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.
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).