The University of Massachusetts Medical School Child Trauma Training Center (CTTC) will be developed by the Department of Psychiatry to improve identification of trauma, to increase trauma-sensitive care, and to increase access to evidence-based, trauma-focused treatment for at-risk and underserved children and youth aged 6–18 in central and western Massachusetts—including court-involved youth and youth in military families. During the grant period CTTC anticipates: 1) training 1,800 child-serving professionals in trauma-sensitive care; 2) reaching approximately 20,000 children/youth with trauma-informed services; and 3) providing TF-CBT to 900 children/youth. The service array for the CTTC includes 60 cities and towns in central Massachusetts (Worcester County) and 23 cities and towns in western Massachusetts (Hampden County). Additionally, the CTTC will create a centralized referral system that will include a network of agencies with documented training in evidence-based trauma treatment. Along with providing trauma-informed training, the CTTC will offer training for first responders (e.g., police) in trauma-sensitive practices, and will disseminate culturally competent trauma screening tools to pediatricians, juvenile courts, and schools.
The Hope Initiative will target children and adolescents aged 0–17 who have experienced neglect, physical abuse, and/or sexual abuse. The program will serve 810 unduplicated participants during the four-year project period, engaging parents and families in the treatment process. Priority will be given to children and adolescents of military families. Three evidence-based practices will be utilized: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Adapted Dialectical Behavior Therapy for Special Populations (A-DBT-SP), and Child-Parent Psychotherapy (CPP). MCCC will conduct comprehensive outreach that is culturally appropriate and gender-appropriate to increase access to trauma-informed care as well as to improve outpatient trauma-focused treatment and services through implementation of the three interventions. Working in conjunction with regional partners, MCCC will also provide leadership in training and education to help providers in rural Kentucky better address the impact of trauma on children, adolescents, and their families.
An Evidence-Based Trauma-Informed Practice Model will be developed to build a comprehensive network of evidence-based, trauma-informed service providers to reach children aged 0–6 and their families throughout the rural/frontier area of northern New Mexico. The target populations are predominantly living in poverty, are about 75 percent Latino/Latina, and are at very high risk for traumatic experiences. The project will provide direct trauma-focused services to 1,580 individuals during the four years of the grant. A wide variety of integrated evidence-based, trauma-informed strategies will be used including Child-Parent Psychotherapy (CPP), Dialectical Behavior Therapy (DBP), Circle of Security™, art therapy, and Child-Centered Play Therapy (CCPT).
The Transforming Trauma Project (TTP) will develop, implement, and evaluate the impact of a Community Treatment and Services (TSA) Center designed to provide trauma treatment to children, youth, and families who experience traumatic events; and to increase access to trauma-focused and trauma-informed treatment and services in Union County and nearby military bases. Goals include building infrastructure by: 1) bringing together representatives of consumers, providers, and government under the aegis of a Project Advisory Board; and 2) creating a permanent community collaborative, designated as Collaboration for a Trauma-Informed Community (CTIC). TTP will increase the capacity of Union County’s mental health, child welfare, law enforcement, and other child-serving systems to provide trauma-focused screening, assessment, referral (via staff in-service and workshop training) by: 1) training a cohort of staff psychotherapists of provider agencies in evidence-based, trauma-informed practices (including, but not limited to TF-CBT); and 2) using the Train-the Trainer program in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to sustain project services after the conclusion of federal funding. Additionally, TTP will provide trauma-informed screening, assessment, and referral to youth and family members; and TF-CBT treatment to children, adolescents, and family members who have experienced or witnessed traumatic events.
The Center for Promotion of Recovery and Resilience (CPRR) of Traumatized Children and Youth will: 1) increase the knowledge and skills of personnel who make referrals and who provide services to children/youth on trauma and related services; 2) provide trauma-focused intervention services to children/youth (including those from military and refugee families; and those victimized by abuse, neglect, and exposed to family violence); and 3) evaluate the impact of the project on consumers. By the completion of the project, CPRR will have trained 80 providers in trauma-focused services, provided trauma treatment and education to 375 children/youth and their families, and enabled 40 community agencies serving children and youth to become trauma informed.
The Healing Path: A Trauma Treatment Program for Youth will integrate education, assessment, and treatment of trauma in children into the mental health, substance abuse, schools, and juvenile justice systems in Lake County. An evidence-based approach—Attachment, Regulation, and Competency (ARC)—will be used to treat traumatic stress symptoms in children aged 4–18. Approximately 200 youth with traumatic stress symptoms (20 percent from military families) will be treated during the course of the grant. The program will also serve an estimated 240 caregivers including 120–160 service members or military spouses. Training around implementation of trauma-informed care will be provided to 1,200 professionals during the course of the grant.
The Trauma and Grief Clinic for Youth: Promoting Community-Wide Best Practices—in partnership with community partners throughout Houston and Detroit—will: 1) build community consensus; 2) provide training in trauma- and grief-informed, evidence-based assessments using the Core Curriculum on Childhood Trauma (CCCT); and 3) assist with developmental and cultural adaptations to Trauma and Grief Component Therapy for Adolescents (TGCT-A), and provide training in its implementation. During the four-year project, the program will provide trauma-informed care to approximately 18,000 underserved youth across southeastern Michigan and Houston, Texas.
The Addressing Childhood Trauma through Intervention, Outreach, and Networking (ACTION) initiative will support the university’s Children's Psychiatric Center Outpatient Services (CPC-OS) in implementing an outpatient trauma-informed specialty clinic serving children and adolescents aged 5–18 who have experienced trauma, with special emphasis on serving children/youth from military families and Native American children/youth. ACTION plans to enroll 165 children and adolescents over the life of the grant.
The Integrated Trauma Care project will provide evidence-based Child-Parent Psychotherapy (CPP) services to children aged 0–5 and their caregivers who have experienced or are at high risk for abuse and/or neglect. Populations served may include families living at or below the poverty level, caregivers who themselves were abused and/or neglected, caregivers with high levels of stress, caregivers with drug/alcohol abuse histories, caregivers with anger management issues, and families with histories of domestic violence. During the grant period, the project will serve 600 unduplicated children and their caregivers including 32 children of military families; and will train 84 clinicians in a year-long intensive Learning Collaborative.
The Early Childhood Mental Health and Trauma Treatment Center (ECMH-TTC) at the Western Psychiatric Institute and Clinic (WPIC) will provide services to children aged 0–7 who have experienced trauma, as well as to their parents and/or families. Using evidence-based practices—including Parent-Child Interaction Therapy (PCIT) and Child-Parent Psychotherapy (CPP)—ECMH-TTC will offer mental health services through center- and community-based programs in a low socioeconomic status (SES), urban, minority population. By the end of the grant period, ECMH-TTC will increase the percentage of children participating in PCIT or CPP through mobile service by 100 percent, increase access to evidence-based treatment for center-based children by 50 percent, and increase outpatient services by 100 percent. In total, at least 170 children will receive CPP or PCIT.