Project Grant H79SM085005

TRAUMA FOCUSED TRAUMATIC STRESS EVALUATION AND MANAGEMENT FOR ADOLESCENTS WITH POSTTRAUMATIC STRESS DISORDER - OLIVE VIEW MEDICAL CENTER - LOS ANGELES COUNTY (OVMC-LAC) PROPOSES IMPLEMENTING A BROAD RANGE OF TRAUMATIC STRESS SERVICES TO INCREASE ACCESS AND QUALITY OF CARE. THIS INCLUDES THE IMPLEMENTATION OF A CARE PROCESS MODEL FOR TRAUMA (CPMT) OF EFFECTIVE EVIDENCE-BASED TRAUMA SCREENING AND TRAUMA AND TRAUMA-REMINDER FOCUSED INTERVENTIONS FOR ADOLESCENTS WITH POSTTRAUMATIC STRESS DISORDER (PTSD) AND THEIR FAMILIES IN NORTH LOS ANGELES COUNTY (LAC) AND WITHIN SCHOOLS, OTHER CHILD-SERVING SYSTEMS, PEDIATRIC AND PSYCHIATRY CLINICS, AND PSYCHIATRY EMERGENCY ROOMS. THIS PROJECT WILL EXPAND AND ENHANCE THE CAPACITY OF OVMC-LAC TO DELIVER MORE EFFECTIVE AND LINGUISTICALLY/CULTURALLY COMPETENT TRAUMA SCREENING AND TREATMENT TO UNDERSERVED ADOLESCENTS WITH PTSD AND THEIR FAMILIES, ESPECIALLY AMONG MINORITIES (E.G., HISPANIC, AND AFRICAN AMERICAN YOUTH, LGBTQ YOUTH, AND VETERAN FAMILIES.) THIS PROPOSAL IS TO ADOPT CMPT, AND TRAUMA-REMINDER FOCUSED INTERVENTIONS, INCLUDING TRAUMA AND GRIEF COMPONENT THERAPY FOR ADOLESCENTS (TGCTA), A FAMILY INTERVENTION FOR SUICIDE PREVENTION (FISP), AND A REMINDER FOCUSED POSITIVE PSYCHIATRY INTERVENTION (RFPP) - IN COLLABORATION WITH NCTSN CATEGORY II CENTERS FOR ADOLESCENTS WITH PTSD AND THEIR FAMILIES. WE WILL PROVIDE DIRECT SERVICE AND SUPERVISORY CONSULTATION USING THE NCTSN CORE CURRICULUM TO PROVIDERS AT OVMC-LAC. CLINICIANS AND NURSES AT PEDIATRIC CLINICS, LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD), AND BARRY J. NIDORF JUVENILE HALL MENTAL HEALTH CLINICS WILL ACHIEVE TRAUMA-INFORMED SKILLSET AND COMPETENCY TO IMPLEMENT. TRAUMA-INFORMED SCREENING: CMPT WILL BE PRIMARILY IMPLEMENTED IN PEDIATRIC AND MENTAL HEALTH CLINICS, SCREENING 1,500 AT-RISK ADOLESCENTS FOR PTSD PER YEAR FOR A TOTAL OF 7,500 ADOLESCENTS. ADOLESCENTS AT RISK FOR PTSD WILL BE EVALUATED USING THE PEDIATRIC TRAUMATIC STRESS SCREENING TOOL, AND BASED ON THE ADOLESCENT'S TRAUMA SYMPTOM SEVERITY AND THE PRESENCE OF FUNCTIONAL IMPAIRMENT IN THE ADOLESCENT'S LIFE, ADOLESCENTS WITH PTSD WILL BE ASSIGNED TO ONE OF THREE TREATMENT INTERVENTIONS, INCLUDING PROTECTIVE- FOR MILD SYMPTOMS, - RESILIENT - FOR MODERATE SYMPTOMS - OR RESTORATIVE - FOR SEVERE SYMPTOMS. TRAUMA REMINDER INTERVENTIONS: FISP, TGCTA, AND RFPP INTERVENTIONS WILL BE IMPLEMENTED AT OVMC-LAC, AS A HUB, WITH DIRECT SERVICE AND ONGOING CONSULTATION IN DESIGNATED PSYCHIATRY CLINICS. THE PROJECT WILL PROVIDE EVIDENCE-BASED INTERVENTIONS TO 210 YOUTH WITH PTSD AND THEIR FAMILIES PER YEAR FOR A TOTAL OF 1,050 YOUTH. THE POPULATION OF FOCUS IS TRAUMA-EXPOSED ADOLESCENTS 9 TO 18 YEARS OLD. THIS INCLUDES CHILDREN OF MILITARY FAMILIES, CHILDREN INVOLVED IN THE CHILD WELFARE SYSTEM, CHILDREN IN PEDIATRIC CLINICS, AND ADOLESCENTS WITH CO-MORBID SUBSTANCE USE DISORDERS ACROSS NORTH LAC, INCLUDING MINORITIES AND UNDERSERVED POPULATIONS. ENHANCING THE SKILLSET AND COMPETENCY OF STAFF WHO PROVIDE CPMT AND DELIVERING TRAUMA-FOCUSED TREATMENT (CORE CURRICULUM ON CHILDHOOD TRAUMA, TGCT-A, FISP, AND RFPP) AT OVMC-LAC WILL BE DONE IN COLLABORATION WITH NCTSN CATEGORY II CENTERS IN HOUSTON, LOS ANGELES, AND SALT LAKE CITY. REPORTS REGARDING DATA COLLECTION AND PROGRESS WILL BE PROVIDED TO SAMHSA.