In a climate of scarce behavioral health resources and great need, we raise and leverage public and private investments to deliver on resident-identified outcomes. We act as a nimble intermediary bringing together residents, public systems, community-based organizations, and funders. We’ve identified a suite of culturally-relevant evidence-based programs with proven successes that can be effectively implemented to achieve results. Our current programs that track specifically to symptoms of PTSD and were selected by the communities we serve, include: Cognitive Behavioral Intervention for Trauma in Schools: This evidence-based therapeutic intervention is designed to reduce anxiety, depression and the symptoms of post-traumatic stress (PTSD) in adolescents. Eighty percent of participating youth show improvement in PTSD symptoms. This program integrates the performing arts to engage youth in their own healing. The youth build social problem solving skills by reenacting difficult situations. They practice combating negative thoughts through activities such as "Helpful Other Thoughts". They also learn how to reduce anxiety through relaxation techniques. Act and Adapt: This evidence-based program reduces symptoms of acute depression in adolescents through school-based therapeutic groups. The youth learn how to cope with stress by solving problems within their control and – for problems outside of their control – by adapting. The program has been successfully implemented with Latinx and BIPOC adolescents in more than 40 schools in the Chicago Public School system and has been rigorously evaluated. Positive outcomes have included high retention, high participant satisfaction, and statistically lower depressive symptoms.
This listing of NCTSN members includes current grantees as well as NCTSN Affiliates, former grantees who have maintained their ties to the Network.
Children and Youth Cabinet
Children's Advocacy Center - University of Missouri - St. Louis
Children's Advocacy Services of Greater St. Louis is a University-based, multidisciplinary center that provides trauma-focused services to youth, families, and the community. We serve children impacted by all types of traumatic events including childhood sexual abuse, physical abuse, and neglect. We also serve witnesses of domestic abuse and violent crime and children who have suffered accidents, natural disasters, and traumatic bereavement. The goal of our grant, Project CONTACT (Community Operations Network for Treatment After Childhood Trauma) is to partner with community agencies to increase participation in our Child and Family Traumatic Stress Intervention (CFTSI).
Children's Healthcare of Atlanta, Inc., Georgia Child Traumatic Stress Initiative
The Georgia Child Traumatic Stress Initiative is a partnership between the Stephanie V. Blank Center for Safe and Healthy Children (CSHC) and the Department of Psychiatry and Behavioral Sciences of Emory University School of Medicine. The objectives of the project are to do the following: (1) provide trauma-informed services—including TraumaFocused Cognitive Behavioral Therapy (TF-CBT) and Parent-Child Interaction Therapy (PCIT)—to children and adolescents in metropolitan Atlanta; (2) offer webinars on mental health topics to child service agencies in the Atlanta community; (3) provide training in TF-CBT and mentoring in the application of evidence-based practices to multiple small groups of mental health providers who serve child victims of abuse/neglect in rural and underserved areas of north Georgia; and (4) develop and pilot a TF-CBT telemental health service to provide therapy to traumatized children and their families in rural and underserved areas of Georgia.
Children's Home Society of Florida
The Children's Home Society of Florida (CHS) is one of the oldest child welfare serving agencies in the state of Florida. Established in 1902, CHS is a statewide organization serving our most vulnerable children and their families in the state of Florida. As a funded NCTSN site from 2007 to 2021, we worked to better the lives of our children on an organizational, systemic, and child and family level. On an organizational level, we created a TIC Organizational Assessment, delivered annually since its inception. From this survey, we strengthened our policies and practices, our internal education curriculum, and our response to STS, focusing on the well-being of team members. We have worked with our communities, providing trauma focused trainings for our partners and other community members. We engaged in and led a community-wide, cross-sector group that identified and mobilized a holistic set of resources to aid children who have or are at risk of experiencing trauma. For our children and families, we specialized in evidenced based/informed practices including TFCBT, PCIT, CPP and Real Life Heroes. We implemented the use of trauma assessments in all clinical programs statewide assisting not only the identification of trauma experience, but related symptoms and associated diagnoses. We will continue our work in these areas as we move forward as an NCTSN Affiliate.
Children's Hospital Los Angeles, Center for Transyouth Health and Development
The Trans Community Trauma Treatment Center for Children and Adolescents (TCTTC) at Children’s Hospital Los Angeles (CHLA) is designed to improve the quality of trauma treatment and supportive services for youth ages 10- 21 who have experienced a unique set of developmentally adverse traumatic events due the incongruence between assigned birth sex and internal gender identity. The TCTTC is housed at the Division of Adolescent and Young Adult Medicine, which has historically provided trauma training and trauma-focused multi-agency clinical supervision to clinical and other direct service staff working with youth experiencing homelessness. TCTCC will provide the following: (1) Provide services directed to transgender and non-binary (TGNB) children and adolescents ages 10-21; (2) Support capacity building initiatives targeting local and state level child serving agencies (e.g. child protective services, juvenile corrections, probation, department of mental health, local education agency) to increase their competency to serve TGNB children and adolescents. The TCTTC will utilize Narrative Exposure Therapy (NET) as the evidence-based treatment (EBT) to be employed in this program. NET was selected for this project for its responsiveness to the needs and resilience of TGNB youth, the desired outcomes for this project, and the centrality of narrative for the coming out process for TGNB youth. This EBT will expand and complement the existing services offered at CHLA's Center for Transyouth Health and Development.
