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.
Network Members
This listing of NCTSN members includes current grantees as well as NCTSN Affiliates, former grantees who have maintained their ties to the Network.
Children's Hospital Los Angeles, Center for Transyouth Health and Development
Children's Hospital of The King's Daughters Child Advocacy Center
The Child Advocacy Center (CAC) at Children’s Hospital of The King’s Daughters (CHKD) is dedicated to providing expert forensic, mental health, and advocacy services to children who may have experienced maltreatment and trauma. CHKD’s CAC has been Accredited by National Children’s Alliance since 2003, and includes three child-friendly facilities in which law enforcement, child protection, medical and mental health, judicial, and victim advocacy professionals work together to provide a multidisciplinary, collaborative response to children and families when there is a concern that abuse or neglect has occurred. As the largest CAC in Virginia, the program serves approximately 1,500 children annually in the eastern region of Virginia (Hampton Roads) by identifying and providing trauma-informed and evidence-based services with the goal of preventing further trauma and strengthening resilience. As a NCTSN Community Treatment and Services Center, the CHKD CAC aims to increase access to and participation in evidence-based screening, assessment, treatment, and prevention services for children through the GRowing Evidence-based Assessment and Treatment (GREAT) for Children project. Providing these vital services for our diverse community of children ages 12 months-18 years will reduce health disparities and increase individual and family resilience. The project also aims to enhance the capacity of key stakeholders and multidisciplinary partners to identify, refer, and serve children who have experienced traumatic stress.
Children's Services at Gateway Healthcare, Inc.
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.
Clinical and Support Options (CSO)
The “Stress, Trauma, and Resilience” (STaR ll) project is an NCTSN Category III Trauma Center serving western Massachusetts and northern parts of Worcester County. The program is being implemented by Clinical and Support Options (CSO), which is a community-based nonprofit behavioral health agency providing individuals and families with comprehensive and holistic care. CSO embraces a trauma-informed culture in fulfillment of its mission to provide responsive and effective interventions and therapeutic services to support adults, children and families. CSO serves more than 18,000 individuals and families annually in their quest for stability, growth and an enhanced quality of life. The STaR ll project has three activity areas: 1. Implementing the “ARC Framework” (Attachment, Regulation, and Competency) as the primary treatment framework for therapy with clients from the ages of 2 to 20 who have experienced trauma, in all of our child and family programs. 2. Providing staff training on trauma-informed practices along two tracks: Track 1, training on diverse topics related to trauma informed care; and Track 2, treatment specific training on the ARC Framework. 3. Building community collaboration and awareness of trauma-informed practices through agency-to agency training and consulting, targeted events aimed at raising awareness about stress and trauma with school staff and members of other helping professions, and general public events aimed at systems change in the community as a whole.
Colorado State University Trauma and Resilience Assessment Center
The Colorado State University (CSU) Trauma and Resilience Assessment Center (CTRAC) provides resilience-based trauma assessments and offers recommendations that focus on helping youth and families recognize, understand, and value their own strengths in responding to and healing from trauma. CTRAC also offers training and consultation to professionals serving children impacted by trauma, as well as training for Marriage and Family Therapy Graduate students. The Juvenile Justice Trauma Informed Systems Program (Project JUSTIS) within CTRAC will serve Larimer and Denver county youth (ages 8-18) and their families who have experienced trauma and demonstrate risk for involvement in the juvenile justice (JJ) system. Project JUSTIS aims to increase the capacity and expand delivery of trauma screening, assessment, and treatment for youth in the target population, train local professionals in trauma-informed care principles, and improve youth and caregiver well-being.
Community Association of Progressive Dominicans, Inc.
