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.
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 Minnesota, Ambit Network, Midwest Continuum of Care for Child Trauma
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.
University of Rochester, Mt. Hope Family Center, The Promoting Emotional Adjustment in Children Exposed to Violence (PEACE)
Children exposed to trauma have extremely high rates of mental health, medical, and academic difficulties. Traumatized children's extensive needs place a significant burden on families and society, including social welfare, educational, mental health, medical, and legal systems. The accessibility of evidence-based, trauma-informed treatments is essential for children's recovery. Project STRONGER (Supporting Trauma Recovery Opportunities & Nurturing Growing Emotional Resilience) is designed to enhance availability of evidence-based trauma treatments to children and families exposed to trauma and to promote policies that support trauma-informed care. Through Project STRONGER, we offer trauma treatment services to children in the child welfare system and military families, in addition to general community referrals. We serve children from Monroe County, NY. Project STRONGER provides Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Alternatives for Families-A Cognitive Behavioral Therapy (AF-CBT), Child-Parent Psychotherapy (CPP), Interpersonal Psychotherapy for Adolescents (IPT-A), and Group Attachment-Based Intervention (GABI) to children and their caregivers depending on their needs. STRONGER staff trains diverse audiences about the effects of trauma on children and families, and disseminates best practices for implementing evidence-based interventions locally and nationally. We also facilitate screening and trauma-informed service delivery for child-serving systems. STRONGER builds on existing collaborative efforts of a multidisciplinary team of community stakeholders, including Community and Youth Advisory Boards working to improve the lives of children and families exposed to trauma.
University of Southern California, Adolescent Trauma Training Center (USC-ATTC) John Briere and Cheryl Lanktree
The University of Southern California Adolescent Trauma Training Center (USC-ATTC) trains clinicians and disseminates information throughout the U.S. on the assessment and treatment of complex trauma effects in socially marginalized and ethnically-diverse adolescents, including those with, or at risk for, substance abuse, suicide, and self-injurious behavior. Clinicians receiving training and products include those in mental health, school, substance abuse, child welfare, residential, juvenile justice, and military intervention service systems. USC-ATTC disseminates treatment guides, tools and information on its evidence-based, multi-component treatment, Integrative Treatment of Complex Trauma for Adolescents (ITCT-A), including the ITCT-A Treatment Guide, 2nd Edition, and the standalone guide “Treating Substance Use Issues in Traumatized Adolescents and Young Adults: Key Principles and Components,” available at the USC-ATTC website: http://keck.usc.edu/adolescent-trauma-training-center
>>> Two additional treatment guides are in progress: “Treating Suicidality and Self-Injurious Behaviors in Traumatized Youth” and “Mindfulness Training for Traumatized Adolescents.” USC-ATTC is developing an ITCT-A certification program, and a Train-the-Trainer program to more widely disseminate ITCT-A throughout the NCTSN and beyond. It is collaborating with other TSAs to develop and disseminate materials and co-conduct trainings on preventing and treating suicidality, self-harm, and substance abuse in juvenile justice and mental health systems, and works with TSA and CTS centers to increase their capacity to provide culturally sensitive services for traumatized youth. Consultations are provided to individual centers and groups of centers, nation-wide, on adaptations and implementations.
University of Southern California, Center for Resiliency, Hope & Wellness in Schools
The purpose of the TSA for Schools is to promote trauma-informed schools and school systems nationwide by enabling all schools to deliver effective trauma practices and interventions and developing a supportive and nurturing environment for trauma-exposed students, especially those from the most vulnerable populations. To achieve this, we have three primary goals: The TSA for Schools will further develop and enhance implementation and broad dissemination of our effective school-based interventions: the Cognitive Behavioral Intervention for Schools (CBITS) for middle and high school students, Bounce Back for elementary school students, and Support for Students Exposed to Trauma (SSET) which can be delivered by non-clinical counselors and teachers. We will also further the development and dissemination of our trauma curriculum, Life Improvement for Teens (LIFT), an interactive, web-based curriculum for high school students relating to stress, trauma, or adverse experiences. For educators and other school staff, we will develop and disseminate online platforms to teach trauma-informed classroom skills and self-care to teachers. We will also partner with school safety experts to create a trauma-informed curriculum and training for school resource officers “school police”. The TSA for Schools will also help schools systematically develop a trauma-informed infrastructure by creating an online resource for school systems to evaluate their level of being trauma-informed that identifies their readiness to adopt trauma-informed practices and next steps in effective implementation, including ways to sustain practices through federal and other funding opportunities. Additionally, we will continue to host our Annual National Summit on Trauma Informed Schools.
University of Tennessee Health Science Center: Center of Excellence for Children in State Custody
The UTHSC Center of Excellence for Children in State Custody is part of a statewide network of five regional Centers of Excellence dedicated to improving behavioral and physical health services to children in or at risk of state custody by providing both consultative and direct services. Referral questions may include mental health, physical health, developmental, medication, or placement issues. We serve 21 counties in west Tennessee. The development of an individualized Care Plan for each child is a primary service of the COE. Following a thorough case review, clinical interview, medical exam, and/or more comprehensive evaluation, a Care Plan is developed by an inter-disciplinary team. The Care Plan includes specific treatment and placement recommendations. COE staff also provides training opportunities to Department of Children's Services (DCS) staff, caregivers, and mental health treatment providers.
The COEs provide training about trauma, ACES, and their impact on children using curriculums development by the National Child Traumatic Stress Network (NCTSN, www.nctsn.org). Training curriculums include the Child Welfare Trauma Training Toolkit, The Road to Recovery: Supporting Children with IDD who Have Experienced Trauma, and Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents. Additionally, through the Best Practices Collaborative, the COEs disseminate evidence-based practices related to ACEs and childhood trauma to community providers. EBPs disseminated include Trauma-Focused Cognitive Behavior Therapy (TF-CBT); Attachment, Self-Regulation, and Competency (ARC); Parent-Child Interaction Therapy (PCIT); Child-Parent Psychotherapy (CPP); and treatment for children with problematic sexual behavior.
University of Utah and Primary Children's Center for Safe and Healthy Families
The University of Utah and Primary Children’s Center for Safe and Healthy Families are collaborating on the project, Pediatric Integrated Post-Trauma Services: an Evidence Based Care Process Model for Pediatric Traumatic Stress. The purpose is to develop and disseminate clinical algorithms and tools for medical providers to detect, assess, and manage traumatic stress, facilitating timely treatment and referral and minimizing the misuse of medication. The project goals include 1) Develop an Evidence Based Care Process Model (EB-CPM) and decision support tools for pediatric traumatic stress; 2) Implement and assess pediatric traumatic stress EB-CPM for frontline healthcare providers in primary care and children’s advocacy centers; and 3) Provide national leadership on the use of care process models in trauma exposed children. The initial pilot and statewide implementation will occur through the Intermountain Healthcare network of primary care and children’s advocacy center providers in the state of Utah, focusing on clinical settings that serve urban, rural and frontier populations.