

Updated Intervention Facts Sheets Now Available! And More Coming Soon
These updated fact sheets offer key information related to some of the interventions developed and used by members of the NCTSN. The new format includes information about the model, its evidence, adaptability and accessibility, and providing, supervising, training, and sustaining the model.
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For Military Parents and Caregivers: Supporting Your Children Throughout Deployment Provides military parents and caregivers with several ways to mitigate the negative effects of deployment including maintaining well-being, fostering positive family dynamics, and using effective parenting strategies. When a parent/caregiver is deployed or faces an increased operational tempo, especially to a combat zone, this can be one of the most significant stressors on a military family. Although military children may exhibit behavioral and emotional changes, including worry about the safety of their deployed parent/caregiver (and even you), most military children will demonstrate remarkable resilience.

Implementation: An NCTSN Video Series
The NCTSN Video Series on Implementation was created by members of the National Child Traumatic Stress Network (NCTSN) to share lessons learned as organizations seek to implement trauma-informed practices or system change efforts. The series consists of short videos on various implementation topics.

Change Collaborative on Trauma-Informed Suicide Prevention and Healing
Highlights the importance of the community in driving the direction for, and positive changes to, suicide prevention and response systems. This resource guide was developed by the NCCTS led Change Collaborative which focused on preventing youth suicide and fostering healing through community- and clinic-based approaches. Developed in partnership with NCTSN organizations, community members, and family partners, the Change Collaborative emphasizes equity, anti-racism, and values-driven work.


Trauma Training for Early Childhood (TTEC) Module 3 Now Available!
This module explores how adult attachment patterns and trauma shape caregiver-child relationships, emphasizing the role of reflective functioning and the impact of “ghosts and angels” from caregivers’ pasts. It provides strategies to recognize and respond to trauma, foster safety and connection, and support caregivers in building healthier relationships with their children.


Tips for Survivors: Coping with Grief After Community Violence
This SAMHSA tip sheet is designed for individuals impacted by gun violence and provides information about the signs of grief and anger, as well as how to cope with grief, including tips specific for helping children. In addition, a “helpful resources” section provides hotline numbers and treatment locators for those who may want further support.

Behavioral Health Best Practice Resources for Addressing Trauma and Violence
This compilation of resources includes best practices on understanding, coping, and addressing trauma and behavioral health needs in the aftermath of violence. The list features resources for and about children, youth, and young adults; parents and caregivers; schools; and responders, as well as information about relevant SAMHSA programs.

Strengthening Mental Health and Resilience after Community Violence: A Summary of Lessons Learned from ReCAST
SAMHSA’s ReCAST program supports youth and families impacted by gun violence and other trauma through implementation of evidence-based violence prevention, and community youth engagement programs, and linkages to trauma-informed behavioral health services. This report highlights lessons learned from SAMHSA’s ReCAST grant program to uplift the voices of communities impacted by violence as well as share strategies other communities can implement to promote healing, recovery and resiliency.

RECENT JOURNAL PUBLICATIONS
Working Alliance in Exposure-Based Treatments of Posttraumatic Stress Disorder Related to Childhood Abuse., authored by Danielle A C Oprel, Chris M Hoeboer, Maartje Schoorl, Rianne A de Kleine, Willem van der Does, and Agnes van Minnen, compared the development of working alliance among patients with CA-PTSD in three variants of prolonged exposure (PE) therapy: standard PE, intensive PE (iPE), and skill training in affective and interpersonal regulation + prolonged exposure (STAIR + PE). It also examined the effect of alliance on treatment outcome and dropout. Self-reported PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders and patient-rated Working Alliance Inventory were assessed in a clinical trial. This study analyzed data from 138 adult patients. Patients established a satisfactory alliance early in treatment, which increased over time. In all conditions, a higher initial working alliance was related to a lower chance of treatment dropout. In the treatment of CA-PTSD, all three variants of prolonged exposure foster positive development of the working alliance. Across conditions, working alliance did not precede symptom decline. Therapists should strive for a strong alliance at the beginning of treatment as this reduces the likelihood of dropout.

Effect of Providing Evidence-Based Mental Health Treatment on Retention in Care Among Medicaid-Enrolled Youths, authored by Rebecca E. Stewart, Nicholas C. Cardamone, Lisa Shen, Natalie Dallard, Carrie Comeau, David S. Mandell, Jill Bowen, and Aileen Rothbard, compared treatment outcomes between youths who received evidence-based practice care and those who did not at the Evidence-Based Practice and Innovation Center in Philadelphia. Youths who start behavioral health treatment often stop before completing a therapeutic course of care. To increase treatment engagement and quality of care, the center has incentivized use of evidence-based practices (EBPs) for mental health care of youths. Youths with a minimum of one session of TF-CBT or PCIT attended a second session at higher rates than did youths in the matched control group. On average, these returning youths attended more sessions in the EBP groups than in the control group. These findings indicate that, in addition to improving quality of care, EBP implementation helps address the major challenge that most youths who engage with treatment are not retained long enough for care to have therapeutic effects. Future research should examine the mechanisms through which EBPs can improve treatment retention.

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