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.
This listing of NCTSN members includes current grantees as well as NCTSN Affiliates, former grantees who have maintained their ties to the Network.
UCLA-Duke Adolescent Suicide/Self Harm & Substance Abuse Prevention (NC)
University of Arkansas for Medical Sciences: Arkansas Building Effective Services for Trauma
The mission of Arkansas Building Effective Services for Trauma (ARBEST) is to improve outcomes for children who have experienced trauma and their families through excellence in clinical care, training, advocacy, and research & evaluation. ARBEST operates under the auspices of the Psychiatric Research Institute of the University of Arkansas for Medical Sciences. ARBEST focuses on building capacity in our state’s Child Advocacy Centers by supporting their mental health programs, through our Community Mental Health Centers by training licensed mental health professionals in evidence-based treatments for children (i.e. TF-CBT, PCIT, and CPP), and with our child welfare agencies by offering trauma-informed practiced trainings to their supervisors and frontline staff.
University of California, Los Angeles (Szilagyi)
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.
University of California, San Francisco, Early Trauma Treatment Network
The Early Trauma Treatment Network (ETTN) is a collaboration between the UCSF Child Trauma Research Program, the Child Violence Exposure Program at Louisiana State University Health Sciences Center, Child Witness to Violence Project at Boston Medical Center, and Infant Team at Tulane University Medical Center. ETTN will address the needs of traumatized young/preschool children by increasing access to evidence-based trauma treatment and raising the standard of care in key service systems. ETTN will build capacity and competence in early trauma services in pediatrics, home visiting, childcare, mental health, child welfare, and the military system. To enhance access and standards of care, ETTN will create products and conduct activities that increase agency readiness and promote sustainability of evidence-based and promising interventions; conduct 4 Child-Parent Psychotherapy Learning Collaboratives (LC) and 1 Diversity Practice LC for mental health providers working with home visitors, child welfare, and military families; refine, pilot and disseminate Attachment Vitamins (AV); pilot Child and Family Traumatic Stress Intervention (CFTSI); assist in the development of Child and Family Traumatic Stress Intervention-Young Children (CFTSI-YC) ; create, pilot and disseminate training and educational materials for parents, pediatric care providers, childcare providers, home visitors, child welfare, and the military system; and collaborate with the National Center and NCTSN centers in cross-site evaluation, training, and dissemination.
University of Chicago Medicine REACT Program
The University of Chicago Medicine REACT Program: Recovery & Empowerment After Community Trauma is a response to Chicago’s greatest ongoing public health challenge: community violence. Based in an urban children’s hospital, UCM REACT provides African American patients affected by community violence with brief trauma-focused intervention, as well as access to trauma-informed psychiatric and psychological services and ongoing trauma-focused therapy. UCM REACT builds on Healing Hurt People - Chicago (HHP-C), a partnership between UCM Comer Children's Hospital and the John H. Stroger Jr. Hospital of Cook County. HHP-C offers hospital-based violence intervention services to young patients who have been shot or suffered other violent injuries. The REACT Program, linked to the Comer Children's emergency department and PICU, provides trauma screening, support, psychoeducation, and intervention to Comer patients of all ages who have been affected by community violence, whether or not they have sustained violent injuries. The REACT Clinic, co-directed by a trauma psychologist and a child psychiatrist, provides trauma-informed psychological and psychiatric needs assessments patients identified by REACT and HHP-C. REACT and HHP-C clinicians receive training in and utilize the Child & Family Traumatic Stress Intervention (CFTSI). Finally, REACT and HHP-C clients have access to ongoing therapy services through provider partnerships with clinicians/programs with expertise in serving urban African American families, complex trauma, Child-Parent Psychotherapy, and ARC (Attachment, Regulation, & Competency).
University of Colorado Boulder, Center for Resilience and Well-being in Schools
The TSA Center for Resilience and Well-being in Schools is based in the University of Colorado-Boulder's Institute of Behavioral Science. This Center was established to serve communities in the Rocky Mountain region and become a national leader and resource hub to facilitate safe, supportive school environments. The Center's overarching aim is to develop and promote comprehensive, school wide approaches for building staff and student social and emotional competence, resilience and well-being, and mental and behavioral health in trauma-informed, culturally responsive ways. This includes strategies to increase school staff recognition of and sensitive response to signs of student trauma, mental/behavioral health challenges, and student safety concerns and ability to match them with appropriate, evidence-based services and supports. This also includes strategies to help staff recognize their own stress, compassion fatigue, and burnout and to mobilize wellness strategies. Another primary aim of the Center is to build capacity in schools and communities to deliver trauma-focused, evidence-based treatments for youth and families who need them. To achieve these goals, the Center has three primary activities: (1) build its infrastructure, resources and tools, (2) evaluate a comprehensive whole-school approach called Resilience in Schools and Educators (RISE)-a school adaptation of NCTSN Promising Practice Let's Connect, and (3) provide technical assistance, training and implementation supports to schools and communities locally and nationally. Our Center will develop web-based, educational learning tools (e.g., open courses, digital media, live and asynchronous training and consultation) to help engage school professionals and increase wider public awareness and knowledge.
