Project Grant H79SM086447

THE NEW HAMPSHIRE EARLY CHILDHOOD AND FAMILY MENTAL HEALTH SYSTEM OF TREATMENT (NEST) PROJECT - LAMPREY HEALTH CARE (LHC) - NEW HAMPSHIRE'S (NH) FIRST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER AND THE OVERSIGHT AGENCY FOR THE SOUTHERN NH AREA HEALTH EDUCATION CENTER (SNHAHEC) THAT FOCUSES ON HEALTH PROFESSIONS EDUCATION - IS PARTNERING WITH THE CENTER FOR TRAUMA-RESPONSIVE PRACTICE CHANGE (CTRPC) TO IMPLEMENT NEST - THE NH EARLY CHILDHOOD AND FAMILY MENTAL HEALTH SYSTEM OF TREATMENT (NEST) PROJECT. CTRPC PROVIDES EXPERT TRAINING AND CONSULTATION IN TRAUMA-RESPONSIVE PRACTICES/SYSTEMS FOR HUMAN SERVICE AND STATE AGENCIES THROUGHOUT NH. WITH FUNDING FROM SAMHSA'S INFANT AND EARLY CHILDHOOD MENTAL HEALTH SERVICES (IECMH) INITIATIVE, LHC AND CTRPC WILL EXPAND ACCESS TO AGE-APPROPRIATE, EVIDENCE-BASED IECMH INTERVENTIONS AMONG NH CHILDREN EXPOSED TO ADVERSE CHILDHOOD EXPERIENCES (ACES) AND THEIR CAREGIVERS (GOAL 1), ACHIEVED THROUGH THE FOLLOWING OBJECTIVES: INCREASE THE NUMBER OF TRAINED CHILD-PARENT PSYCHOTHERAPY (CPP) PROVIDERS BY 50% FOR A TOTAL OF 180 CPP PROVIDERS; INCREASE THE NUMBER OF CPP PROVIDERS WHO RECEIVE SPECIALIZED TRAINING IN WORKING WITH IMMIGRANT FAMILIES/POC AND CHILDREN AND FAMILIES EXPOSED TO SUD, FOR A TOTAL OF 60 CPP PROVIDERS; PROVIDE CPP TO AT LEAST 200 CHILDREN AGED 0-6 WITH EXPOSURE TO ACES; AND INCREASE UTILIZATION OF CPP AMONG IMMIGRANT/REFUGEE FAMILIES BY ENGAGING CULTURAL BROKERS TO CONNECT 15 FAMILIES TO SERVICES. LHC AND CTRPC ALSO AIM TO IMPROVE THE CAPACITY OF EARLY CARE AND EDUCATION PROGRAMS AND CHILD- AND FAMILY-SERVING PROFESSIONALS TO PROVIDE TRAUMA-INFORMED, CULTURALLY RESPONSIVE SERVICES TO YOUNG CHILDREN EXPOSED TO ACES (GOAL 2) THROUGH THE FOLLOWING OBJECTIVES: EDUCATE AND CONSULT WITH AT LEAST 500 PROFESSIONALS/PROVIDERS THROUGHOUT NH ABOUT THE IMPACT OF TRAUMA ON CHILDREN AND FAMILIES AND AVAILABLE INTERVENTIONS, INCLUDING CPP; AND DECREASE THE CPP INTAKE TIME TO LESS THAN 30 DAYS BY DEVELOPING AND IMPLEMENTING AN EXPEDITED SCREENING AND REFERRAL SYSTEM IN PARTNERSHIP WITH THE STATE'S SAMHSA-FUNDED SYSTEM OF CARE (SOC) FOR CHILDREN'S BEHAVIORAL HEALTH. LHC AND CTRPC WILL STRENGTHEN AND SUSTAIN NH'S IECMH INFRASTRUCTURE AT THE STATE AND LOCAL LEVELS (GOAL 3) THROUGH THE FOLLOWING OBJECTIVES: INCREASE NH'S CPP TRAINER POOL BY 50% BY CONDUCTING A CPP APPRENTICE TRAINING PROGRAM THAT WILL RESULT IN 3 CERTIFIED CPP TRAINERS IN NH, CREATE AND IMPLEMENT AN NH CPP NETWORK DATABASE TO TRACK PROVIDER AVAILABILITY, REFERRALS, SERVICE DELIVERY, AND OUTCOMES; AND DEVELOP A SUSTAINABILITY PLAN THAT IDENTIFIES PUBLIC AND PRIVATE FUNDERS AND ADVOCATES TO PERPETUATE CPP TRAINING, TRAUMA-INFORMED CARE, AND IECMH DELIVERY. LHC AND CRTPC WILL SERVE 250 INDIVIDUALS EACH YEAR FOR A TOTAL OF 1,250 INDIVIDUALS, INCLUDING CHILDREN AND FAMILIES WHO RECEIVE SCREENING AND REFERRALS FOR CPP AND THOSE WHO RECEIVE CPP. LHC AND CRTPC WILL TRAIN 175 INDIVIDUALS PER YEAR FOR A TOTAL OF 875 INDIVIDUALS, INCLUDING EARLY CARE AND EDUCATION PROVIDERS WHO RECEIVE CONSULTATION, CHILD AND FAMILY-SERVING PROFESSIONALS WHO RECEIVE TRAINING, AND MENTAL HEALTH CLINICIANS WHO PARTICIPATE IN THE CPP LEARNING COMMUNITIES. LHC AND CRRPC WILL PARTNER WITH THE FOLLOWING ORGANIZATIONS TO IMPLEMENT NEST: AMOSKEAG HEALTH'S TRAINING AND TECHNICAL ASSISTANCE CENTER FOR ACE RESPONSE TEAM TEAMS THROUGHOUT NH; BOSTON MEDICAL CENTER CHILD WITNESS TO VIOLENCE PROJECT TO PROVIDE TRAINING ON DIVERSITY, EQUITY, AND INCLUSION; BOSTON UNIVERSITY SCHOOL OF SOCIAL WORK THAT WILL PROVIDE TRAINING IN SUD-INFORMED CPP INTERVENTIONS; CENTER FOR PROGRAM DESIGN & EVALUATION AT DARTMOUTH THAT WILL PROVIDE MIXED-METHODS EVALUATION SERVICES; PRESCHOOL TECHNICAL ASSISTANCE NETWORK THAT WILL ENGAGE EARLY CHILDHOOD CARE PROVIDERS AND CHILD- AND FAMILY-SERVING PROFESSIONALS FOR CONSULTATION; AND THE NH DEPT. OF HEALTH & HUMAN SERVICES THAT OVERSEES THE STATE'S CHILD WELFARE AGENCY, THE DIVISION OF BEHAVIORAL HEALTH (DBH) THAT FUNDS THE SOC, AND IS DEVELOPING THE CHILD BEHAVIORAL HEALTH RESOURCE CENTER THAT WILL INCORPORATE CPP PROVIDER NETWORK INFORMATION.