In response to the significant need for trauma treatment services, La Clínica established the Screening, Treatment and Trauma Training in Primary Care (STATT- PC) program in 2016. This program was initiated in order to expand trauma services to youth with unmet mental health needs. Through the project’s successful implementation, La Clínica has already served over 10,000 youth through screenings and evidence-based treatments and impacted hundreds more through teacher and primary care physician trainings on trauma. In this cycle of funding, La Clínica has aimed to expand the program to address the following needs: 1) adaptations to the CBITS model for newcomers, 2) 1:1 tier III trauma interventions to treat high need youth, and 3) flexible group based EBP implementation when working in close partnership with schools. We are also cognizant of the profound lasting psychological impacts of COVID-19 on our students as well as the anti-racism and cultural competency work that needs to be furthered. This cycle's project considers the current realities of our students lives and aims to build a multitiered approach in alignment with La Clínica’s 48-year history of providing culturally competent care.

Project Corazón: Innovating Child Trauma Treatment for Northern New Mexico Las Cumbres Community Services has been a funded member of the NCTSN since 2012, and provides trauma-focused treatment to children ages 0-18 and their families across four rural counties in northern New Mexico. Evidence-based and evidence-informed programs (EBPs) including Circle of Security ParentingTM, Child Parent Psychotherapy, Child-Centered Play Therapy, Trauma-Focused Cognitive Behavior Therapy, and Dialectical Behavior Therapy are delivered in a staged treatment design to address a range of traumatic stressors, with focus on complex trauma. This integrated array of EBPs are offered to children and their families through a combination of individual, family, and group therapy. Project Corazón improves access to quality care in rural areas for special populations (immigrant and refugee families, women with young children in substance use recovery, and children forcibly separated from caregivers due to abuse, neglect or deportation), supports advanced clinical training, and grows the children’s behavioral health workforce in a designated Mental Health Provider Shortage Area. Direct service goals aim to improve engagement, enrollment, and efficacy outcomes for families experiencing complex trauma and parent-child separations, resolve symptoms of traumatic stress, and repair/strengthen caregiver-child relationships. EBP modification goals and workforce initiatives aim to increase access to care and improve retention rates of experienced clinicians.

Lifeline Center for Child Development empowers children to develop and use their behavioral tools so that they may reach their full potential in academic, social and family arenas during childhood, and go on to live their full potential in adulthood. At Lifeline, children with mental illness, and their families, will find the resources to meet their needs, from early childhood through early adulthood, in a nurturing, progressive, and informed environment focused on their full health and wellness.

The COACHES Trauma-Focused High Fidelity Wraparound project (“COACHES” project) serves children and transition-age youth (and their families) between the ages of 6 and 21, who have a serious emotional disturbance (SED) and those at risk for or with co-occurring substance use disorders (SUD) who have experienced one or more Adverse Childhood Experiences (ACEs). The geographic catchment area includes Putnam and St. Johns, two adjacent counties in Northeast Florida where the prevalence of children in grades K-12 with an emotional/behavioral disability has been increasing since 2018 despite stable levels among their peers in Florida. Over the 5-year grant period, the project will serve 230 unduplicated youth and families as follows: 30 the first year, and 50 each year thereafter. The population of focus includes children with a history of trauma and those served by the child welfare system who are at higher risk for out-of-home placement as demonstrated by repeated failures at less intensive levels of care, a history of two or more psychiatric hospitalizations, involvement with the Department of Juvenile Justice, and/or poor academic performance and/or suspensions. The goal of the program is to increase timely access to culturally competent, evidence-informed and evidence-based trauma treatment and services to prevent out of home placements or admission to inpatient/residential or juvenile justice programs.