Project Intersect at the Georgia Center for Child Advocacy, Inc. aims to improve the well-being of children and adolescents who have experienced commercial sexual exploitation and trafficking (CSET) or are at high risk of CSET through the provision of high-quality trauma-focused, evidence-based treatment. The project seeks to increase its network of mental health providers trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and advanced TF-CBT for youth experiencing CSET. Additionally, Project Intersect will collaborate with multiple NCTSN category II sites to deliver enhanced TF-CBT applications at the intersection of CSET, racial trauma, and substance use problems. Project Intersect also provides support and training to systems and individuals intersecting with youth experiencing CSET including child welfare/foster care, CSET residential programs in Georgia, as well as caregivers. CSET awareness training is also provided to professionals and community members across the state to better identify youth experiencing CSET and connect them with trauma-informed and evidence-based treatment, services, and supports.

The Grief and Trauma unit at Sinai Chicago is working to provide outpatient therapy services to youth on the southwest side of Chicago who have experienced traumatic exposures and/or grief. Psychotherapists will be trained in ARC, TGCTA, and other evidence-based practices, in addition to receiving specialized training to support the LGBTQI+ community.

The Health & Hospital Corporation of Marion County expansion of the Sandra Eskenazi Mental Health Center (SEMHC) Children's and School-based Services increases awareness and access to effective trauma-focused services for children and their families in underserved/under-resourced communities. The Center consists of two parts: 1) a dedicated community outreach and training facilitator focused on trauma and utilizing Mental Health First Aid (specifically for children and adolescents); and 2) a dedicated intensive outpatient team comprised of a clinician and a care coordinator that will provide intensive outpatient services in both clinic and school-based environments to those at high-need and identified with trauma history. The Center provides treatment for the underserved in Marion County with severe emotional disturbance, serious mental illness, and/or substance use disorder.

Henry Ford Health System (HFHS) is a comprehensive health system that provides an array of services at all levels of care for all age groups. Annually, care provided by HFHS includes over 2 million patient visits, 78,000 ambulatory surgeries and 93,000 hospital admissions. HFHS is also one of Michigan's largest and most experienced providers of behavioral health services, including 5 outpatient clinics, 10 integrated care clinics, an inpatient unit, intensive substance use treatment facilities, and school- and community-based health clinics. HFHS is the primary safety net hospital in Detroit. Nearly 60% of patients have Medicaid or Medicare, and the system provides ~$500 million in uncompensated care for uninsured patients each year. Our newest SAMHSA grant seeks to improve the capacity and provision of trauma-focused services within pediatric behavioral health and integrated care clinics across HFHS. Children ages 4-17 years will be served through this project and will be identified and referred for services through screening at well visits, inpatient stays, ED visits, and behavioral health care appointments. To do so, we are implementing two trauma-focused treatments, the Attachment, Regulation and Competency Framework (ARC) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), while increasing identification of and referral to treatment for child traumatic stress. Our goal is to have our Child Trauma Specialty Service become the central hub for treatment of child trauma in the metro Detroit area, which includes a population of over 850,000 children under age 18.