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.
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 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 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 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 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 Children’s Sexual-Related Trauma Advocacy, Response and Treatment Center (C-START), a Community Treatment and Services Center, will build agency and community-wide capacity to deliver evidence-based, trauma-informed, culturally competent treatment interventions in Miami-Dade and Monroe counties for child victims of sexual abuse and for children with sexual behavior problems in the child welfare system. The children and caregivers participating in this program will come from diverse ethnic, racial, religious, and socioeconomic backgrounds, reflective of the population of South Florida. A projected 1,446 children will receive evidence-supported treatment during the four years of the project.