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
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 Louisville, The Center for Promoting Recovery and Resilience of Traumatized Children and Youth (CPRR)
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.
University of Maryland, Baltimore, Family Informed Trauma Treatment (FITT) Center
Family Informed Trauma Treatment (FITT) Center (a National Child Traumatic Stress Initiative (NCTSI) - Treatment and Service Adaptation (TSA) Center comprised of team members from the University of Maryland Schools of Medicine (UMSOM) and School of Social Work (UMSSW) and the Center for Child and Family Traumatic Stress at Kennedy Krieger Institute (CCFTS)) will use a multi-tiered, ecological approach to increase access to and impact of family interventions, share power and decision making with all stakeholders, and further advance trauma- and resilience-informed resources needed to address the complex of needs of families Over the past 9 years, The FITT team has advanced scientific discoveries, clinical innovation and dissemination efforts in trauma responsive family interventions by elevating family voices and strengthening the role of families in recovery from child traumatic stress by providing access to resources and family interventions. FITT interventions are delivered in clinics, homes, and communities, or are embedded in systems (e.g. interpersonal violence (IPV), drug courts, schools and social services) and are designed to be flexible, attuned to families’ readiness for change and safety needs. FITT Interventions include Strengthening Families Coping Resources (SFCR), Trauma Adapted-Family Connections (TAFC) and Family Assessment of Needs and Strengths (FANS). In addition to these clinical interventions, the FITT Center will led Breakthrough Series Collaboratives and the development of peer to peer interventions (SFCR Peer to Peer Model) and training resources (Climbing Out of Poverty) as well as disseminate NCTSN products in multiple workforce initiatives in universities and across the child and families services to increase capacity to address the needs of families who experience chronic trauma related to poverty and discrimination.
University of Massachusetts Medical School, Department of Psychiatry
The UMMS Resilience Through Relationships Center (RTRC) will build off of the work from the UMMS Child Trauma Training Center (CTTC), a statewide trauma center in Massachusetts, that has trained over 38,000 providers in trauma-informed care since 2012. The main goal of RTRC is to educate professionals and caregivers nationwide by promoting resilience through safe, stable, nurturing relationships in order to respond to impaired caregiving (IC) resulting from parental substance misuse, parental mental illness, and/or child neglect. The RTRC will create a variety of educational and training materials pertaining to the impact of IC on children, the importance of healthy attachments, and effective interventions to support resilience. It will provide national training and guidance to medical providers, mental health providers, substance use disorder counselors, and caregivers (foster parents, parents in recovery, grandparents) working with youth (ages 0 to 21) impacted by IC with the goal of supporting healthy attachment and resilience in youth through caregiver support. The RTRC will develop a series of products (e.g., fact sheets on child neglect, parental substance misuse, promoting healthy attachment, etc., training materials, and other resources) designed to guide professionals and caregivers to promote SSNR culminating in a comprehensive toolkit: Promoting Relationships: Methods In Support of Resilience (PROMISR), available for national dissemination by 2025.
University of Massachusetts Medical School, Worcester, U Mass Medical School Child Trauma Training Center
The University of Massachusetts Medical School Child Trauma Training Center (CTTC) will be developed by the Department of Psychiatry to improve identification of trauma, to increase trauma-sensitive care, and to increase access to evidence-based, trauma-focused treatment for at-risk and underserved children and youth aged 6–18 in central and western Massachusetts—including court-involved youth and youth in military families. During the grant period CTTC anticipates: 1) training 1,800 child-serving professionals in trauma-sensitive care; 2) reaching approximately 20,000 children/youth with trauma-informed services; and 3) providing TF-CBT to 900 children/youth. The service array for the CTTC includes 60 cities and towns in central Massachusetts (Worcester County) and 23 cities and towns in western Massachusetts (Hampden County). Additionally, the CTTC will create a centralized referral system that will include a network of agencies with documented training in evidence-based trauma treatment. Along with providing trauma-informed training, the CTTC will offer training for first responders (e.g., police) in trauma-sensitive practices, and will disseminate culturally competent trauma screening tools to pediatricians, juvenile courts, and schools.
University of Minnesota, Ambit Network, Midwest Continuum of Care for Child Trauma
The Center for Resilient Families is a partnership between Ambit Network at the University of Minnesota, and developers of evidence-based family programs at Arizona State University’s REACH institute, Implementation Sciences International, and the Research Consortium on Gender-based Violence. The Center aims to raise awareness of and increase access to family interventions that promote resilience in traumatized children and will reduce disparities in service access, use, and training by targeting trauma-informed family interventions to isolated families in transition: those with a parent deployed to war, Native American families on reservations, immigrant and refugee families, families involved in the juvenile justice and child welfare systems, and families in which a parent has been killed. We will adapt and widely implement an array of five evidence-based parenting interventions, all of which have been tested and shown to be effective at strengthening resilience among traumatized families. These interventions are: Family check-up/FCU; the Family Bereavement Program; Parent Management Training-Oregon model/PMTO, and its validated adaptations for military families – After Deployment, Adaptive Parenting Tools/ADAPT; and Latino immigrant families – CAPAS. Developers will work closely with communities within and beyond the NCTSN to implement and sustain programs via learning collaboratives for providers serving our target family populations. We will provide national leadership by developing products aimed at helping families, those who provide them with services, and communities, to understand the impact of traumatic stress on parents, and the crucial role of parenting in promoting children's resilience.
