Project Grant H79SM085012

SCALING UP ACCESS TO TRAUMA-FOCUSED CBT FOR CHILDREN IN RHODE ISLAND - GATEWAY HEALTHCARE PROPOSES TO IMPLEMENT THE "SCALING UP ACCESS TO TRAUMA-FOCUSED CBT (TF-CBT) FOR CHILDREN IN RHODE ISLAND" PROJECT TO INCREASE ACCESS TO EFFECTIVE, HOME-BASED TRAUMA-FOCUSED TREATMENT FOR CHILDREN AND ADOLESCENTS, PARTICULARLY THOSE OF COLOR, AND EXPAND THE NETWORK OF TRAUMA-COMPETENT PROVIDERS IN THE STATE OF RHODE ISLAND. THE PROJECT ANTICIPATES SERVING 1,100 UNDUPLICATED CHILDREN AND TRAINING A MINIMUM OF 65 CLINICIANS IN TF-CBT. THE POPULATION OF FOCUS IS CHILDREN AGES 5-18 IN RHODE ISLAND WHO HAVE EXPERIENCED SIGNIFICANT TRAUMA AND ARE EXHIBITING SYMPTOMS SUCH AS ANXIETY, DEPRESSION, SELF-HARM, FEAR AND AVOIDANCE, DISRUPTIONS IN EATING AND SLEEPING, PHYSICAL AILMENTS AND/OR CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS. THE PROJECT HAS A PARTICULAR EMPHASIS FOR FAMILIES WHO ARE BLACK, INDIGENOUS, AND CHILDREN OF COLOR (BIPOC) WHO HAVE BEEN TRADITIONALLY UNDERSERVED WITH TRAUMA SERVICES. THE PROJECT'S OVERARCHING GOAL IS TO INCREASE THE NUMBER OF CHILDREN IN RHODE ISLAND WHO HAVE ACCESS TO EVIDENCE-BASED TRAUMA TREATMENT, I.E., TRAUMA-FOCUSED COGNITIVE BEHAVIOR THERAPY (TF-CBT). THE PROJECT'S MEASURABLE OBJECTIVES ARE: 1) TO TRAIN AT LEAST 65 CLINICIANS IN TF-CBT, INCLUDING AT LEAST 10 CLINICIANS WHO ARE BIPOC BY THE END OF THE PROJECT PERIOD; 2) TO INCREASE ACCESS TO TF-CBT FOR 1,100 CHILDREN IN RI EXPERIENCING TRAUMA, 45% OF WHOM WILL BE BLACK, INDIGENOUS, OR PERSONS OF COLOR; AND, 3) IN YEARS 1-3,TO DOCUMENT SPECIFIC MODIFICATIONS TO THE TF-CBT PROTOCOL FOR USE IN INTENSIVE HOME-BASED SETTINGS, INCLUDING RELEVANT CULTURAL ADAPTATIONS, AND MAKE THEM AVAILABLE TO THE BROADER MENTAL HEALTH PROVIDER COMMUNITY IN PROJECT YEARS 4 AND 5. STRATEGIES AND INTERVENTIONS TO MEET THESE GOALS AND OBJECTIVES INCLUDE: 1) PROVIDING EVIDENCE-BASED MENTAL HEALTH TRAUMA TREATMENTS AND SERVICES TO CHILDREN IN RI; 2) GROWING THE TRAUMA RESOURCE IN THE STATE BY BRINGING TOGETHER ORGANIZATIONS THAT SUPPORT SPECIFIC TARGET POPULATIONS, SUCH AS LATINX AND ASIAN CHILDREN OR IMMIGRANTS; 3) EXPANDING THE NUMBER OF CLINICIANS IN THE STATE WITH BOTH CHILD EXPERTISE AND TRAINING IN EVIDENCE-BASED TRAUMA TECHNIQUES; AND, 4) DOCUMENTING AND DISTRIBUTING ADAPTATIONS TO THE TF-CBT PROTOCOL THAT ARE EFFECTIVE WITH DIFFERENT POPULATION GROUPS. OVER THE COURSE OF THE PROJECT, 1,100 CHILDREN WILL BE TREATED AND 65 CLINICIANS WILL RECEIVE TRAINING, AS FOLLOWS: YEAR 1: 150 CHILDREN AND 32 CLINICIANS; YEAR 2: 200 CHILDREN AND 15 CLINICIANS; YEAR 3: 250 CHILDREN AND 10 CLINICIANS; YEAR 4: 250 CHILDREN AND 8 CLINICIANS; AND YEAR 5: 250 CHILDREN AND 5 CLINICIANS.