Children’s Crisis Treatment Center (CCTC) is a private nonprofit agency that provides comprehensive, trauma-informed and trauma-specific mental/behavioral health services to children (ages 18 months through 18 years) and families throughout Philadelphia. CCTC’s services are tailored to meet the needs of each child and family; provided in a culturally sensitive environment; and address the effects of abuse, neglect, trauma, and other challenges to healthy childhood development. CCTC offers an array of center-, school-, and community-based programs and services, including a Preschool Partial Hospitalization Program, Acute Partial Hospitalization Program, Trauma Assistance Program, Sexual Trauma Treatment Program, Outpatient Program, Blended Case Management Services, Behavioral Health and Rehabilitation Services, School Therapeutic Services, a School-Based Partnership Program, Parent/Caregiver Services, Family-Based Services, and a Summer Therapeutic Enrichment Program. In 2014, CCTC initiated its expansion of services into Montgomery County, Pennsylvania. CCTC is a Sanctuary-certified agency.
Jessica Gahr provides trauma-informed clinical services as a member of the S.A.F.E. project at the University of Pittsburgh Medical Center which provides therapeutic services to children adjudicated of a sexual offense and their families. In addition, she works with Glade Run Lutheran Services in Western Pennsylvania providing trauma-informed, community-based care. Jessica is interested in bridging the gap between science and practice to ensure youth receive evidence-based treatment across settings.
Philadelphia Department of Behavioral Health/MR Services, Philadelphia Alliance for Child Trauma Services
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 WPIC Early Childhood Mental Health and Trauma Treatment Center at the Western Psychiatric Institute and Clinic of UPMC provides services to children aged 0–7 who have experienced trauma. For over forty years, Matilda Theiss has served as the cornerstone of early childhood mental health services at WPIC and offers a variety of vital programs to promote the health and well-being of pediatric clients and their families. As the demand for early childhood mental health services has grown beyond expectations, these programs have expanded and extended throughout Allegheny County and beyond, providing approaches to early childhood mental health and trauma treatment that currently are only available from the Matilda Theiss Center programs. As part of the NCTSN, the ECMH Trauma Treatment Center has increased access for young children to the most effective, evidence-based treatments for early trauma, including Parent-Child Interaction Therapy and Child Parent Psychotherapy. Treatment is provided within schools or day treatment settings, standard outpatient clinics, or mobile therapy in family’s homes.
The Center for Pediatric Traumatic Stress (CPTS) will continue to address health-related trauma in the lives of children and families. The center's mission is to reduce medical traumatic stress by promoting trauma-informed health care, by integrating practical evidence-based tools into pediatric medical care, and by ensuring that health care providers are knowledgeable and skilled in trauma-informed care for culturally diverse youth and their families. CPTS has developed and evaluated acute and brief family-focused interventions, which can be integrated within pediatric health care. The center’s four current goals are to: 1) engage and provide national expertise to health care providers and health care systems in improving outcomes for children and families with medical trauma; 2) adapt, disseminate, and provide training to mental health providers in trauma-informed assessments and interventions for children and families experiencing medical trauma; 3) ensure that children and families have access to evidence-based resources and interventions that address the impact of medical trauma; and 4) equip other child-serving systems with trauma-informed approaches to address injury, illness, and medical problems in children and families. Activities to achieve these goals include: promoting professional and public awareness of medical trauma via CPTS's active Web presence www.healthcaretoolbox.org (to reach 20,000 providers per year) and via CPTS’s partnership with national health provider organizations; supporting implementation of effective assessment and intervention for medical trauma in more than 100 health care settings; delivering training on and tools for assessment and intervention with medical trauma to more than 9,000 health and mental health providers; and disseminating trauma-focused resources in English and Spanish to children and families experiencing medical trauma.
The Center for Traumatic Stress in Children and Adolescents will provide national expertise in Clinical Interventions for Traumatic Stress Reactions and Traumatic Grief. The center—which developed Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT)—will adapt both interventions for foster children with severe behavioral traumatic stress reactions, will develop a culturally adapted AF-CBT implementation manual, and will provide culturally adapted TF-CBT and AF-CBT training and consultation to therapists who treat military children. In addition, the center will: 1) address behavioral health disparities for children in foster care, LGBTQ youth, and military children with traumatic stress reactions or traumatic grief; 2) collaborate with Persad Center (the nation's second-oldest LGBTQ provider organization) to develop toolkits for child and adolescent mental health providers; 3) adapt TF-CBT treatment materials; 4) provide LGBTQ-competent TF-CBT training to therapists; and 5) develop a Clinical Interventions for Traumatic Stress and Traumatic Grief Partnership composed of national experts, highly experienced service providers, and consumers. This group will create and evaluate strategies of national impact to establish a sustainable workforce of therapists who can provide affordable, high-quality TF-CBT and AF-CBT for children across the United States.
Karen Mallah served as project director for the Mental Health Center of Denver's Family Trauma Treatment Program, an NCTSN grantee. Dr. Mallah now works as a behavioral health consultant on the Mercer Government Human Services Consulting team. She remains involved with NCTSN activities focused on expanding evidence-based and culturally competent trauma treatment for diverse youth and families.