Treatment and Services Adaptation Centers - Category II

Treatment and Services Adaptation Centers - Category II

University of California, Los Angeles (Szilagyi)

Funding Period: 
[2016 - 2021]
Description: 

The Pediatric Approach to Trauma, Treatment and Resilience (PATTeR) is a multi-site project. The three project sites include the American Academy of Pediatrics, the University of Massachusetts Medical School and UCLA's Section on Developmental Studies. The focus of PATTeR is to develop curricula focused on trauma and resilience specifically for pediatricians who are the first child professionals family encounter and the most frequent gate-keepers to subspecialty care, including trauma-informed mental health care, and to supportive community-based services. During year one, we will focus on developing two levels of curricula: Trauma Aware and Trauma Informed. Through the AAP, which is the professional home of over 60,000 pediatricians across the United States, we will recruit pediatricians serving children and families in a variety of settings but focus on those serving certain high risk groups: those living in poverty, involved with child welfare or social services, those living in resource-poor areas and military families. Case-based learning designed to lead to practice change will occur in a group on-line format (using ECHO Technology) with an expert panel. Trauma Aware training will occur over 6 sessions. Pediatricians seeking to become trauma training resources in their own communities or AAP chapters will complete the more detailed Trauma-Informed training over 12 sessions. We will also recruit residency program leaders through the Academic Pediatrics Association to engage in both curricula since they are the educators who will transform pediatric residency education. We will also infuse curricula into multiple AAP education venues and anticipate reaching thousands of pediatricians during the grant cycle.

City, State: 
Los Angeles, CA
Contact: 
Moira Szilagyi
Phone: 
(310) 794-5361

University of California, Los Angeles (Asarnow)

Funding Period: 
[2016 - 2021]
Description: 

The UCLA-Duke Adolescent Suicide/Self Harm & Substance Abuse Prevention (ASAP) will serve as a resource for information related to safety, suicidal/self-harm behaviors, and substance use among trauma-exposed youths. We prioritize services for emergency/acute care and brief time-limited treatments, adapting for the trauma-exposed population and then disseminating two brief evidence-based interventions for suicide/self-harm risk (Emergency/Family Intervention for Suicide Prevention; SAFETY) and two for substance abuse (Screening/Motivational Interviewing(MI); CBT with MI/optional contingency management). To inform and develop optimal service strategies for improving outcomes for trauma-exposed youths, the Center will also work to develop and strengthen trauma informed care that integrates care for adolescent behavioral health within primary care, emergency, and other medical settings, as well as other mental health, school, and community settings. We will utilize surveillance data on suicide/self-harm and substance abuse risk in the NCTSN population to guide this work. Intervention training and dissemination will include technology-enhanced tools/materials and data-informed supervision systems and clinical dashboards to enhance quality of care and client outcomes. Through trainings/dissemination activities, the Center aims to serve diverse youths, across racial and ethnic groups. sexual identities and orientations, socioeconomic groups, and address needs of youths in military families. Our Center goal is to support providers and service systems in addressing safety issues and substance misuse effectively, thereby enhancing the benefits of other treatments that specifically target post-traumatic stress disorders/reactions.

City, State: 
Los Angeles, CA
Contact: 
Joan R. Asarnow
Phone: 
(310) 454-2018

University of Connecticut School of Medicine - Center for Treatment of Developmental Trauma Disorders (CTDTD)

