The University of Chicago Medicine REACT Program: Recovery & Empowerment After Community Trauma is a response to Chicago’s greatest ongoing public health challenge: community violence. Based in an urban children’s hospital, UCM REACT provides African American patients affected by community violence with brief trauma-focused intervention, as well as access to trauma-informed psychiatric and psychological services and ongoing trauma-focused therapy. UCM REACT builds on Healing Hurt People - Chicago (HHP-C), a partnership between UCM Comer Children's Hospital and the John H. Stroger Jr. Hospital of Cook County. HHP-C offers hospital-based violence intervention services to young patients who have been shot or suffered other violent injuries. The REACT Program, linked to the Comer Children's emergency department and PICU, provides trauma screening, support, psychoeducation, and intervention to Comer patients of all ages who have been affected by community violence, whether or not they have sustained violent injuries. The REACT Clinic, co-directed by a trauma psychologist and a child psychiatrist, provides trauma-informed psychological and psychiatric needs assessments patients identified by REACT and HHP-C. REACT and HHP-C clinicians receive training in and utilize the Child & Family Traumatic Stress Intervention (CFTSI). Finally, REACT and HHP-C clients have access to ongoing therapy services through provider partnerships with clinicians/programs with expertise in serving urban African American families, complex trauma, Child-Parent Psychotherapy, and ARC (Attachment, Regulation, & Competency).
This listing of NCTSN members includes current grantees as well as NCTSN Affiliates, former grantees who have maintained their ties to the Network.
University of Chicago Medicine REACT Program
University of Colorado Boulder, Center for Resilience and Well-being in Schools
The TSA Center for Resilience and Well-being in Schools is based in the University of Colorado-Boulder's Institute of Behavioral Science. This Center was established to serve communities in the Rocky Mountain region and become a national leader and resource hub to facilitate safe, supportive school environments. The Center's overarching aim is to develop and promote comprehensive, school wide approaches for building staff and student social and emotional competence, resilience and well-being, and mental and behavioral health in trauma-informed, culturally responsive ways. This includes strategies to increase school staff recognition of and sensitive response to signs of student trauma, mental/behavioral health challenges, and student safety concerns and ability to match them with appropriate, evidence-based services and supports. This also includes strategies to help staff recognize their own stress, compassion fatigue, and burnout and to mobilize wellness strategies. Another primary aim of the Center is to build capacity in schools and communities to deliver trauma-focused, evidence-based treatments for youth and families who need them. To achieve these goals, the Center has three primary activities: (1) build its infrastructure, resources and tools, (2) evaluate a comprehensive whole-school approach called Resilience in Schools and Educators (RISE)-a school adaptation of NCTSN Promising Practice Let's Connect, and (3) provide technical assistance, training and implementation supports to schools and communities locally and nationally. Our Center will develop web-based, educational learning tools (e.g., open courses, digital media, live and asynchronous training and consultation) to help engage school professionals and increase wider public awareness and knowledge.
University of Colorado Denver: Kempe Center for the Prevention and Treatment of child Abuse and Neglect
The Trauma Informed Practice program of the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect offers training, consultation, and technical assistance with implementation and evaluation to professionals from all fields that deal with children, youth, and families exposed to trauma. Recent collaborations with child welfare, school, and behavioral health partners have included building a trauma-informed child welfare workforce in Denver county, implementing a universal screening and referral system for all children and youth with open child welfare cases, leading learning collaboratives in two trauma-focused EBPs to increase the local mental health service array, establishing statewide fidelity measures and credentialing criteria for High-Fidelity Wraparound, managing a statewide learning management system for behavioral health professionals, partnering with school staff in the NCTSN Breakthrough Series Collaborative for supporting trauma-informed schools, and creating two toolkits to be used statewide for trauma-responsive practice (one for school staff and one for behavioral health).
University of Connecticut School of Medicine - Center for Treatment of Developmental Trauma Disorders (CTDTD)
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.
