Pediatric Integrated Post-trauma Services (PIPS) developed the Care Process Model for Pediatric Traumatic Stress (CPM-PTS), the first and only empirically-supported model guiding providers in pediatric settings to screen for trauma, identify risk for traumatic stress and suicidality, and provide a trauma-informed approach that guides referrals for at-risk children to evidence-based trauma treatment as well as targeted, brief in-clinic interventions. As of January 2023, the CPM-PTS has been successfully implemented in >94 separate clinical settings in 21 US states, reaching tens of thousands of youth. For the funding period (2022-2027), PIPS activities center on training and implementation strategies for wide-scale dissemination, adoption, and sustainability of the CPM-PTS in diverse pediatric and advocacy center settings through: 1. Establishment of regional Technical Assistance Centers, 2. Development of enhanced implementation strategies for rural and non-rural service settings, and 3. Adaptation of the CPM-PTS for children in foster care. PIPS partners with national professional organizations, large healthcare systems, and the National Children's Alliance (NCA). Ultimately, the goal of the PIPS center is to remediate mental health disparities by supporting best practice identification and response on a national scale for children at risk for traumatic stress and suicide.