Funding Period: 
[2016 - 2021]
Description: 
The University of Connecticut Center for Treatment of Developmental Trauma Disorders (CTDTD) brings together developers and disseminators of leading evidence-based child developmental trauma treatments (Attachment-Regulation-Competence, ARC; Families OverComing Under Stress, FOCUS; Integrated Treatment of Complex Trauma, ITCT-C/A; Structured Psychotherapy for Adolescents Responding to Chronic Stress, SPARCS; Trauma Affect Regulation: Guide for Education and Therapy, TARGET; Trauma and Grief Components Therapy for Adolescents, TGCTA; Trauma Systems Therapy, TST), to enable all NCTSN Category II and III Centers and their affiliated providers nationally to achieve competence in DTD assessment (with NCTSN DTD screening and interview protocols) and treatment (with systematic integrative best practice algorithms for child/family-centered outcome-based care). CTDTD will conduct surveys of NCTSN centers/affiliates and key-informant interviews with providers, children and families to identify critical clinical dilemmas that can lead to: (1) impasses or ruptures in engagement and the therapeutic alliance, (2) crises and significant increases in risk, and (3) ineffective developmental outcomes. Based on survey results, CTDTD will provide a series of more than 40 critical clinical incident-focused, case-focused, and public information-focused webinars co-presented by the Looking In Youth Theatre Group. Through these webinars, and by operationalizing Network Clinical Competencies Guidelines and extending Network Core Concepts/Components initiatives with Guidelines for DTD-informed Clinical Decision-making, CTDTD will enhance the ability of more than 40,000 peer and professional counselors to treat more than 100,000 children experiencing DTDs and their caregivers.
City, State: 
Farmington, CT
Contact: 
Julian Ford
Phone: 
(860) 679-8778
Email: 
Funding Period: 
[2016 - 2021]
City, State: 
Los Angeles, CA
Contact: 
Joan Asarnow

Center for Healthier Children, Families & Communities

Funding Period: 
[2016 - 2021]
City, State: 
Los Angeles, CA
Contact: 
Moira Szilagyi
Funding Period: 
[2016 - 2021]
Description: 

The Complex Trauma Treatment Network (CTTN) is a network within the NCTSN established in 2009 to develop, adapt, and disseminate evidence-based child/family complex trauma interventions (CTI’s). The CTTN engages in three levels of activity across all ten HHS service regions: (I) enhancement of complex-trauma informed infrastructure across the care continuum; (II) CTI model dissemination, trainer-training, and adoption in residential treatment (RT), juvenile justice (JJ) and youth/family homeless shelter (HS) settings; and (III) promotion of regional sustainability of CTI’s through establishment of interagency consortia within large metropolitan regions, multistate urban corridors, and national service organizations. Building upon foundational groundwork from the past two funding cycles, CTTN is partnering with over two dozen state agencies and nonprofit foundations nationwide to conduct Learning Collaboratives embedding the ARC model as a systems and clinical intervention in RT settings and the Think Trauma Curriculum and the SPARCS treatment model in JJ settings, and to develop, pilot and refine an ARC-informed, brief SPARCS intervention for use in HS settings. The CTTN is also conducting intensive Learning Communities with the Division of Youth Services and Karidat Social Services in the Northern Mariana Islands, and with a coalition of seven governmental and nonprofit organizations led by the DHHS Behavioral Health Services Division in American Samoa, to seed complex-trauma informed infrastructure in the Pacific Island U.S. Territories. The CTTN is a collaboration of Suffolk University, The Trauma Center at Justice Resource Institute, Adelphi University, Anchorage Community Mental Health Services and the University of Chicago and Children's Hospital of Los Angeles.

City, State: 
Boston, MA
Contact: 
Michael Suvak
Phone: 
(617) 994-6869
Funding Period: 
[2016 - 2021]
Description: 

The University of Utah and Primary Children’s Center for Safe and Healthy Families are collaborating on the project, Pediatric Integrated Post-Trauma Services: an Evidence Based Care Process Model for Pediatric Traumatic Stress. The purpose is to develop and disseminate clinical algorithms and tools for medical providers to detect, assess, and manage traumatic stress, facilitating timely treatment and referral and minimizing the misuse of medication. The project goals include 1) Develop an Evidence Based Care Process Model (EB-CPM) and decision support tools for pediatric traumatic stress; 2) Implement and assess pediatric traumatic stress EB-CPM for frontline healthcare providers in primary care and children’s advocacy centers; and 3) Provide national leadership on the use of care process models in trauma exposed children. The initial pilot and statewide implementation will occur through the Intermountain Healthcare network of primary care and children’s advocacy center providers in the state of Utah, focusing on clinical settings that serve urban, rural and frontier populations.

