Growing evidence-based assessment and treatment (GREAT) for children - the growing evidence-based assessment and treatment (GREAT) for children project aims to increase access to and participation…

Growing evidence-based assessment and treatment (GREAT) for children - the growing evidence-based assessment and treatment (GREAT) for children project aims to increase access to and participation in evidence-based screening, assessment, treatment, and prevention services for children in hampton roads, virginia, who have experienced traumatic stress. Providing these vital services for our diverse community of children ages 12 months - 18 years will reduce health disparities and increase child and family resilience. The population served by this project includes children ages 12 months - 18 years from across the eastern region of virginia who are referred to the children's hospital of the king's daughters child advocacy center (CAC) for an allegation of maltreatment or concerns for traumatic stress, and children ages 7-18 who present at the hospital's emergency department (ED) for medical needs related to having experienced a traumatic event. Specifically, GREAT will support the CAC's clinical capacity to increase access to services and support for children ages 12-36 months, children ages 7-18 with problematic sexual behaviors, and spanish-speaking children, while also providing evidence-based practices (EBPS) for our diverse population of at-risk children. GREAT aims to increase the capacity of clinicians to deliver parent-child interaction therapy - toddler to expand access to services for children ages 12-36 months of age, a population currently unserved by our mental health services and underserved by clinicians in our community. Clinicians will also increase capacity to provide advanced trauma-focused cognitive behavioral therapy (TF-CBT) for problematic sexual behaviors (PSB) and PSB-CBT, EBPS effective in reducing psbs in children ages 7-18 who are also currently underserved in hampton roads. Because the need for EBPS in our community for child traumatic stress is so GREAT, clinicians from chkd mental health service line will increase capacity to provide child and family traumatic stress intervention (CFTSI) for children presenting at chkd's emergency department following a traumatic experience. The project also aims to enhance the capacity of 1,000 key stakeholders and multidisciplinary partners (200 each project year) to identify, refer, and serve children who have experienced traumatic stress. We will collaborate with nctsn category I and II centers on developing and implementing screening and assessment processes, implementing culturally and linguistically sensitive EBPS, and evaluating impact and child outcomes. GREAT project activities will result in 500-650 children being screened for trauma related symptoms and 150 children participating in mental health assessments each grant year. We anticipate serving 100 children per year using TF-CBT, pcit, pcit-T, advanced TF-CBT for PSB, PSB-CBT, and CFTSI. By the end of the project, 3,050 children will be screened for the need for mental health assessment, and of those screened, 500 will complete trauma-focused mental health assessments. Of the children recommended for trauma treatment, 375 will participate with their caregiver(S) in the selected EBPS, and 225 children will participate in evaluation activities to inform our understanding of traumatic stress and the efficacy of EBPS in our community.