The purpose of the project "Advancing Treatment and Services for Refugee Children and Adolescents: Boston Children's Hospital Center for Refugee Trauma and Resilience" is to provide national expertise in the area of Refugee Displacement and War Zone Trauma Refugee Health and Resettlement Agencies (Refugee Trauma). The proposed activities seek to achieve substantial progress in the development, training, dissemination, and evaluation of interventions that address refugee trauma. The project seeks to advance treatment and services for refugee trauma by pursuing the following goals: 1) To develop the infrastructure for successful dissemination of a known effective intervention for refugees (Trauma Systems Therapy for Refugees) 2) To further support the development, training, dissemination and evaluation of a web-based providers guide to assessing and responding to the needs of young refugees, the Refugee Services Toolkit, in key service system settings, 3) To develop and evaluate an innovative preventative intervention for refugee trauma called "Promoting Positive Social Identity" using a social media platform to promote positive social identity and resilience, 4) To provide leadership and support infrastructure within the National Child Traumatic Stress Network (NCTSN) that promotes the collection of high quality data for policy and advocacy related to refugee trauma, and 5) To provide leadership within our local community, to the NCTSN and nationally on refugee trauma and the trauma-related needs of children within the refugee health and refugee resettlement service systems. The project expects to train more than 150 service providers in refugee services, have more than 5000 providers access the RST and use it to improve services, and over the lifetime of the project to enhance the refugee expertise of providers both within and outside of the NCTSN.
The University of Southern California Adolescent Trauma Training Center (USC-ATTC) will train clinicians and disseminate information throughout the United States on the assessment and treatment of trauma effects—including substance abuse—in multitraumatized, socially marginalized adolescents who come in contact with mental health, substance abuse, child welfare, and juvenile justice systems. The intervention that USC-ATTC will disseminate is the recently developed, empirically validated Integrative Treatment of Complex Trauma for Adolescents (ITCT-A). To further increase ITCT-A's focus on youth who are involved in significant alcohol or drug abuse, the center will consult with experts and will augment this treatment package with two additional components: mindfulness training and intervention in substance abuse. These new ITCT-A components will be expanded into more comprehensive, stand-alone treatment guides—Mindfulness Training for Traumatized Adolescents and Treating Substance Abuse Issues in Traumatized Adolescents—that can be used as supplements to treatment packages or in approaches other than ITCT-A. Additional products of this project will be posted on the USC-ATTC and NCTSN websites, and will be distributed in face-to-face and Web-based workshops for NCTSN and non-NCTSN individuals and groups.
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.
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.