Judge Baker Children's Center (Judge Baker; an affiliate of Harvard Medical School) is a non-profit multi-service mental health and special education organization that serves children by promoting their developmental, emotional, and intellectual well-being. With over a century of proven leadership in children's mental health issues, Judge Baker helps children and families chart their own best course to grow and thrive. Judge Baker is nationally recognized as a leader in children's mental health training and education. We work to create lasting improvements in the quality of mental health care and other services for all children and families by disseminating evidence-based practices (such as MATCH, PCIT, and TF-CBT); interventions that have been proven to be effective to treat targeted behavioral health problems in children and families. Our expert training staff work collaboratively with families, service providers, schools, state agencies, academic institutions, and funding organizations to help ensure that all children and families have access to the highest quality evidence-based psychotherapy services. We translate the most cutting-edge research and proven strategies for helping children and families into sustainable practice changes in real world settings. By using thoughtful, evidence-based, and carefully planned implementation strategies, we work to close the gap between research and practice. In addition to providing high quality training to providers around the country, Judge Baker also provides direct outpatient and community-based services in the greater Boston community.

The UCLA-Duke Adolescent Suicide/Self Harm & Substance Abuse Prevention (ASAP) will serve as a resource for information related to safety, suicidal/self-harm behaviors, and substance use among trauma-exposed youths. We prioritize services for emergency/acute care and brief time-limited treatments, adapting for the trauma-exposed population and then disseminating two brief evidence-based interventions for suicide/self-harm risk (Emergency/Family Intervention for Suicide Prevention; SAFETY) and two for substance abuse (Screening/Motivational Interviewing(MI); CBT with MI/optional contingency management). To inform and develop optimal service strategies for improving outcomes for trauma-exposed youths, the Center will also work to develop and strengthen trauma informed care that integrates care for adolescent behavioral health within primary care, emergency, and other medical settings, as well as other mental health, school, and community settings. We will utilize surveillance data on suicide/self-harm and substance abuse risk in the NCTSN population to guide this work. Intervention training and dissemination will include technology-enhanced tools/materials and data-informed supervision systems and clinical dashboards to enhance quality of care and client outcomes. Through trainings/dissemination activities, the Center aims to serve diverse youths, across racial and ethnic groups. sexual identities and orientations, socioeconomic groups, and address needs of youths in military families. Our Center goal is to support providers and service systems in addressing safety issues and substance misuse effectively, thereby enhancing the benefits of other treatments that specifically target post-traumatic stress disorders/reactions.

The Pediatric Approach to Trauma, Treatment and Resilience (PATTeR) is a multi-site project. The three project sites include the American Academy of Pediatrics, the University of Massachusetts Medical School and UCLA's Section on Developmental Studies. The focus of PATTeR is to develop curricula focused on trauma and resilience specifically for pediatricians who are the first child professionals family encounter and the most frequent gate-keepers to subspecialty care, including trauma-informed mental health care, and to supportive community-based services. During year one, we will focus on developing two levels of curricula: Trauma Aware and Trauma Informed. Through the AAP, which is the professional home of over 60,000 pediatricians across the United States, we will recruit pediatricians serving children and families in a variety of settings but focus on those serving certain high risk groups: those living in poverty, involved with child welfare or social services, those living in resource-poor areas and military families. Case-based learning designed to lead to practice change will occur in a group on-line format (using ECHO Technology) with an expert panel. Trauma Aware training will occur over 6 sessions. Pediatricians seeking to become trauma training resources in their own communities or AAP chapters will complete the more detailed Trauma-Informed training over 12 sessions. We will also recruit residency program leaders through the Academic Pediatrics Association to engage in both curricula since they are the educators who will transform pediatric residency education. We will also infuse curricula into multiple AAP education venues and anticipate reaching thousands of pediatricians during the grant cycle.

The Center for Treatment of Developmental Trauma Disorders (CTDTD) brings together developers of leading evidence-based trauma treatments (EBTT) for children victimized by developmental trauma and professional and lived experience experts on culturally responsive trauma-informed services, to enhance clinical and peer providers therapeutic competence nationally and to enhance public understanding of and reduce stigma associated with DTD.Over the 5-year funding period, CTDTD will expand, and develop training curricula based on, its groundbreaking 35-webinar series Identifying Critical Moments and Healing Complex Trauma providing experiential training that will enhance the ability of more than 25,000 peer and professional counselors to treat more than 125,000 children safely, culturally responsively, and effectively for DTD-as well as creating a permanent archive of the Critical Moments webinars showing films with professional or peer therapists handling moment-to-moment therapy crises with dramatized child/family clients of diverse ethnoracial/cultural backgrounds who are recovering from developmental and historical trauma. CTDTD will produce and disseminate nationally: (a) 25 webinars with new films of dramatized crisis therapy sessions (and post-session commentary), (b) a companion set of 25 dramatized multi-disciplinary family service planning session films including parents/caregivers, teachers, child welfare workers, probation officers, healthcare providers, and mentors; (c) a companion set of 50 Digital diary films highlighting key developmental dilemmas and evidence of youths' resilience; (d) a Core Skills Checklist based on the filmed therapy sessions; (e) annual updates of the the DTD Clinician Toolkit and DTD Assessment & Treatment Update.