The Transforming Trauma Project (TTP) will develop, implement, and evaluate the impact of a Community Treatment and Services (TSA) Center designed to provide trauma treatment to children, youth, and families who experience traumatic events; and to increase access to trauma-focused and trauma-informed treatment and services in Union County and nearby military bases. Goals include building infrastructure by: 1) bringing together representatives of consumers, providers, and government under the aegis of a Project Advisory Board; and 2) creating a permanent community collaborative, designated as Collaboration for a Trauma-Informed Community (CTIC). TTP will increase the capacity of Union County’s mental health, child welfare, law enforcement, and other child-serving systems to provide trauma-focused screening, assessment, referral (via staff in-service and workshop training) by: 1) training a cohort of staff psychotherapists of provider agencies in evidence-based, trauma-informed practices (including, but not limited to TF-CBT); and 2) using the Train-the Trainer program in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to sustain project services after the conclusion of federal funding. Additionally, TTP will provide trauma-informed screening, assessment, and referral to youth and family members; and TF-CBT treatment to children, adolescents, and family members who have experienced or witnessed traumatic events.
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 Healing Path: A Trauma Treatment Program for Youth will integrate education, assessment, and treatment of trauma in children into the mental health, substance abuse, schools, and juvenile justice systems in Lake County. An evidence-based approach—Attachment, Regulation, and Competency (ARC)—will be used to treat traumatic stress symptoms in children aged 4–18. Approximately 200 youth with traumatic stress symptoms (20 percent from military families) will be treated during the course of the grant. The program will also serve an estimated 240 caregivers including 120–160 service members or military spouses. Training around implementation of trauma-informed care will be provided to 1,200 professionals during the course of the grant.
The Trauma and Grief Clinic for Youth: Promoting Community-Wide Best Practices—in partnership with community partners in Detroit and Ypsilanti—will: 1) build community consensus; 2) provide training in trauma-informed, evidence-based assessments using the Core Curriculum on Childhood Trauma (CCCT); and 3) assist with cultural adaptations to Trauma and Grief Components Therapy-Adolescents (TGCT-A), and provide training in its implementation. During the four-year project, the program will provide trauma-informed care to approximately 18,000 underserved youth across southeastern Michigan.
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 Integrated Trauma Care project will provide evidence-based Child-Parent Psychotherapy (CPP) services to children aged 0–5 and their caregivers who have experienced or are at high risk for abuse and/or neglect. Populations served may include families living at or below the poverty level, caregivers who themselves were abused and/or neglected, caregivers with high levels of stress, caregivers with drug/alcohol abuse histories, caregivers with anger management issues, and families with histories of domestic violence. During the grant period, the project will serve 600 unduplicated children and their caregivers including 32 children of military families; and will train 84 clinicians in a year-long intensive Learning Collaborative.
The Early Childhood Mental Health and Trauma Treatment Center (ECMH-TTC) at the Western Psychiatric Institute and Clinic (WPIC) will provide services to children aged 0–7 who have experienced trauma, as well as to their parents and/or families. Using evidence-based practices—including Parent-Child Interaction Therapy (PCIT) and Child-Parent Psychotherapy (CPP)—ECMH-TTC will offer mental health services through center- and community-based programs in a low socioeconomic status (SES), urban, minority population. By the end of the grant period, ECMH-TTC will increase the percentage of children participating in PCIT or CPP through mobile service by 100 percent, increase access to evidence-based treatment for center-based children by 50 percent, and increase outpatient services by 100 percent. In total, at least 170 children will receive CPP or PCIT.
The Tennessee Network of Trauma-Informed and Evidence-Based Systems (TN-TIES) project will increase access and improve services to youth in foster care who have experienced trauma. Evidence-based, trauma-informed interventions will be disseminated into multiple systems commonly responsible for the care of youth in state custody including resource parents, child welfare staff, and mental health providers. Training will be provided to: 1) 225 resource parents using the curriculum Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents; 2) at least 60 child welfare workers using the Child Welfare Trauma Training Toolkit; and 3) 50 mental health clinicians using Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) by certified TF-CBT trainers.
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.
The Collaborative Trauma Center will expand treatment options in the Village for Families & Children, Inc.’s multisite outpatient behavioral health clinic, and will enhance trauma-informed practices across the system of care for children and adolescents exposed to trauma. The center will build and sustain capacity to provide Child-Parent Psychotherapy (CPP) and Eye Movement Desensitization and Reprocessing (EMDR) to 445 Hartford children (including those in military families) affected by abuse and neglect, domestic and community violence, out-of-home placement, and toxic stress. Treatment activities will focus on children aged 0–5. Additionally, the center will provide training for professionals from child-serving systems in the Hartford area; and will work to expand the capacity of partnering clinical organizations to provide evidence-based, trauma-informed care.