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Healthcare

Wherever primary providers encounter children and families, there are opportunities to integrate trauma-informed practices into the care families receive. 

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Culture and Trauma

Trauma intersects in many different ways with culture, history, race, gender, location, and language. Trauma-informed systems acknowledge the compounding impact of structural inequity and are responsive to the unique needs of diverse communities.

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Families and Trauma

All families experience trauma differently. Some factors such as a child’s age or the family’s culture or ethnicity may influence how the family copes and recovers from a traumatic event.

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Family-Youth-Provider Partnerships

Partnership among family, youth, and providers merges professional expertise and the experiences of trauma and healing.

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Secondary Traumatic Stress

Secondary traumatic stress is the emotional duress that results when an individual hears about the firsthand trauma experiences of another.

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Public Awareness

Raising public awareness about the scope and serious impact of child traumatic stress is central to raising the standard of care and increasing access to quality services for traumatized children and their families.

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Structure and Governance

The National Child Traumatic Stress Network is made up of three components.

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National Center

The UCLA-Duke University National Center for Child Traumatic Stress (NCCTS) provides leadership, organizational structure, and coordination to the current grantees, Affiliates, and partners of the NCTSN.

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Strategic Partnerships

The National Center for Child Traumatic Stress works closely with National Child Traumatic Stress Network members to develop and expand comprehensive external partnerships.

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Policy Issues

Collaborative work with policymakers has been an essential part of the mission and activities of the National Child Traumatic Stress Network since it began in 2000 as part of the Children’s Health Act. 

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The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.
    • What is Child Trauma?
      • About Child Trauma
      • Trauma Types
        • Bullying
          • Effects
          • NCTSN Resources
        • Community Violence
          • Effects
          • NCTSN Resources
        • Complex Trauma
          • Effects
          • Screening and Assessment
          • Interventions
          • NCTSN Resources
        • Disasters
          • Earthquake Resources
          • Extreme Heat Resources
          • Flood Resources
          • Hurricane Resources
          • Landslide Resources
          • COVID-19 Resources
          • Tornado Resources
          • Tsunami Resources
          • Wildfire Resources
          • Windstorm Resources
          • Winter Storm Resources
        • Early Childhood Trauma
          • Effects
          • Screening and Assessment
          • Interventions
          • NCTSN Resources
        • Intimate Partner Violence
          • Effects
          • Interventions
          • NCTSN Resources
        • Medical Trauma
          • Effects
          • NCTSN Resources
        • Physical Abuse
          • Effects
          • Interventions
          • NCTSN Resources
        • Race-Based Trauma
          • NCTSN Resources
        • Refugee Trauma
          • About Refugees
          • Effects
          • Screening and Assessment
          • Interventions
          • NCTSN Resources
          • External Resources
        • Sexual Abuse
          • Effects
          • Interventions
          • NCTSN Resources
          • External Resources
        • Sex Trafficking
          • About Child Sex Trafficking
          • Effects
          • Screening, Identification, and Assessment
          • NCTSN Resources
          • External Resources
        • Terrorism and Violence
          • School Shooting Resources
          • Mass Violence Resources
          • NCTSN Resources
        • Traumatic Grief
          • Effects
          • Interventions
          • NCTSN Resources
      • Populations at Risk
        • Trauma and Substance Use
          • NCTSN Resources
        • Economic Stress
          • NCTSN Resources
        • Military and Veteran Families
          • NCTSN Resources
        • Youth Who Experience Homelessness
          • NCTSN Resources
        • LGBTQ Youth
          • NCTSN Resources
        • Intellectual and Developmental Disabilities
          • NCTSN Resources
    • Treatments and Practices
      • Trauma Treatments
        • Overview
        • Interventions
      • Screening and Assessment
        • Trauma Screening
        • Trauma-Informed Mental Health Assessment
        • NCTSN Resources
        • Measure Reviews
          • All Measure Reviews
          • Usage and Glossary
      • Psychological First Aid and SPR
        • About PFA
        • About SPR
        • NCTSN Resources
      • Core Curriculum on Childhood Trauma
    • Trauma-Informed Care
      • Trauma-Informed Systems
        • Child Welfare
          • Essential Elements
          • NCTSN Resources
        • Children's Advocacy Centers
          • NCTSN Resources
          • External Resources
        • Healthcare
          • Essential Elements
          • NCTSN Resources
        • Justice
          • Essential Elements
          • NCTSN Resources
        • Schools
          • Essential Elements
          • NCTSN Resources
        • Trauma-Informed Pediatric Psychiatry
          • Child Trauma Training
          • NCTSN Resources
      • Culture and Trauma
        • Introduction
        • NCTSN Resources
      • Families and Trauma
        • Introduction
        • NCTSN Resources
      • Family-Youth-Provider-Partnerships
        • Introduction
        • NCTSN Resources
      • Secondary Traumatic Stress
        • Introduction
        • NCTSN Resources
      • Trauma-Informed Organizational Assessment
        • What is Trauma-Informed Care and Why It Matters?
        • What are the Domains and Items of the NCTSN TIOA?
        • Why Work With an NCTSN TIOA Coach?
        • What are the Pathways for Using the NCTSN TIOA?
        • What Do Organizations Say About Implementing the NCTSN TIOA?
        • How Do I Get Started?
        • Frequently Asked Questions
    • Resources
      • All NCTSN Resources
      • Training
        • Webinars
        • e-Learning Courses
        • Training Curricula
      • Información en Español
      • Public Awareness
        • World Refugee Awareness Month
    • About Us
      • Who We Are
      • Structure and Governance
        • National Center
        • Steering Committee
        • Advisory Board
        • Affiliate Program
      • Network Members
      • Strategic Partnerships
      • Policy Issues
        • NCTSN Resources
        • External Resources
      • Position Statements
      • About This Website
      • Contact Us
        • Get Help Now
        • For the Media
          • NCTSN Resources