City, State: 
Salt Lake City, UT
Contact: 
Brooks Keeshin
Phone: 
(801) 662-3631
Funding Period: 
[2016 - 2021]
Description: 

As a center to improve the well-being of youth with Developmental Disabilities (DD) impacted by trauma at LIJ Medical Center of Northwell Health, we will increase DD caregivers' sensitivity to trauma-related needs and increase the availability of clinicians who can provide treatment for this double vulnerable population. Strategies will include cross-training for developmental disabilities and trauma as well as development and dissemination of DD-appropriate trauma-related assessment tools and treatment adaptations. The project will facilitate dissemination of the recently developed NCTSN toolkit, Road to Recovery, to increase awareness of the impact of trauma on youth with DD, and develop additional materials based on our needs assessment. Initial target audiences are agencies specializing in services for children with developmental disabilities and community-based clinical providers, to be expanded to other providers in special education, child welfare, and medical settings, and we will specifically address needs of military/veteran families coping with both service-related issues and developmental disabilities. We will collaborate with identified partners already working to adapt assessment and intervention tools for youth with DD within NCTSN and seek additional partners to create a collaborative group focusing on this population. By the end of the project, we aim to develop a guide to assist in matching type of disability with best available practices and develop a methodology for communities to assess their unique combination of needs and resources to enhance services for the DD youth, their families, and their providers.

City, State: 
New Hyde Park, New York
Contact: 
Peter D'Amico
Phone: 
(718) 470-8352

Children's Hospital Boston, Advancing Treatment and Services for Refugee Children and Adolescents

Funding Period: 
[2016 -2021, 2012 - 2016, 2007 - 2011, and 2005 - 2001]
Description: 
The Boston Children's Hospital Refugee Trauma and Resilience Center works to provide national expertise in the area ofRefugee Displacement and War Zone Trauma/Refugee Health and Resettlement Agencies (Refugee Trauma). The purpose of this project is to address behavioral health disparities for refugee children, adolescents and families across the nation by developing, disseminating and supporting strategies that enhance access, service use and outcomes among this population. The specific goals that comprise this work include: 1) supporting the development and implementation of effective trauma interventions and approaches for refugee children, 2) developing training protocols and products to support dissemination and replication of effective interventions and approaches in communities across the nation, 3) developing and disseminating evidence-supported products in refugee trauma, 4) developing and delivering trainings across systems and providers, 5) collaborating within the network to promote understanding of the culture and special needs of refugee children and families and 6) providing national and community leadership on child refugee trauma.
City, State: 
Boston, MA
Contact: 
Colleen Bixby
Phone: 
(617) 919-4791

University of Southern California, Adolescent Trauma Training Center

Funding Period: 
[2016 - 2021 and 2012 - 2016]
Description: 

The University of Southern California Adolescent Trauma Training Center (USC-ATTC) trains clinicians and disseminates information throughout the U.S. on the assessment and treatment of complex trauma effects in socially marginalized and ethnically-diverse adolescents, including those with, or at risk for, substance abuse, suicide, and self-injurious behavior. Clinicians receiving training and products include those in mental health, school, substance abuse, child welfare, residential, juvenile justice, and military intervention service systems. USC-ATTC disseminates treatment guides, tools and information on its evidence-based, multi-component treatment, Integrative Treatment of Complex Trauma for Adolescents (ITCT-A), including the ITCT-A Treatment Guide, 2nd Edition, and the standalone guide “Treating Substance Use Issues in Traumatized Adolescents and Young Adults: Key Principles and Components,” available at the USC-ATTC website:

http://keck.usc.edu/adolescent-trauma-training-center

. Two additional treatment guides are in progress: “Treating Suicidality and Self-Injurious Behaviors in Traumatized Youth” and “Mindfulness Training for Traumatized Adolescents.” USC-ATTC is developing an ITCT-A certification program, and a Train-the-Trainer program to more widely disseminate ITCT-A throughout the NCTSN and beyond. It is collaborating with other TSAs to develop and disseminate materials and co-conduct trainings on preventing and treating suicidality, self-harm, and substance abuse in juvenile justice and mental health systems, and works with TSA and CTS centers to increase their capacity to provide culturally sensitive services for traumatized youth. Consultations are provided to individual centers and groups of centers, nation-wide, on adaptations and implementations.

City, State: 
Los Angeles, CA
Contact: 
John Briere
Phone: 
(323) 226-5697
Email: 
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