Creating Trauma-Focused Care in Juvenile Secure Detention will establish trauma-informed mental health screening in New York City (NYC)’s two secure juvenile detention centers. The program will establish evidence-based skills groups to help reduce trauma-related problems, and will build collaborative partnerships in the child-serving systems associated with juvenile detention to increase trauma responsiveness in those systems. Goals include: 1) establish systematic trauma-informed mental health screening, evaluate that process, and develop and disseminate a product through the NCTSN network; 2) adapt the STAIR-A skill-building group protocol for use in juvenile detention by juvenile detention center staff and mental health clinicians and evaluate the approach; 3) infuse into NYC secure juvenile detention an awareness of trauma and a common language and methodology for handling trauma-related emotional and behavioral issues and evaluate this approach; and 4) build a collaborative partnership among major youth-serving systems that interact directly with NYC juvenile detention centers (e.g., probation, family courts, agencies providing non-secure detention) and extend trauma knowledge and trauma-informed care into those systems. During the four- year project, assuming admissions to the facilities remain at current levels, we expect that 3,256 unduplicated residents will be screened. Using a train-the-trainer model, we will train 30 co-trainers from within the facilities, and deliver the NCTSN-developed Think Trauma training curriculum to 350 juvenile justice staff. After all secure detention staff are trained, we will provide yearly trauma-informed booster training sessions at each site. Over the course of the project, we will train 75 juvenile justice direct care staff as STAIR-A group leaders within their facilities, and, assuming admissions to the facilities remain at current levels, 1,512 residents will participate in STAIR-A groups. Residents will reinforce the skills they learn in STAIR-A groups through participation in skills practice sessions on their residential halls, and selected residents will publicize and encourage practice of STAIR-A skills through participation in a youth leadership group.
The INcreasing Virginia's Evidence-Supported Treatments (INVEST) for Children Project—headquartered at the Child Abuse Program—will increase access to evidence-based, trauma-informed services for child victims of maltreatment residing in Hampton Roads. The project will reduce the negative consequences of this maltreatment by: 1) training community professionals to conduct trauma-informed screening and referral procedures; and 2) training clinicians to deliver three trauma-informed, evidence-based treatments (including two treatments that are not currently available in the region), with attention to the cultural and linguistic needs of families. INVEST will create a trauma-informed network of professionals throughout southeastern Virginia, which has a 20 percent military population and 10 military installations including the largest naval base in the world. A total of 440 professionals (including 141 military professionals) will be trained in screening and referral practices; and 10 clinicians will be trained in and will deliver treatments. An expected 2,761 children and adolescents aged 2–17, including more than 1,100 military children, will receive trauma-informed screening and referral services; and 650 children/youth, including at least 130 military children/youth, will receive evidence-based, trauma-informed treatment.
The Integrated T3 (Trauma, Training and Treatment) Project will increase access to outpatient trauma treatment through expanding an existing outpatient treatment program. The project will target children and adolescents aged 10–18 who have suffered traumatic events, and who have other co-occurring mental health disorders and/or substance use disorders. Placement will be determined based on the severity of traumatic events—prioritizing those children and youth who are: 1) from military families, 2) at highest risk of substance abuse or dependence, and 3) experiencing problems associated with substance use (e.g., emotional, physical, legal, social familial, academic issues) and who cannot otherwise access such services. The project will offer trauma-focused and trauma treatment services to children, adolescents, and their families/primary caregivers, using a combination of two evidence-based models: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and the family-centered Assertive Community Reinforcement Approach (ACRA) model. During the lifetime of the grant, Integrated T3 will serve a minimum of 240 children/adolescents, and will offer framing and technical assistance on trauma-focused treatment services to the 23 providers in the Central Florida Cares Health System’s Managing Entity Network
Restorative Trauma-lnformed Practices (TIPS) for Teens program will deliver Integrated Treatment for Complex Trauma for Adolescents (ITCT-A) to a population of adolescents aged 12–19, most of whom are either African American or Latino/Latina. The program expects to serve 320 teens during the grant period. Additionally, TIPS for Teens will: 1) increase access to trauma-informed treatment by providing education and professional development services to 42 school-based mental health service providers; and 2) provide information and outreach on trauma and trauma-informed responses to 670 parents, students, staff, and community-based organizations.
The CARES (Children Advancing through Recovery and Empowerment Services) Project will be sponsored by the Montgomery Area Family Violence Project in partnership with the Montgomery Area Mental Health Authority to provide trauma-focused care to children and adolescents under the age of 18 who have been traumatized by family and/or sexual violence, and/or child abuse, and/or neglect. The project will utilize Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) with clients residing in the River Region of Alabama (including Autauga, Elmore, Lowndes, and Montgomery counties). CARES will provide training both to the community at-large and to various community agencies to develop a trauma-informed system of care.
