adolescent Trauma Screen-2 Self- and Parent-Report).
Where it's running
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Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States Recruiting
Study contacts
- Principal investigator: Kaitlyn Ahlers, PhD — Dartmouth Health
- Study coordinator: Kaitlyn Ahlers, PhD
- Email: kaitlyn.p.ahlers@hitchcock.org
- Phone: 603-650-7075
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.