Sustaining Change provides training, consultation, and technical assistance for child- and family-serving organizations and systems to improve dissemination and implementation of evidence-based child trauma treatment models. Focusing on organizational supports for sustainability promotes longer-term accessibility to services and enhances supports for best practices in child-serving systems. Goals of Sustaining Change include to: 1) expand access to evidence-based trauma treatment and assist organizations in adopting and sustaining evidence-based interventions, 2) support organizations in identifying evidence-based interventions that fit their populations' needs, and in achieving successful evidence-based implementation through Implementation Science principles, 3) facilitate sustainability of evidence-based interventions through consultation and Leadership Forums, and 4) assist organizations in embedding trauma-responsive care within their organizations and systems. Evidence-based training for clinicians in Interpersonal Psychotherapy for Adolescents and Child-Parent Psychotherapy will improve access for traumatized youth with depressive symptoms and children under age six and families. Through a partnership with the TRANSFORM National Center on Child Abuse and Neglect, Sustaining Change synergistically leverages existing resources that translate research into best practice. Consultation on trauma-informed organizational transformation supports reflective supervision, improves prevention of secondary traumatic stress, and changes agency climate to enhance workforce development and integrate SAMHSA's trauma-informed principles into practice.
University of New Mexico Health Sciences Center
University of Rochester, Mt. Hope Family Center (Category II)
University of Utah, Department of Pediatrics, Center for Safe and Healthy Families
Pediatric Integrated Post-trauma Services (PIPS) developed the Care Process Model for Pediatric Traumatic Stress (CPM-PTS), the first and only empirically-supported model guiding providers in pediatric settings to screen for trauma, identify risk for traumatic stress and suicidality, and provide a trauma-informed approach that guides referrals for at-risk children to evidence-based trauma treatment as well as targeted, brief in-clinic interventions. As of January 2023, the CPM-PTS has been successfully implemented in >94 separate clinical settings in 21 US states, reaching tens of thousands of youth. For the funding period (2022-2027), PIPS activities center on training and implementation strategies for wide-scale dissemination, adoption, and sustainability of the CPM-PTS in diverse pediatric and advocacy center settings through: 1. Establishment of regional Technical Assistance Centers, 2. Development of enhanced implementation strategies for rural and non-rural service settings, and 3. Adaptation of the CPM-PTS for children in foster care. PIPS partners with national professional organizations, large healthcare systems, and the National Children's Alliance (NCA). Ultimately, the goal of the PIPS center is to remediate mental health disparities by supporting best practice identification and response on a national scale for children at risk for traumatic stress and suicide.
Washington State University
WestCare Foundation
Based in Nevada with programs in 19 states and three territories, WestCare Foundation will be responsible for bringing together trauma and capacity-building experts as well as faith-and community-based organizations to develop and implement TIMM. The population that WestCare Foundation is seeking to address is children and adolescents impacted by Adverse Childhood Experiences (ACES). These experiences may include having divorced or separated parents, a deceased parent, living with someone with a substance use or mental health disorder, having a parent who served time in jail, or exposure to domestic or neighborhood violence. Our grant activities will address the SDOH domains of Health Care Access and Quality. TIMM specifically will address Healthy People 2030 objectives AH-D02(Increase the proportion of children and adolescents with symptoms of trauma who receive evidence-based treatment), MHMD-D01 (Increase the number of youth with serious emotional disturbance (SED) who are identified and receive treatment), and IVP-D03 (Reduce the number of young adults (aged 18 to 25 years) who report 3 or more Adverse Childhood Experiences (ACEs). WestCare Foundation will increase the access to trauma-informed care and mental health services and improve outcomes of children and adolescents experiencing ACES by offering training to 620 unduplicated clergy and congregational leaders across the 5-year funding period. WestCare initially will implement the TIMM model in Milwaukee, WI and Atlanta, GA during the first two years of operation, using data and feedback to refine and perfect the model as needed. During the last three years of funding, WestCare will roll out the model throughout its regions, focusing on communities of color with the highest risk and the most need.
Yale Center for Traumatic Stress and Recovery, Yale Child Study Center
The Yale Center for Traumatic Stress and Recovery (YCTSR) will provide national expertise and training on trauma-focused and acute/early/brief interventions, including supporting adoption and adaptation of early evidence-based treatments (EBT) to collaboratively overcome challenges to advance delivery. YCTSR will: (1) Provide training and technical assistance for national dissemination and implementation of EBT and service approaches including the Child and Family Traumatic Stress Intervention (CFTSI) and CFTSI Treatment Applications, Child Parent Psychotherapy (CPP), and Fathers for Change. CFTSI is currently the only evidence-based brief, early mental health treatment designed specifically for children 7-18 who have been impacted by a recent traumatic event or recently disclosed abuse. This will be expanded to young children (ages 3-6), children in foster care, children in hospital settings, organizations serving tribal and rural communities, and military families; (2) Serve as a resource for training and consultation focused on acute, brief approaches and EBTs in response to mass casualty events and disasters, as well as training and consulting on Trauma-Informed Policing approaches specifically designed to build officers' skills in early identification and trauma-informed response to children and families; (3) Expand implementation of early trauma interventions to new populations and service systems through five national Learning Communities (LC) focused on implementation of CFTSI with young children, children in hospital settings, Child Advocacy Centers, organizations serving rural and tribal communities, and those serving military families.