University of Missouri Columbia
The overarching goal of the Central Missouri- Child Trauma Initiative (CM-CTI) is to provide, and increase access to, trauma-focused, evidence-based practices (EBPs) for trauma-exposed children (ages 0-18) and their families throughout central Missouri. Our work is housed at the University of Missouri School of Medicine Psychiatry Department, with collaborators from the University of Missouri- St. Louis. Specific aims of the CM-CTI project are to: 1) increase children’s access to three leading trauma-focused, EBPs: Child Parent Psychotherapy (CPP), Trauma and Grief Component Therapy (TGCT), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT); 2) significantly mitigate children’s trauma-related symptoms by post treatment as well as reduce trauma symptoms among caregivers receiving CPP. 3) Build a sustainable child trauma workforce in central MO by hosting Learning Total Collaboratives (LCs) for each of these EBPs (i.e., CPP, TGCT, and TF-CBT) for mental health professionals). Our current work also includes the SOAR (System Offering Actions for Resilience in Early Childhood) project, which is committed to building community awareness and developing programs to promote the social-emotional wellness of children age 0-8 and their families in Boone County. Our focus is on early child wellness, universal developmental screening, information/referral, workforce development and treatment services. As a Center of Excellence in Infant and Early Childhood Mental Health we provide a continuum of services and supports and partner to create a collaborative system that promotes social emotional well-being of young children and their families.
University of Montana, National Native Children's Trauma Center (NNCTC)
The National Native Children’s Trauma Center (NNCTC) will work across educational, mental health, child welfare, and juvenile justice systems for the purpose of enhancing system capacity to address the effects of childhood traumatic stress among AI/AN populations, to increase access to care for AI/AN children and youth who have been exposed to trauma, and to improve the standard of mental health care for AI/AN children in Indian Country and urban areas. Our goals are to: 1) build and maintain long-term partnerships with tribal, local, and regional stakeholders and with NCTSN centers to enable responsiveness to locally identified needs and to promote policies benefitting traumatized AI/AN children; 2) Increase school-based supports and services for AI/AN students with trauma exposure by integrating universal school-wide interventions with selective clinical resources; 3) Increase supports for at-risk AI/AN children involved with the child welfare system. (4) Increase supports for at-risk AI/AN children involved with the juvenile justice system; 5) Increase number of clinicians serving AI/AN youth who use evidence-based, culturally adapted trauma treatment; 6) Conduct high-fidelity cultural adaptations of EBPs and NCTSN interventions; and 7) Develop, evaluate, and disseminate original products. Specific interventions we will provide include: Practice Wise/Managing and Adapting Practice, Trauma Informed-Positive Behavioral Intervention and Supports, Cognitive Behavioral Intervention for Trauma in Schools (CBITS), classroom-based adaptation of CBITS, Bounce Back, Secondary Traumatic Stress Curriculum, Historical Trauma Training, BIA Human Services Curriculum, Attachment, Self-regulation, and Competency (ARC) and other NCTSN curriculums.
University of New Mexico Health Sciences Center, Addressing Childhood Trauma through Intervention, Outreach, and Networking
The Addressing Childhood Trauma through Intervention, Outreach, and Networking (ACTION) project supports the University of New Mexico Children's Psychiatric Center (UNM-CPC) through maintaining a trauma-focused specialty clinic and offering a wide range of training and consultation opportunities for providers and trainees within the system. The ACTION Clinic serves children and adolescents ages 5–18 and their families, providing integrated evidence-based treatments including: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Attachment, Self-Regulation, and Competence (ARC), and Trauma Affect Regulation: Guide for Education and Therapy (TARGET). Special emphasis is placed upon culturally responsive, contextually driven service delivery given the high percentage of under-served, ethnically and culturally diverse families who seek trauma-informed services at UNM-CPC. In particular, ACTION is focused on serving Native American, refugee and military families as well as LGBTQ-identified youth. ACTION also provides training and consultation across the state of New Mexico in trauma-informed practices to service systems such as child protective services, juvenile justice, schools, and a variety of behavioral health agencies who serve traumatized youth and families. In addition, ACTION is committed to the dissemination of ARC and TARGET models of complex trauma treatment throughout New Mexico, given the scarcity of service providers who are trained in evidence-based treatments for trauma.
University of Pittsburgh Medical Center, WPIC Early Childhood Mental Health and Trauma Treatment Center (ECTTC)
The Matilda Theiss Early Childhood Trauma Treatment Center (ECTTC) at the Western Psychiatric Institute and Clinic of the University of Pittsburgh Medical Center (UPMC) provides evidence-based, culturally-sensitive, early childhood trauma services for young children and families in the Pittsburgh area. Currently, the ECTTC is focused on expanding evidence-based practices and filling service gaps to meet the high demand for early childhood trauma services in Western Pennsylvania. Our population of focus is the racial/ethnic minority and/or low-income early childhood population (ages 0-7), in Allegheny County and throughout the surrounding, rural counties of Western Pennsylvania. The ECTTC also places a special emphasis on improving service access for specific underserved groups in our region that are greatly affected by trauma, including: young children and families impacted by intimate partner violence and maternal addiction; those involved in the child welfare system; military families; as well as the region’s increasing immigrant/internationals population. Interventions include: Child Parent Psychotherapy; Parent Child Interaction Therapy; Parent Child Attunement Therapy; and the FOCUS Resiliency Training Program. In addition to Network training partnerships with Category II sites, the ECTTC also partners with county human service departments; local child welfare agencies; legal child advocacy groups; numerous foster care/kinship agencies; local managed care organizations; intimate partner violence programs; maternal substance abuse programs; early intervention; pediatric primary care; and family support programs. Additionally, the ECTTC maintains active local participation in Pennsylvania’s SAMHSA Project LAUNCH grant.