Oklahoma

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.

The Families Increasing Resilience, Strength and Trust through positive relationships (FIRST) Program will leverage training expertise, program evaluation, and product development to further the NCTSN's mission to positively influence the lives of families impacted by trauma. The program will increase availability of two evidence-based interventions—Parent-Child Interaction Therapy (PCIT) and Sexual Behavior Problems: Cognitive-Behavioral Treatment (SBP-CBT)—delivered with high fidelity to traumatized families. Both PCIT (a SAMHSA-recognized intervention) and SBP-CBT (a comprehensive family-based intervention for children with inappropriate sexual behaviors) can be utilized to address child behavioral problems common among children affected by sexual and nonsexual trauma, and among families dealing with military deployment–related trauma. Implementation methods include innovative telehealth applications and Learning Collaborative strategies. The FIRST Program will expand treatments to military families experiencing deployment stressors and will enhance family resilience. The collaboration will contribute to the Network's understanding of the implementation process for family-based interventions including integrating new research findings from the program’s studies of telehealth-based implementation. Additionally, the program will provide support and leadership to Category III sites and other agencies seeking to expand their portfolio of trauma-informed services. Project deliverables will include: 1) PCIT and SBP-CBT Learning Collaborative models, 2) uniform training methods and materials, 3) telehealth protocols, and 4) development of a model of care for families of children with trauma exposure and secondary behavior management problems.

The Terrorism and Disaster Center (TDC) will work to enhance mental health preparedness, recovery, and resilience in children, families, and communities affected by disaster. Along with national expertise, the TDC will provide resources for intervention, training, consultation, and technical assistance related to disasters and terrorism. Goals include: 1) providing national disaster mental health leadership, 2) increasing disaster mental health public awareness, 3) developing and implementing disaster mental health interventions, 4) creating disaster mental health training protocols and resources, 5) partnering with service providers, and 6) collaborating with NCTSN partners on disaster issues. TDC will develop, implement, and evaluate four disaster mental health interventions: the Resilience and Coping Intervention (RCI) for children, the Communities Advancing Resilience Toolkit (CART), the Communities Advancing Resilience Toolkit for Youth (CART-Youth), and the Disaster and Media Intervention (DMI) for youth.

Established in 2003 at the University of Oklahoma Health Sciences Center, the Indian Country Child Trauma Center (ICCTC) develops culturally appropriate interventions to improve treatment and services for children and adolescents in Indian Country who have experienced traumatic events. The ICCTC develops trauma-related treatment protocols based on current evidence-based models that have been adapted for use with Native populations; provides training in the protocols and disseminates the developed materials throughout Indian Country; and provides treatment providers with resources to intervene with Native children and their families exposed to various types of trauma. The center uses three evidence-based treatment protocols to serve its clients: Parent-Child Interaction Therapy (PCIT), Treatment for Children with Sexual Behavior Problems (CSBP), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

The Family & Children's Services Child Trauma Center will expand access to evidence-based, trauma-focused treatment to children/youth (aged 0–18) and their families who reside in Tulsa County and the surrounding communities in northeast Oklahoma, and who may find it difficult or impossible to participate in traditional in-office treatment. The center will create a team composed of therapists and a case manager to deliver treatment using a home-based trauma-treatment intervention model. Three interventions will be used: Parent-Child Interaction Therapy (PCIT), Child-Parent Psychotherapy (CPP), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).