Founded in 1906, Children's Institute (CII) is the largest agency of its kind working to transform the lives of children exposed to adversity and poverty in Los Angeles. By providing early education, behavioral health and family strengthening services, CII reaches 26,000 children and families annually in communities where support is needed most. CII also leads the way in trauma-informed care and evidence-based clinical treatment by training thousands of professionals and caregivers throughout the year.
Children's Research Triangle, Trauma Treatment Program: Increasing Trauma Services for Youth
CRT's Trauma Treatment Program (TTP) provides research-driven, trauma-informed programming that aims to increase the availability of therapeutic services for children, adolescents and their families who are at significant risk for, or have experienced, potentially traumatic events including: domestic violence, community violence, traumatic grief, childhood maltreatment, sexual abuse/assault, multiple foster care placements, military deployment, combat injury or death, natural disasters, and serious accidents or injuries. The youth we serve often struggle with the effects of complex trauma, including neurobehavioral difficulties, developmental delays, emotional and behavioral problems, learning disabilities and a plethora of conditions that adversely affect the quality of their lives. Our TTP clinicians utilize well-established, developmentally appropriate screening and assessment tools to determine each child’s specific needs for treatment, which may include individual, group, family, and/or child-parent dyadic psychotherapy. As a former Community Treatment and Service Center for the SAMHSA-funded National Child Traumatic Stress Network (NCTSN), our therapists have received training in innovative treatment approaches that translate into trauma treatment of the highest industry standard and most effectively address the evolving needs of traumatized youth. Our interventions include a variety of evidence-based, trauma-informed approaches including Child Parent Psychotherapy (CPP), Structured Psychotherapy for Adolescents Responding to Stress (SPARCS), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Attachment, Regulation, and Competency (ARC), Theraplay®, and Families OverComing Under Stress (FOCUS) for Military Families. In addition, they draw from attachment, developmental, sensory-motor, and psychodynamic models, as well as art therapy and mind/body techniques that best meet the individualized needs of each child and family.
In the “Scaling Up Access to Trauma-Focused CBT for Children in Rhode Island” Project, Gateway Healthcare will provide services across Rhode Island to all genders and racial/ethnic backgrounds, with a particular emphasis on black, indigenous, and children of color (BIPOC). RI has over one million residents with large communities of Hispanics, African-Americans, West Africans, Latin Americans and Southeast Asians1, including refugee families, and a high rate per capita of military service members. Through its Child and Family Therapeutic Outreach (CFTO) program, Gateway provides intensive home-based services to approximately 700 children in RI annually. In RI, 50% of maltreatment investigations involved children whose race and ethnicity were black, Asian, or Hispanic, a disproportionately high percent of the population. More than 30% of the children and adolescents who present at Gateway for intensive home-based services and outpatient therapy present with exposure to psychological trauma. Gateway will implement TF-CBT in its intensive home-based treatment program and clinic-based outpatient services. The proposed project will raise the standard of care available to children in RI impacted by trauma by increasing the number and capacity of providers trained to provide evidenced-based services. Additionally, Gateway’s collaboration with community organizations specific to the target populations of interest (i.e., BIPOC) will increase the level of trust necessary for families to seek and continue engagement in mental health services.
Children’s Crisis Treatment Center
Children's Crisis Treatment Center (CCTC) is a private, non-profit agency that provides mental/behavioral health services to children and their families. For over 40 years, CCTC has developed and implemented innovative ways of helping children as young as 18 months old and their families cope with obstacles that interfere with their emotional, social, and cognitive growth. CCTCâ€™s approach to care is based on the belief that despite tremendous challenges, children heal from psychological injuries. Through partnerships with families, schools and communities, CCTC creates the contexts in which this healing may occur. CCTC is dedicated to addressing the impact of childhood abuse, neglect, traumatic events and other challenges that can affect childhood development. CCTC offers a wide array of services and programs that are provided at the Center as well as in the home, community and school. CCTC serves more than 3,500 children and their families annually. Their success and reputation for excellence have gained CCTC recognition for their expertise in the areas of trauma, school-based services, and early childhood treatment. Such acknowledgements reflect CCTC's leadership role in the children's mental health services community. CCTC is a trauma-informed organization and is certified in the Sanctuary Model, an evidence-supported model of trauma-informed care. CCTC provides training and consultation in trauma-responsive care as an extension of their services and is a leader in the region for both trauma-informed care and trauma-focused treatment.
Christiansen, Ashley, MFT
Ashley is a trauma clinician with over 10 years of experience working with youth and families in the Philadelphia, PA area. She is a Trauma and Problematic Sexual Behavior Clinician at Philadelphia Children's Alliance, Philadelphia's child advocacy center (CAC). She is certified in Trauma-Focused CBT and Problematic Sexual Behavior-CBT (school age), working with youth who have experienced significant trauma and youth exhibiting problematic sexual behavior. She is currently working toward certification in Eye Movement Desensitization and Reprocessing (EMDR).