Another Choice, Another Chance will provide outpatient Trauma-Focused Cognitive Behavior Therapy (TF-CBT) to children and youth aged 3–18 from diverse ethnic backgrounds, who live at or below the poverty level, and who have been victims of sexual exploitation and abuse. The center will provide 12–20 sessions of individual, group, and/or family treatment services to 200 children/youth and their parents or other primary caregivers.
The Families Increasing Resilience, Strength and Trust through positive relationships (FIRST) Program will leverage training expertise, program evaluation, and product development to further the NCTSN's mission to positively influence the lives of families impacted by trauma. The program will increase availability of two evidence-based interventions—Parent-Child Interaction Therapy (PCIT) and Sexual Behavior Problems: Cognitive-Behavioral Treatment (SBP-CBT)—delivered with high fidelity to traumatized families. Both PCIT (a SAMHSA-recognized intervention) and SBP-CBT (a comprehensive family-based intervention for children with inappropriate sexual behaviors) can be utilized to address child behavioral problems common among children affected by sexual and nonsexual trauma, and among families dealing with military deployment–related trauma. Implementation methods include innovative telehealth applications and Learning Collaborative strategies. The FIRST Program will expand treatments to military families experiencing deployment stressors and will enhance family resilience. The collaboration will contribute to the Network's understanding of the implementation process for family-based interventions including integrating new research findings from the program’s studies of telehealth-based implementation. Additionally, the program will provide support and leadership to Category III sites and other agencies seeking to expand their portfolio of trauma-informed services. Project deliverables will include: 1) PCIT and SBP-CBT Learning Collaborative models, 2) uniform training methods and materials, 3) telehealth protocols, and 4) development of a model of care for families of children with trauma exposure and secondary behavior management problems.
The CLEAR (Collaborative Learning for Educational Achievement and Resiliency) Trauma Center will be established in cooperation with public health, mental health, and national partners. The center will adopt the Attachment, Self-Regulation, and Competency (ARC) framework as a model for teachers and other school staff to enable them to better understand the impact of trauma and to respond effectively in routine educational practice to help children recover from the effects of trauma. Additionally, the program will introduce crisis intervention (Psychological First Aid) and more intensive trauma treatment in the school—including Cognitive Behavioral Interventions for Trauma in Schools (CBITS) and ARC—for children who are not benefitting from adjustments to their learning environments, even in classes where teachers are skilled in understanding trauma. During the four years of funding, the program will serve more than 2,000 children who are struggling with trauma and its effects on their cognition, emotions, behavior, and academic success.
The School-Based Treatment and Services Adaptation (TSA) Center will be created by Lutheran Family Health Centers (LFHC), in collaboration with the New York City Department of Education in southwest Brooklyn, to further develop and validate trauma-informed treatments and services that will serve culturally diverse children and youth, and their families. The goals are to: 1) form a community coalition focused on building capacity to address child and family trauma, particularly within the context of larger child-serving systems including day care, preschools, schools, youth services, and child welfare; 2) build up community and stakeholder consensus and work collaboratively with TSA Centers and the NCCTS; 3) further culturally modify the TEMAS Narrative Therapy-Trauma (TNT-T); 4) develop an outreach component, which will include workshops to train parents, school and community agency personnel, and primary care providers; 5) train mental health staff and pediatric staff throughout the LFHC’s nine primary care centers and 15 school-based health centers; 6) identify, screen, and refer children and adolescents at high risk for traumatic stress; 7) train mental health staff at the Sunset Terrace Mental Health Center and Healthy Connections program; and 8) export training on the implementation of culturally competent, evidence-based TNT-T modalities.
The NCTSN grant allows us to provide financial support for children and families so they have access to our outpatient mental health services. For under- or un-insured children, we are able to use grant dollars to provide therapy sessions. Sometimes we can take care of the deductible or co-pays. Another goal of our work is to increase trauma awareness among child-serving professionals in the area. First, we provide a screening, then conduct a trauma assessment (if indicated), and finally complete a psychological evaluation to determine the more specific effects of traumatic events. We follow up with a comprehensive array of educational and consultation activities. Child-serving professionals advance in understanding the "root to fruit" connection between trauma and psychosocial functioning. Our audience includes educators, court personnel, child protection workers, foster parents, home visitors, and therapists.