Gateway’s Alabama Trauma Systems Treatment and Training Initiative (ATSTTI) increases access to mental health services, legal assistance, and other essential support to families with children and youth ages 4-21 with trauma experiences who are at risk of or are currently placed in out-of-home care by the Alabama Department of Human Resources (DHR). ATSTTI’s overarching goal is to improve the lives of foster children by increasing family preservation, decreasing multiple foster care placements, and improving the quality of transitions out of foster care.

Greene County Educational Service Center supports youth and families in maximizing their potential and enhancing their wellness in the environments of school, family, and community through advocacy, mental health services, and education. The agency provides mental health services to vulnerable youth who have personal, family, social emotional, academic, and/or environmental struggles often complicated by by extensive trauma history. Its purpose is to help youth address issues that interfere with functioning and success. Services are provided in natural and familiar environments, including the school, family home and community. Embedding services into natural environments provides better access to services, destigmatizes mental health treatment, and increases the integration and collaboration of trauma treatment more fully with support systems involved in the every day lives of youth.

Since 1902, Hathaway-Sycamores Child and Family Services has been committed to helping children, families, and adults have a better life. We provide help during some of the most challenging times in their life. With an unconditional, whatever-it-takes approach, we provide care and support to those we serve. We have a long-standing history providing trauma-informed, evidence-based practices and policies in the areas of child trauma, grief and loss, and child welfare. Sycamores was an early adopter of evidence-based practices among provider agencies in the Prevention and Early Intervention transformational initiative implemented across the state of California. We provide services across Los Angeles, spanning the San Fernando, San Gabriel, and Antelope Valleys, as well as in San Bernardino and Riverside Counties. Serving nearly 16,000 Californians facing serious life challenges each year, we use our expertise, creativity, and dedication to help address each person's individual needs, while also providing tools to help them move forward to a better life.

HEARTS is a whole-school prevention/intervention program that aims to create trauma-informed, safe, supportive, and equitable learning and teaching environments that foster resilience and wellness for everyone in the school community. HEARTS utilizes a multi-tiered system of support to address trauma at the student, staff, school organizational, and district levels through training and consultation with school personnel, and mental health supports for students and families. HEARTS work is guided by six principles that are grounded in trauma research and an extensive review of trauma-informed systems work nationally: Understanding Trauma and Stress; Cultural Humility and Equity; Safety and Predictability; Compassion and Dependability; Empowerment and Collaboration; and Resilience and Social Emotional Learning. A core feature distinguishing HEARTS from many other trauma-informed school approaches is the centrality of cultural responsiveness and equity in all aspects of the program. We believe that given the toxic, trauma-inducing, and pervasive nature of structural racism and other forms of oppression, any efforts to mitigate the effects of trauma must include efforts to counteract these harms. Further, without a culturally responsive and equity-promoting lens, there is a risk that trauma concepts could be used to pathologize marginalized communities rather than underscore their resilience. HEARTS-Extended (HEARTS-E) is our NCTSI-funded project that provides evidence-based trauma-focused mental health treatment, services, and support systems for trauma-impacted children and youth at three elementary and two middle school sites in San Francisco Unified School District (SFUSD), focusing on capacity-building for SFUSD personnel to deliver these services.