The Safe Mothers Safe Children (SMSC) initiative seeks to reduce the risk of repeat child maltreatment through a multi-pronged intervention that enhances the identification, case management, and treatment of mothers receiving preventive services for trauma-related disorders, particularly posttraumatic stress disorder (PTSD) and depression. The intervention is designed to treat PTSD and depression and foster positive parenting as a means of reducing child maltreatment and enhancing maternal and child well-being. The treatment is delivered at partner agencies’ sites and consists of 23 sessions. In addition, the SMSC initiative aims to help preventive agencies identify traumatized mothers who are at risk for repeat maltreatment and/or foster care placement; improve access to mental health services for mothers at high risk; increase caseworker knowledge of trauma and its impact on parenting and child maltreatment; increase caseworkers’ knowledge of early childhood needs and resources; develop caseworkers’ engagement skills with traumatized clients; and improve preventive agency practice.
The Child and Adolescent Fear and Anxiety Treatment Program at the Center for Anxiety and Related Disorders at Boston University offers clinical services to young people experiencing difficulty with fears, anxiety, shyness, and other related disorders such as depression and traumatic stress. It also offers specialty programs for preschool-aged children with disruptive behavior problems.
The program provides comprehensive evaluations and state-of-the-art cognitive-behavioral treatment for children and adolescents between the ages of three and 17. For certain child populations and disorders, the program provides behavioral parent training as well as live and interactive Internet-based services delivered directly to the homes of families struggling with difficult preschoolers.
The Strength Builders Child and Adolescent Trauma Center of Youth Health Service, Inc. was developed in 2005 to serve children and adolescents aged two to 18 and their families who have experienced complex trauma in a three-county area of rural Appalachia. Since its inception, these services have expanded to incorporate a large rural area covering five counties in North Central West Virginia, to include young adults through age 24 years who have experienced intimate partner violence, and to expand trauma treatment and services in school settings in addition to traditional outpatient clinics. The program works collaboratively with a wide variety of child-serving agencies in this region to maximize the treatment opportunities for children and youth and their families who have experienced trauma. The philosophy of this program can be inferred from its title. Strength Builders recognizes that all children, teens, families, and communities have strengths that can be built upon as they move from trauma to recovery.
The Philadelphia Alliance for Child Trauma Services (PACTS) will increase the number of youth served who have experienced trauma and who receive evidence-based interventions for their symptoms. Objectives include: 1) increasing screening for traumatic stress symptoms in child-serving programs such as pediatric emergency departments, primary care clinics, juvenile court, and child welfare sites; 2) providing trauma-informed clinical assessments at child and adolescent behavioral health programs; 3) developing a coordinated network of service providers for expeditious referral of children and families; 4) offering early posttraumatic intervention using the Child and Family Traumatic Stress Intervention (CFTSI) to help prevent the development of PTSD; and 5) providing TF-CBT for children and adolescents who have full or partial PTSD with co-morbid disorders and difficulties. The center will increase the number of youth and families served each year, totaling 2,118 during the lifetime of the project.
The Arkansas Network for Early Stress and Trauma (NEST) will: 1) provide culturally competent, client-centered, family-focused, evidence-based assessment and treatment—including Parent-Child Interaction Therapy (PCIT) and Child-Parent Psychotherapy (CPP)—to 340 traumatized children aged 0–5 referred by child welfare professionals, early childhood educators, military partners and/or child advocates; 2) train, coach, and monitor fidelity in at least 70 mental health professionals to implement evidence-based interventions targeting young children; and 3) develop training materials, resource kits, and other tools to enhance trauma-informed practices for children aged 0–5 in court, child welfare, child advocacy, early childhood education, veteran, and military systems.
The Families Learning About Recovery (FLARES) Project will: 1) increase the number of mental health professionals trained in trauma-focused, evidenced-based interventions; 2) enable professionals, and children and families to have increased access to Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Cognitive Processing Therapy (CPT); 3) adopt and sustain use of TF-CBT and CPT in community settings with fidelity; 4) improve treatment outcomes for children exposed to trauma; and 5) develop trauma-informed child-serving systems. FLARES expects to train 300 mental health professionals, 2,400 children, and 400 caregivers during the funding period.
BE-ME will be created by the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) and the 14 Community Mental Health Centers (CMHCs) statewide, partnering to address SAMHSA's Strategic Initiative related to violence and trauma. Project goals are to: 1) train CMHCs’ licensed and nonlicensed staff to understand the impact of trauma and how it relates to an individual's response to treatment; 2) implement a statewide trauma screening and assessment process using evidence-based tools; 3) conduct specialized training for the behavioral health workforce to provide trauma-specific services; 4) empower children in care and their families to direct their own services through trauma-informed support services; and 5) develop a feedback structure to inform and evaluate development of the proposed trauma-informed system. A SHARE (Strengthening Hope and Resilience Everyday) website will be developed for trauma education and training. Approximately 15,960 children will be screened, assessed, and offered trauma-specific, evidence-based services during the grant period.
Project lnterCSECT will establish a network of therapists who will provide evidence-based treatment services for Commercially Sexually Exploited Children (CSEC) in Georgia aged 11–17. Additionally, the project will: 1) train Network therapists in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT); 2) strategically identify/develop and disseminate additional evidence-informed intervention components to TF-CBT–trained therapists that will provide the Network with additional tools to best engage and serve CSEC clients (TF-CBT+); and 3) deliver TF-CBT+ to CSEC clients. Each year the number of CSEC youth served will increase as the number of therapists trained in TF-CBT increases, totaling 150 CSEC youth served during the grant period.
The Texas Children Recovering from Trauma initiative will transform children’s mental health services in Texas into a trauma-informed care system that fosters resilience and recovery. The target populations are children and adolescents aged 3–17 who are from military families and/or who have experienced or witnessed trauma. The initiative will work to transform Texas’s mental health services, beginning with two local Mental Health Authorities (community mental health centers) in central Texas as pilot sites. The project will serve 1,360 unduplicated children and adolescents during the grant period, at least 10 percent of whom (136) will be from military families. To reach this goal, the initiative will train the Texas mental health workforce, enhancing policies and practices, and increasing the number of mental health professionals trained in Trauma-Focused Cognitive Behavior Therapy (TF-CBT) and Parent-Child Interaction Therapy (PCIT).
Trauma-Informed Care for Youth (TICY) and Families Residing in Lake County will use Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to treat and serve children and adolescents, aged 2–18, and their families who have witnessed or experienced traumatic events. TICY will develop expertise in trauma care and become a leader in enhancing trauma-informed care in the community by providing training on the symptoms, impact, and treatment of trauma. The project will serve 1,000 clients in direct clinical services. Priority will be given to military families.