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.
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 Institute for Adolescent Trauma Training and Treatment at the School of Social Work will: 1) create a skilled trauma-focused workforce of social work and other mental health professionals on Long Island and in parts of New York City; 2) support delivery of evidence-based treatments to adolescents across Long Island, with an emphasis on youth in residential settings; and 3) build on existing collaborations with local and national agencies, and with service systems, to improve the quality of trauma-informed services by multidisciplinary providers (e.g., child welfare, probation). During the four years of the project, the institute will provide training on assessment, diagnosis, and treatment of child and adolescent trauma to more than 1,300 social work students and multidisciplinary providers across the region, extending the scope of evidence-based and trauma-informed service delivery to more than 4,000 adolescents.
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.