Pediatric integrated post-trauma services (pips) developed the care process model for pediatric traumatic stress (CPM-PTS), the first and only empirically-supported model for frontline pediatric…

Pediatric integrated post-trauma services (pips) developed the care process model for pediatric traumatic stress (CPM-PTS), the first and only empirically-supported model for frontline pediatric settings to detect and respond to child traumatic stress and suicide. Pips proposes to develop implementation strategies and disseminate the CPM-PTS nationally, and newly to foster care populations and rural service systems. The purpose of the CPM-PTS is to remediate mental health disparities by guiding providers in pediatric settings to universally screen for trauma, identify risk for traumatic stress and suicidality, and provide a trauma-informed approach that guides referrals for at-risk children to evidence-based trauma treatment as well as targeted, brief in-clinic interventions. As of january 2021, the CPM-PTS has been successfully implemented in >32 separate clinical settings, mostly in primary care and children's advocacy centers, in 7 US states, reaching tens of thousands of youth. However, current training and implementation strategies for wide-scale dissemination, adoption, and sustainability of the CPM-PTS are insufficient compared to the number and diversity of pediatric settings and systems nationally that could better detect child trauma and provide a trauma-informed response. Failing to systematically identify and respond to pediatric traumatic stress is a fundamental barrier that delays or prevents traumatized children from receiving evidence-based clinical care. The goal of the current project is to disseminate the CPM-PTS to diverse pediatric and advocacy center settings through: 1. Establishment of regional technical assistance centers, 2. Development of enhanced implementation strategies for rural and non-rural service settings, and 3. Adaptation of the CPM-PTS for children in foster care. Pips partners with national professional organizations, large healthcare systems, the national center for child traumatic stress (nccts), and 18 current and proposed national child traumatic stress initiative (nctsi) sites in 20 US states. IT is anticipated that in the project lifetime, 30 technical assistance centers will be trained to support implementation of the CPM-PTS in their system and community, 300 sites will implement the CPM-PTS, and by the last year of the grant, 300,000 children annually will receive care in settings using the CPM-PTS, with the intention of remediating mental health disparities and providing best practice response on a national scale for children at risk for traumatic stress and suicide.