The Adolescent Traumatic Stress and Substance Abuse (ATSSA) program is housed within the Center for Anxiety and Related Disorders (CARD) at Boston University. ATSSA's mission has been to improve the standard of care for adolescents with co-occurring traumatic stress and substance use through the identification and development of treatment and service approaches for this underserved population. An integrated intervention for traumatic stress and substance abuse was developed, piloted, and implemented among several Network sites. The resulting intervention—Trauma Systems Therapy for Adolescent Substance Abuse (TST-SA)—employs a socioecological approach to address emotional regulation and environmental stability needs of youth and families.
In collaboration with NCTSN centers, the ATSSA program has led the development of Understanding the Links between Adolescent Trauma and Substance Abuse: A Toolkit for Providers. The Adolescent Traumatic Stress and Substance Abuse Treatment Center at CARD continues to provide evidence-based treatments for youth and families with a wide range of anxiety disorders. In addition, CARD continues to make significant contributions to the understanding of anxiety disorders, as well as the development, evaluation, and dissemination of effective treatment programs.