Community Association of Progressive Dominicans' (ACDP) National Child Traumatic Stress Initiative provides evidence-based trauma treatment and prevention services to adolescents and their families living in Washington Heights and surrounding neighborhoods in Upper Manhattan, New York City (NYC), with a focus on Latino and Black individuals, who make up 79% of the service area and the majority of ACDP's client population. ACDP offers a full range of trauma screening, prevention, and treatment services to their outpatient clinic using evidence-based programs (EBPs). Specifically, ACDP will: 1) implement universal screening trauma and suicide risk though validated screening tools, 2) implement comprehensive assessment inclusive of screening for adverse childhood experiences (ACEs) and behavioral health disorders, as indicated, 3) develop tailored service and treatment plans, and 4) provide a range of evidence-based prevention and treatment services that address a combination of immediate (safety planning) and long-term needs. ACDP will provide direct outpatient mental health treatment services and will leverage its own school-based and afterschool programs to recruit clients; and will leverage primary care and additional behavioral health services provided by La Casa De Salud Inc. (LCDS), and outpatient and residential mental health and substance use treatment services provided by Promesa, both of which are Acacia Network.
Community Health Resources (CHR)/Child & Family Division
CHR is pleased to present Hope through Expanded Access to Local trauma treatment (HEAL), our plan to expand access to evidence-based trauma-focused treatment and services for youth and their families who have experienced traumatic events. As a comprehensive behavioral health provider, Certified Community Behavioral Health Clinic (CCBHC), and provider of 24/7 mobile crisis services, CHR is well poised to implement HEAL in a variety of clinical settings successfully. CHR has decades of clinical experience treating trauma-related mental disorders and evaluating the success of interventions. We understand the profound impact of trauma, particularly on children who have not developed the emotional and cognitive capacity to process feelings and information, often leading to significant emotional and physical health problems. CHR began providing trauma-focused EBTs for children in 2007 with our participation in a TF-CBT Collaborative, a DCF sponsored initiative to introduce EB models in CT. We currently offer the model at five of our outpatient sites. Since 2007, we have added ARC and MATCH-ADTC to our menu of treatment models.
Confederated Salish & Kootenai Tribes' Child & Youth Trauma Services Program
The Confederated Salish & Kootenai Tribes' Child & Youth Trauma Services Program provides Trauma Treatment to youth ages 3-18, and their families. Theyutilize Trauma-Focused CBT, as well as other evidence-based treatments that can be adapted to serve Native American families. They also provide trauma training to the community and mental health professionals in order to become a trauma-informed community.
Dartmouth Trauma Interventions Research Center
The Dartmouth Trauma Interventions Research Center (DTIRC) has more than three decades of experience with dissemination, implementation, and application of evidence-based practices in real world settings (i.e., child welfare, juvenile justice, pediatric and primary care, mental health practice, family resource centers, schools, residential treatment facilities). DTIRC has disseminated TF-CBT and CPP widely in Northern New England. This current project focuses on the intersection of childhood trauma and intellectual and developmental disabilities. There will be a focus on the triple intersection of trauma, neurodiversity, gender diversity, and the various ways each overlaps. The core components include training for the child-serving workforce in trauma-informed care using NCTSN's Road to Recovery, developing a differential diagnosis training, a triple intersection training, TF-CBT training, and modified TF-CBT training for the above populations. Additionally the team will offer CARE Connections to parents and caregivers, with modifications for these populations. Related to all of the above the team will support increased and improved screening practices in pediatric settings.
DBHIdS/Philadelphia Alliance for Child Trauma Services
The Philadelphia Alliance for Child Trauma Services (PACTS) serves youth in Philadelphia who have experienced potentially traumatic events and are living with traumatic stress. Over the past 10 years, we have improved access, availability and quality of trauma-specific services for Philadelphia's most vulnerable children and families. PACTS 15+ partner agencies provide city-wide coverage of Philadelphia, offering a continuum of trauma-informed services consisting of multiple entry points, including: 1) Partnerships with other child serving systems (schools; child welfare; juvenile justice; physical health; victim's advocate groups, etc.) referring trauma-impacted youth to our services. 2) Universal screening for exposure to potentially traumatic events (PTEs) and traumatic stress symptoms. 3) Delivery of evidence-based trauma-specific evidence based practices (EBPs) including ,Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and the Child and Adult Relationship Enhancement (CARE) program.