University of Colorado Denver: Kempe Center for the Prevention and Treatment of child Abuse and Neglect
The Trauma Informed Practice program of the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect offers training, consultation, and technical assistance with implementation and evaluation to professionals from all fields that deal with children, youth, and families exposed to trauma. Recent collaborations with child welfare, school, and behavioral health partners have included building a trauma-informed child welfare workforce in Denver county, implementing a universal screening and referral system for all children and youth with open child welfare cases, leading learning collaboratives in two trauma-focused EBPs to increase the local mental health service array, establishing statewide fidelity measures and credentialing criteria for High-Fidelity Wraparound, managing a statewide learning management system for behavioral health professionals, partnering with school staff in the NCTSN Breakthrough Series Collaborative for supporting trauma-informed schools, and creating two toolkits to be used statewide for trauma-responsive practice (one for school staff and one for behavioral health).
University of Connecticut School of Medicine - Center for Treatment of Developmental Trauma Disorders (CTDTD)
The University of Connecticut Center for Treatment of Developmental Trauma Disorders (CTDTD) brings together developers and disseminators of leading evidence-based child developmental trauma treatments (Attachment-Regulation-Competence, ARC; Families OverComing Under Stress, FOCUS; Integrated Treatment of Complex Trauma, ITCT-C/A; Structured Psychotherapy for Adolescents Responding to Chronic Stress, SPARCS; Trauma Affect Regulation: Guide for Education and Therapy, TARGET; Trauma and Grief Components Therapy for Adolescents, TGCTA; Trauma Systems Therapy, TST), to enable all NCTSN Category II and III Centers and their affiliated providers nationally to achieve competence in DTD assessment (with NCTSN DTD screening and interview protocols) and treatment (with systematic integrative best practice algorithms for child/family-centered outcome-based care). CTDTD will conduct surveys of NCTSN centers/affiliates and key-informant interviews with providers, children and families to identify critical clinical dilemmas that can lead to: (1) impasses or ruptures in engagement and the therapeutic alliance, (2) crises and significant increases in risk, and (3) ineffective developmental outcomes. Based on survey results, CTDTD will provide a series of more than 40 critical clinical incident-focused, case-focused, and public information-focused webinars co-presented by the Looking In Youth Theatre Group. Through these webinars, and by operationalizing Network Clinical Competencies Guidelines and extending Network Core Concepts/Components initiatives with Guidelines for DTD-informed Clinical Decision-making, CTDTD will enhance the ability of more than 40,000 peer and professional counselors to treat more than 100,000 children experiencing DTDs and their caregivers.
University of Connecticut School of Medicine, Center for Trauma Recovery and Juvenile Justice (CTRJJ)
The University of Connecticut Center for Trauma Recovery and Juvenile Justice (CTRJJ) brings together national leaders working with traumatized youth involved in the Juvenile Justice, Courts, and Law Enforcement and youth advisors, in order to provide traumatic stress treatment and services adaptation services to enable systems/providers/organizations to adopt, adapt, and deliver evidence based trauma specific interventions (Trauma Affect Regulation: Guide for Education and Therapy-Adolescents, TARGET-A, nationwide train-the-trainer initiative; Trauma and Grief Components Therapy-Adolescents, TGCTA; sustaining 3 state/multi-county dissemination projects; Families OverComing Under Stress, FOCUS; nationwide dissemination for justice-involved and military families) and trauma informed services (the Think Trauma curriculum and toolkit) culturally competently. CTRJJ will provide training and technical assistance to more than 5000 youth/family serving programs and 40,000 professional/peer service providers to reduce health disparities for more than 200,000 traumatized youth/families who are at risk or involved in juvenile justice. CTRJJ will work with members of the NCTSN in creating, refining, and disseminating resources such as the Essential Elements of Trauma Informed Juvenile Justice Systems and Juvenile Court Trauma-Informed Self-Assessment, Fact Sheets on Traumatic Stress Screening, Intervention, and Services for Girls in JJCLE, and the 2015 National Survey of Trauma-informed Juvenile Probation which CTRJJ will adapt and replicate in partnership with the National Juvenile Defender Center, National Juvenile Justice Prosecution Center, and International Association of Chiefs of Police.
University of Illinois at Chicago, Urban Youth Trauma Center, Institute for Juvenile Research
The Urban Youth Trauma Center’s Project T.R.I.U.M.P.H. (Trauma Resiliency through Integrated Urban Models: Partnerships for Hope) seeks to disseminate evidence-based practices to reduce and prevent behavioral health disparities resulting from community violence and traumatic stress with co-occurring substance abuse and behavioral problems among underserved youth and their families, with a special emphasis on low-income urban, ethnic, linguistic, and religious minority communities. UYTC’s goals are to: a) raise public awareness through NCTSN collaborations and a national media campaign that includes youth-oriented messages; b) provide specialized training and consultation to clinicians and youth serving providers; and c) engage and mobilize partners in strategic collaborations that include clinical, community, and policy constituents spanning across youth service system sectors to address community violence and behavioral health disparities. Project TRIUMPH will emphasize: 1) public awareness messages disseminated to youth, service providers, and general audiences in-person, online and through social media; 2) specialized intervention training provided to clinicians on manualized mental health services using the two UYTC family-focused treatment protocols of Trauma Systems Therapy for Adolescent Substance Abuse (for co-occurring trauma and substance abuse) and STRONG Families (for co-occurring trauma and disruptive behaviors); and 3) best practices prevention training and strategic engagement for clinicians, youth providers, community members, and young adults using the community violence prevention protocol YOUTH-CAN. UYTC uses a comprehensive socio-ecological model that partners with providers across the youth service system including caregivers, clinics, agencies