University of Connecticut School of Medicine, Center for Trauma Recovery and Juvenile Justice (CTRJJ)
The University of Connecticut Center for Trauma Recovery and Juvenile Justice (CTRJJ) brings together national leaders working with traumatized youth involved in the Juvenile Justice, Courts, and Law Enforcement and youth advisors, in order to provide traumatic stress treatment and services adaptation services to enable systems/providers/organizations to adopt, adapt, and deliver evidence based trauma specific interventions (Trauma Affect Regulation: Guide for Education and Therapy-Adolescents, TARGET-A, nationwide train-the-trainer initiative; Trauma and Grief Components Therapy-Adolescents, TGCTA; sustaining 3 state/multi-county dissemination projects; Families OverComing Under Stress, FOCUS; nationwide dissemination for justice-involved and military families) and trauma informed services (the Think Trauma curriculum and toolkit) culturally competently. CTRJJ will provide training and technical assistance to more than 5000 youth/family serving programs and 40,000 professional/peer service providers to reduce health disparities for more than 200,000 traumatized youth/families who are at risk or involved in juvenile justice. CTRJJ will work with members of the NCTSN in creating, refining, and disseminating resources such as the Essential Elements of Trauma Informed Juvenile Justice Systems and Juvenile Court Trauma-Informed Self-Assessment, Fact Sheets on Traumatic Stress Screening, Intervention, and Services for Girls in JJCLE, and the 2015 National Survey of Trauma-informed Juvenile Probation which CTRJJ will adapt and replicate in partnership with the National Juvenile Defender Center, National Juvenile Justice Prosecution Center, and International Association of Chiefs of Police.
University of Illinois at Chicago, Urban Youth Trauma Center, Institute for Juvenile Research
The Urban Youth Trauma Center’s Project T.R.I.U.M.P.H. (Trauma Resiliency through Integrated Urban Models: Partnerships for Hope) seeks to disseminate evidence-based practices to reduce and prevent behavioral health disparities resulting from community violence and traumatic stress with co-occurring substance abuse and behavioral problems among underserved youth and their families, with a special emphasis on low-income urban, ethnic, linguistic, and religious minority communities. UYTC’s goals are to: a) raise public awareness through NCTSN collaborations and a national media campaign that includes youth-oriented messages; b) provide specialized training and consultation to clinicians and youth serving providers; and c) engage and mobilize partners in strategic collaborations that include clinical, community, and policy constituents spanning across youth service system sectors to address community violence and behavioral health disparities. Project TRIUMPH will emphasize: 1) public awareness messages disseminated to youth, service providers, and general audiences in-person, online and through social media; 2) specialized intervention training provided to clinicians on manualized mental health services using the two UYTC family-focused treatment protocols of Trauma Systems Therapy for Adolescent Substance Abuse (for co-occurring trauma and substance abuse) and STRONG Families (for co-occurring trauma and disruptive behaviors); and 3) best practices prevention training and strategic engagement for clinicians, youth providers, community members, and young adults using the community violence prevention protocol YOUTH-CAN. UYTC uses a comprehensive socio-ecological model that partners with providers across the youth service system including caregivers, clinics, agencies
University of Kentucky Child and Adolescent Trauma Treatment and Training Institute
The University of Kentucky Research Foundation/Child and Adolescent Trauma Treatment and Training Institute (CATTTI) is housed at the University of Kentucky's Center on Trauma and Children. CATTTI provides services to children and families who have experienced a wide range of traumatic exposures and works closely with child serving systems of care to build community capacity to identify and serve traumatized children in need. CATTTI partners with community-based providers across the state of Kentucky to deliver trauma-informed evidence-based and culturally informed interventions to traumatized youth and their families. CATTTI also emphasizes training and service delivery in an under-resourced region of the state that includes a large number of military children associated with Fort Knox and Fort Campbell, and is working toward improving access, rates of attrition, and quality in prevention and intervention service delivery. Evidence-based interventions provided through the CATTTI project include Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Parent Child Interaction Therapy (PCIT), Child-Parent Psychotherapy (CPP), and Child and Family Traumatic Stress Intervention (CFTSI) and will be expanding to include Families OverComing Under Stress (FOCUS) and Trauma Affect Regulation: Guide for Education and Therapy (TARGET). CATTTI employs workforce development strategies that include training initiatives, including the NCTSN’s Caring for Children who have Experienced Trauma: A Workshop for Resource Parents, develops resources related to preventing and addressing Secondary Traumatic Stress, and uses the Core Curriculum for Child Traumatic Stress to prepare and train child psychiatry residents and fellows.
