The Center for Treatment of Developmental Trauma Disorders (CTDTD) brings together developers and disseminators of leading evidence-based child developmental trauma treatments, to enable all NCTSN 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).
Over the 5-year funding period, CTDTD will enhance the ability of more than 40,000 peer and professional counselors to treat more than 100,000 children safely and effectively for DTD, operationalizing the Network’s Clinical Competencies guidelines and extending Network Core Concepts/Components initiatives with guidelines for DTD-informed clinical decision-making.
In Year 1, CTDTD will: (A) provide all NCTSN centers a DTD screening/assessment guide and protocols developed in the DTD Field Trial (which was conducted by the CTDTD Director and Co-Director) at the new grantees’ and 2017 All Network Conference meetings and through the Affiliates Network and website; (B) survey all NCTSN centers/affiliates and conduct 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; and, (C) develop and disseminate a report with integrative practical treatment strategies and al 4-year plan for informing the public, policymakers, and professionals about effective treatment for DTD.
In Year 2, CTDTD will collaborate with the NCTSN National Center to present/archive 10 national webinars each with 4 CTDTD faculty, moderated by the Director/Co-Director, and introduced with a youth-written/performed dramatization, across all developmental epochs and emphasizing children facing health disparities, for (i) families and the public (2 webinars), (ii) trauma-focused clinicians (6 webinars), and (iii) policymakers and professionals in related fields (e.g., healthcare, schools, child welfare, juvenile justice) (2 webinars); and collect, compile, and report data (quantitative and qualitative) to evaluate and refine the webinars and materials. In Years 3 and 4 CTDTD will conduct/archive/evaluate 20 case-specific national webinars and 20 taped case consultations to assist NCTSN center clinicians in using DTD assessment protocols and a DTD integrative treatment algorithm, with privacy protections. DTD assessment/treatment updates will be presented at national meetings such as the 2019 ANC. In Year 5 CTDTD will conduct/archive/evaluate 6 national webinars for clinicians, 4 summative national webinars on DTD assessment and treatment (2 for families/public and policymakers and 2 for clinicians in child-serving fields), and update presentations at national meetings such as the 2021 ANC. A summative report with recommendations for integration and refinement of DTD treatment over the next decade will be written, shared in draft form with youth/family advisors and all NCTSN centers, revised based on their input, and disseminated in collaboration with the National Center.
The 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 (JJCLE), and youth advisors, in order to provide traumatic stress treatment and services adaptation services to enable JJCLE systems/providers/organizations to adopt, adapt, and deliver evidence based trauma specific and trauma informed services culturally competently.
Since 2012, CTRJJ has developed and disseminated educational products/resources by and for youth, families, clinicians, staff, and policymakers designed to facilitate recovery from traumatic stress for youth at risk or involved in JJCLE systems. CTRJJ has been the leader in the NCTSN and nationally in bringing traumatic stress assessments, evidence-based interventions, public education, workforce development, policy development, and implementation science to JJLCE systems, professionals and advocates (e.g., the National Council of Juvenile and Family Court Judges, National Center on Youth Law, Council of Juvenile Correctional Administrators).
Over the five-year funding period, CTRJJ will provide training and technical assistance to more than 5000 youth/family serving programs and 40,000 professional/peer service providers to enable them to adapt, deliver, and evaluate trauma-specific treatments and trauma-informed services to reduce health disparities for more than 200,000 traumatized youth/families who are at risk or involved in JJCLE. CTRJJ will continue partnering with the National Center for Child Traumatic Stress to lead the NCTSN Juvenile Justice Coordination Committee and the Justice Consortium in creating, refining, and disseminating resources such as the Think Trauma Toolkit, 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).
CTRJJ also will extend its dissemination of 3 evidence-based trauma-specific interventions for youth and families in or at risk for juvenile justice contact: 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 JJCLE and military families). CTRJJ will extend and sustain its collaboration with Category II and III centers to develop cross-system trauma-informed approaches for dual/multiple-system involved youth, pregnant/parenting adolescents, commercially sexually exploited youth, and youth stigmatized due to race, ethnicity, or sexual orientation, in order to promote health equity based on the Culturally and Linguistically Appropriate Services (CLAS) standards.
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