University of Kentucky Secondary Traumatic Stress Innovation and Solution Center
The Secondary Traumatic Stress Innovations and Solutions Center (STS-ISC) is housed at the University of Kentucky Center on Trauma and Children. The STS-ISC will provide workforce development and protection assistance to NCTSN centers, and other child-serving sites to address the impact of Secondary Traumatic Stress (STS) on trauma professionals so they can provide effective and quality care to children with traumatic stress conditions. This STS-ISC will support wide scale dissemination and implementation of existing and to be developed evidence-informed intervention products to address STS, and expand the application of these interventions to a new population, resource parents, who have high levels of untreated STS. This will be accomplished via the following activities: 1) Implementing workforce development and protection initiatives to create STS informed workplaces by developing an organizational change package and implementing data driven, organizational STS change processes; 2) Increasing supervisors’ abilities to serve as STS change agents and boundary spanners by creating training and assessment strategies; 3) Providing professionals with the knowledge and skills needed to manage STS using evidence-based interventions and an advanced, web-based, STS curriculum.; 4) Providing resource parents with the skills needed to manage STS by creating a targeted training curriculum; and 5) evaluating the effectiveness of these interventions on STS at the organizational and individual level. A full evaluation protocol including process and outcome measures of performance is fully integrated into the work of the center. The project will provide, direct, intensive training and support to 1040 professionals, but will create publically available, free tools and resources available that are accessible to an unlimited number of people in the larger, global community of trauma workers and resource parents.
University of Louisville, The Center for Promoting Recovery and Resilience of Traumatized Children and Youth (CPRR)
Metro Louisville’s Center for Promotion of Recovery and Resilience (CPRR) will utilize a comprehensive, community based approach consisting of) capacity building, 2) community and referral source education, 3) child/youth centered evidence based trauma focused interventions, and 4) consumer feedback and evaluation to help children and youth (military, refugee, or maltreated and sexually exploited and trafficked) overcome effects of trauma. Specifically, this project will 1) increase knowledge and skills of personnel who make referrals and provide services to children regarding trauma and related services, 2) provide trauma focused intervention services to military children, refugee children, and children victimized by abuse, neglect and exposed to family violence, and 3) evaluate the impact of the project on consumers of this proposed project. By the completion of the project, 100 providers will have been trained in evidence based trauma interventions (e.g. TF-CBT, CBITS, FOCUS), 575 children and their families will have been provided trauma treatment and education, and 50 community agencies serving children and youth will have become trauma informed. A final report will be disseminated through presentations and publication on the project’s impact and lessons learned on how to best respond to the needs of traumatized children and youth
University of Maryland School of Medicine, Division of Child and Adolescent Psychiatry
Baltimore-Network of Early Services Transformation (B-NEST) will strive to prevent and support recovery from traumatic stress in very young children through 1.) collaborative care and integration of early childhood trauma prevention, detection and intervention in pediatric primary care, 2.) evidence-based early childhood trauma interventions, and 3.) partnership with families, community elders and cross sector providers to raise awareness and prevent and respond to symptoms of traumatic stress in children ages 0-5 and their families in Baltimore City. We will implement HealthySteps in the University of Maryland Medical Center’s pediatric primary care program and innovative trauma screening, education and attachment-based, developmental guidance tools. We provide two-generational, evidence-based trauma treatment (Child Parent Psychotherapy, TF-CBT) and attachment-based and Adverse Childhood Experiences (ACEs) parent education interventions (Attachment Vitamins, ACE Interface). By applying implementation science strategies and creating interprofessional training, we will increase the primary care sites capacities and future workforces to provide child and family traumatic stress resources and implement trauma informed practices in the primary care setting through partnerships with NCTSN Category II Centers (Child Trauma Research Program, Family Informed Trauma Treatment Center, Pediatric Integrated Care Collaborative and NCTSN Core Curriculum on Childhood Trauma). In partnership with local grandparents, our community health worker and community programs will increase community engagement and access to family education and public awareness through community-based, peer-led engagement interventions and workshops to promote social and racial inequities in health promotion.